Effect of Dentifrice Usage Regime on Delivery and Efficacy of Fluoride

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Completed
CT.gov ID
NCT01563172
Collaborator
(none)
65
1
5
5
13.1

Study Details

Study Description

Brief Summary

This study will evaluate and compare the effect of the amount of toothpaste used and brushing time on enamel strengthening (percent of surface microhardness recovery, % SMHR) and enamel fluoride uptake (EFU).

Condition or Disease Intervention/Treatment Phase
  • Drug: Sodium fluoride / silica and carbopol, 0.5g
  • Drug: Sodium fluoride / silica and carbopol, 1.5g
  • Drug: Sodium fluoride / silica and carbopol, 1.5g
  • Other: Fluoride free dentifrice
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
65 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Single (Investigator)
Primary Purpose:
Treatment
Official Title:
A Study to Measure the Effect of Dentifrice Usage Regime on Delivery and Efficacy of Fluoride Using an In Situ Caries Model
Actual Study Start Date :
Jan 1, 2009
Actual Primary Completion Date :
Jun 1, 2009
Actual Study Completion Date :
Jun 1, 2009

Arms and Interventions

Arm Intervention/Treatment
Experimental: Experimental dentifrice 0.5g, 45 seconds brushing group

Participants brush twice a daily for 45 seconds with experimental dentifrice.

Drug: Sodium fluoride / silica and carbopol, 0.5g
Dentifrice containing 1150 parts per million (ppm) fluoride as sodium fluoride / silica and 0.4% carbopol

Other: Fluoride free dentifrice
A non fluoride dentifrice was given to participants of each arm at washout period

Experimental: Experimental dentifrice 1.5g, 45 seconds brushing group

Participants brush twice a daily for 45 seconds with experimental dentifrice.

Drug: Sodium fluoride / silica and carbopol, 1.5g
Dentifrice containing 1150 ppm fluoride as sodium fluoride / silica and 0.4% carbopol

Other: Fluoride free dentifrice
A non fluoride dentifrice was given to participants of each arm at washout period

Experimental: Experimental dentifrice 0.5g, 2 minutes brushing group

Participants brush twice a daily for 2 minutes with experimental dentifrice.

Drug: Sodium fluoride / silica and carbopol, 0.5g
Dentifrice containing 1150 parts per million (ppm) fluoride as sodium fluoride / silica and 0.4% carbopol

Other: Fluoride free dentifrice
A non fluoride dentifrice was given to participants of each arm at washout period

Experimental: Experimental dentifrice 1.5g, 2 minutes brushing group

Participants brush twice a daily for 2 minutes with experimental dentifrice.

Drug: Sodium fluoride / silica and carbopol, 1.5g
Dentifrice containing 1150 ppm fluoride as sodium fluoride / silica and 0.4% carbopol

Other: Fluoride free dentifrice
A non fluoride dentifrice was given to participants of each arm at washout period

Active Comparator: Contol group

Participants brush twice a daily for 2 minutes with controll dentifrice.

Drug: Sodium fluoride / silica and carbopol, 1.5g
Dentifrice containing 250 ppm fluoride as sodium fluoride / silica and 0.4% carbopol

Other: Fluoride free dentifrice
A non fluoride dentifrice was given to participants of each arm at washout period

Outcome Measures

Primary Outcome Measures

  1. Percentage Surface Micro Hardness Recovery (% SMH), of Brushing for 2 Minutes Versus (vs.) Brushing for 45 Seconds With 1.5g of Experimental Dentifrice. [At Baseline and at Day 14]

    SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (micrometer [μm]) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.

Secondary Outcome Measures

  1. Percentage Surface Micro Hardness (% SMH) Recovery , of Brushing for 2 Minutes vs. Brushing for 45 Seconds With 0.5g of Experimental Dentifrice. [At Baseline and at Day 14]

    SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (μm) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.

  2. Percentage Surface Micro Hardness (% SMH) Recovery, of Brushing for 2 Minutes With 0.5g of Experimental Dentifrice vs. Brushing for 2 Minutes With 1.5g of Experimental Dentifrice. [At Baseline and at Day 14]

    SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (μm) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.

  3. Percentage Surface Micro-hardness Recovery (% SMH), of Brushing for 45 Seconds With 0.5g of Experimental Dentifrice vs. Brushing for 45 Seconds With 1.5g of Experimental Dentifrice. [At Baseline and at Day 14]

    SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (μm) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.

  4. Percent Surface Micro-hardness (% SMH) Recovery, of Brushing for 2 Minutes With 1.5g of Experimental Dentifrice vs. Brushing for 2 Minutes With 1.5g of an Control Dentifrice. [At Baseline and at Day 14]

    SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (μm) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.

  5. Enamel Fluoride Uptake (EFU) After Brushing for 2 Minutes vs. Brushing for 45 Seconds With 1.5g of Experimental Dentifrice. [At Day 14]

    EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.

  6. Enamel Fluoride Uptake (EFU) After Brushing for 2 Minutes vs. Brushing for 45 Seconds With 0.5g of Experimental Dentifrice. [At Day 14]

    EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.

  7. Enamel Fluoride Uptake (EFU) After Brushing for 2 Minutes With 0.5g of Experimental Dentifrice vs. Brushing for 2 Minutes With 1.5g of Experimental Dentifrice. [At Day 14]

    EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.

  8. Enamel Fluoride Uptake (EFU) After Brushing for 45 Seconds With 0.5g of Experimental Dentifrice vs. Brushing for 45 Seconds With 1.5g of Experimental Dentifrice. [At Day 14]

    EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.

  9. Enamel Fluoride Uptake (EFU) After Brushing for 2 Minutes With 1.5g of Experimental Dentifrice vs. Brushing for 2 Minutes With 1.5g of Control Dentifrice. [At Day 14]

    EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:

General and Dental Health

  • Good general and dental health with (in the opinion of the investigator) no clinically significant and relevant abnormalities of medical history or oral examination

  • Have no current active caries or periodontal disease that may compromise the study or the health of the subjects

  • Residency: Currently living in the Indianapolis, Indiana area

Dentures:
  • Currently wearing a removable mandibular partial denture with sufficient room in the posterior buccal flange area to accommodate two enamel specimens (required dimensions 12 mm x 7 mm)

  • Willing to have their denture modified to accommodate enamel test specimens and willing and capable of wearing their removable mandibular partial dentures 24 hours per day during the experimental periods

  • All restorations in a good state of repair

  • Salivary Flow: Have a salivary flow rate in the range of normal values (unstimulated whole saliva flow rate ≥ 0.2 mL/minute; gum base stimulated whole saliva flow rate ≥ 0.8 mL/minute)

Exclusion Criteria:
  • Antibiotics: Use of antibiotics two weeks prior to a treatment visit or anticipated use during the study treatment periods

  • Study Scale Use: Subjects unable to measure product weights accurately using the assigned study scale as determined by the study staff (as demonstrated on or before Visit 4)

  • A member of the site study staff who is directly working on the project or living in that staff's household

  • Any employee of any toothpaste manufacturer or their spouse or family member

Contacts and Locations

Locations

Site City State Country Postal Code
1 Indiana University School of Dentistry Indianapolis Indiana United States 46202

Sponsors and Collaborators

  • GlaxoSmithKline

Investigators

  • Study Director: GSK Clinical Trials, GlaxoSmithKline

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01563172
Other Study ID Numbers:
  • T3158587
First Posted:
Mar 26, 2012
Last Update Posted:
Feb 7, 2018
Last Verified:
Jan 1, 2018
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants were recruited from 1 center in the USA.
Pre-assignment Detail Total of 74 participants were screened for the study, out of which 65 participants were randomized in the study. Nine participants were screen failures.
Arm/Group Title Overall
Arm/Group Description This was a five arm cross-over study. Five arms were divided according to the different treatment regimens, the participants were received all the following treatment regimens during the study: 1. Experimental dentifrice 0.5 grams (g) for 45 seconds, 2. Experimental dentifrice 0.5g for 2 minutes, 3. Experimental dentifrice 1.5g for 45 seconds, 4. Experimental dentifrice 1.5g for 2 minutes, and 5. Control dentifrice 1.5g for 2 minutes only.
Period Title: Overall Study
STARTED 65
Experimental Dentifrice 0.5g/2 Min 59
Experimental Dentifrice 0.5g/45 Sec 59
Experimental Dentifrice 1.5g/ 2min 58
Experimental Dentifrice 1.5g/ 45 Sec 58
Control Dentifrice 60
COMPLETED 52
NOT COMPLETED 13

Baseline Characteristics

Arm/Group Title Overall
Arm/Group Description This was a five arm cross-over study. Five arms were divided according to the different treatment regimens, the participants were received all the following treatment regimens during the study: 1. Experimental dentifrice 0.5 grams (g) for 45 seconds, 2. Experimental dentifrice 0.5g for 2 minutes, 3. Experimental dentifrice 1.5g for 45 seconds, 4. Experimental dentifrice 1.5g for 2 minutes, and 5. Control dentifrice 1.5g for 2 minutes only.
Overall Participants 65
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
63.6
(8.56)
Sex: Female, Male (Count of Participants)
Female
38
58.5%
Male
27
41.5%
Race/Ethnicity, Customized (Number) [Number]
Caucasian
28
43.1%
Black
37
56.9%

Outcome Measures

1. Primary Outcome
Title Percentage Surface Micro Hardness Recovery (% SMH), of Brushing for 2 Minutes Versus (vs.) Brushing for 45 Seconds With 1.5g of Experimental Dentifrice.
Description SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (micrometer [μm]) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.
Time Frame At Baseline and at Day 14

Outcome Measure Data

Analysis Population Description
Per Protocol (PP) population: Included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 1.5g, 2 Minutes Brushing Group Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 1.5g dose of experimental dentifrice.
Measure Participants 57 53
Least Squares Mean (Standard Error) [% SMH]
41.61
(2.244)
34.66
(2.284)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter Least square (LS) mean difference
Estimated Value 6.95
Confidence Interval (2-Sided) 95%
2.91 to 10.98
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from Analysis of variance (ANOVA) with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
2. Secondary Outcome
Title Percentage Surface Micro Hardness (% SMH) Recovery , of Brushing for 2 Minutes vs. Brushing for 45 Seconds With 0.5g of Experimental Dentifrice.
Description SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (μm) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.
Time Frame At Baseline and at Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 0.5g, 2 Minutes Brushing Group Experimental Dentifrice 0.5g, 45 Seconds Brushing Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 0.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 0.5g dose of experimental dentifrice.
Measure Participants 58 55
Least Squares Mean (Standard Error) [% SMH]
30.75
(2.232)
25.05
(2.266)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0049
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value 5.70
Confidence Interval (2-Sided) 95%
1.74 to 9.66
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
3. Secondary Outcome
Title Percentage Surface Micro Hardness (% SMH) Recovery, of Brushing for 2 Minutes With 0.5g of Experimental Dentifrice vs. Brushing for 2 Minutes With 1.5g of Experimental Dentifrice.
Description SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (μm) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.
Time Frame At Baseline and at Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 0.5g, 2 Minutes Brushing Group Experimental Dentifrice 1.5g, 2 Minutes Brushing Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 0.5g dose of experimental dentifrice Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of experimental dentifrice.
Measure Participants 58 57
Least Squares Mean (Standard Error) [% SMH]
30.75
(2.232)
41.61
(2.244)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -10.86
Confidence Interval (2-Sided) 95%
-14.77 to -6.94
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
4. Secondary Outcome
Title Percentage Surface Micro-hardness Recovery (% SMH), of Brushing for 45 Seconds With 0.5g of Experimental Dentifrice vs. Brushing for 45 Seconds With 1.5g of Experimental Dentifrice.
Description SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (μm) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.
Time Frame At Baseline and at Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 0.5g, 45 Seconds Brushing Group Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 0.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 1.5g dose of experimental dentifrice.
Measure Participants 55 53
Least Squares Mean (Standard Error) [% SMH]
25.05
(2.266)
34.66
(2.284)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -9.61
Confidence Interval (2-Sided) 95%
-13.68 to -5.54
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
5. Secondary Outcome
Title Percent Surface Micro-hardness (% SMH) Recovery, of Brushing for 2 Minutes With 1.5g of Experimental Dentifrice vs. Brushing for 2 Minutes With 1.5g of an Control Dentifrice.
Description SMH recovery test was used to assess the changes in mineralization status of enamel specimens using a Wilson 2100 Hardness tester. SMH recovery was performed in-vitro and determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening while decrease in the indentation length represents re-hardening of enamel surface. % SMH recovery was calculated from indentation length (μm) of sound enamel specimen at baseline (B), indentation length (μm) after in vitro demineralization (D1), indentation length (μm) after intra-oral exposure (R): [D1-R/D1-B] ×100.
Time Frame At Baseline and at Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 1.5g, 2 Minutes Brushing Group Contol Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of control dentifrice.
Measure Participants 57 58
Least Squares Mean (Standard Error) [% SMH]
41.61
(2.244)
26.23
(2.232)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value 15.38
Confidence Interval (2-Sided) 95%
11.45 to 19.31
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
6. Secondary Outcome
Title Enamel Fluoride Uptake (EFU) After Brushing for 2 Minutes vs. Brushing for 45 Seconds With 1.5g of Experimental Dentifrice.
Description EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.
Time Frame At Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 1.5g, 2 Minutes Brushing Group Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 1.5g dose of experimental dentifrice.
Measure Participants 57 53
Least Squares Mean (Standard Error) [micrograms (μg)×F/centimeters(cm)2]
2426.51
(103.802)
1912.51
(106.620)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value 514.01
Confidence Interval (2-Sided) 95%
283.02 to 744.99
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
7. Secondary Outcome
Title Enamel Fluoride Uptake (EFU) After Brushing for 2 Minutes vs. Brushing for 45 Seconds With 0.5g of Experimental Dentifrice.
Description EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.
Time Frame At Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 0.5g, 2 Minutes Brushing Group Experimental Dentifrice 0.5g, 45 Seconds Brushing Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 0.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 0.5g dose of experimental dentifrice.
Measure Participants 58 55
Least Squares Mean (Standard Error) [μg×F/cm2]
1603.63
(103.018)
1337.72
(105.260)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0218
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS Mean difference
Estimated Value 265.92
Confidence Interval (2-Sided) 95%
39.00 to 492.83
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
8. Secondary Outcome
Title Enamel Fluoride Uptake (EFU) After Brushing for 2 Minutes With 0.5g of Experimental Dentifrice vs. Brushing for 2 Minutes With 1.5g of Experimental Dentifrice.
Description EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.
Time Frame At Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 0.5g, 2 Minutes Brushing Group Experimental Dentifrice 1.5g, 2 Minutes Brushing Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 0.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of experimental dentifrice.
Measure Participants 58 57
Least Squares Mean (Standard Error) [μg×F/cm2]
1603.63
(103.018)
2426.51
(103.802)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -822.88
Confidence Interval (2-Sided) 95%
-1047.34 to -598.42
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
9. Secondary Outcome
Title Enamel Fluoride Uptake (EFU) After Brushing for 45 Seconds With 0.5g of Experimental Dentifrice vs. Brushing for 45 Seconds With 1.5g of Experimental Dentifrice.
Description EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.
Time Frame At Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 0.5g, 45 Seconds Brushing Group Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 0.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 1.5g dose of experimental dentifrice.
Measure Participants 55 53
Least Squares Mean (Standard Error) [μg×F/cm2]
1337.72
(105.260)
1912.51
(106.620)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -574.79
Confidence Interval (2-Sided) 95%
-808.08 to -341.50
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.
10. Secondary Outcome
Title Enamel Fluoride Uptake (EFU) After Brushing for 2 Minutes With 1.5g of Experimental Dentifrice vs. Brushing for 2 Minutes With 1.5g of Control Dentifrice.
Description EFU was measured by using micro-drill analysis of the enamel specimens carried out after 14 days of intra-oral exposure for each of the toothpaste treatments. The amount of fluoride-uptake by enamel was calculated based on the amount of fluoride divided by the area of the enamel cores.
Time Frame At Day 14

Outcome Measure Data

Analysis Population Description
PP population included all randomized participants who had no major protocol deviations that were felt by the investigator to have affected the assessment of efficacy for all treatments.
Arm/Group Title Experimental Dentifrice 1.5g, 2 Minutes Brushing Group Contol Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of control dentifrice.
Measure Participants 57 58
Least Squares Mean (Standard Error) [μg×F/cm2]
2426.51
(103.802)
1132.18
(103.044)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Experimental Dentifrice 1.5g, 2 Minutes Brushing Group, Experimental Dentifrice 1.5g, 45 Seconds Brushing Group
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Between Treatment p-Values based on the statistical model adjusting for treatment, study period, and participant (random effect).
Method ANOVA
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value 1294.34
Confidence Interval (2-Sided) 95%
1069.24 to 1519.43
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean from ANOVA with factors for treatment, study period, and participant (random effect). Difference is first named treatment minus second named treatment such that a positive difference favours the first named treatment.

Adverse Events

Time Frame Approximately 16 Weeks
Adverse Event Reporting Description All non-oral Adverse events (AEs) were not coded, therefore all the non-oral AEs were reported under system order class (SOC) General disorder.
Arm/Group Title Experimental Dentifrice 0.5g, 45 Seconds Brushing Group Experimental Dentifrice 0.5g, 2 Minutes Brushing Group Experimental Dentifrice 1.5g, 45 Seconds Brushing Group Experimental Dentifrice 1.5g, 2 Minutes Brushing Group Contol Group
Arm/Group Description Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 0.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 0.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 45 seconds with 1.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with 1.5g dose of experimental dentifrice. Participants in this arm brushed their teeth twice a daily (morning and evening) for 2 minutes with control dentifrice.
All Cause Mortality
Experimental Dentifrice 0.5g, 45 Seconds Brushing Group Experimental Dentifrice 0.5g, 2 Minutes Brushing Group Experimental Dentifrice 1.5g, 45 Seconds Brushing Group Experimental Dentifrice 1.5g, 2 Minutes Brushing Group Contol Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Serious Adverse Events
Experimental Dentifrice 0.5g, 45 Seconds Brushing Group Experimental Dentifrice 0.5g, 2 Minutes Brushing Group Experimental Dentifrice 1.5g, 45 Seconds Brushing Group Experimental Dentifrice 1.5g, 2 Minutes Brushing Group Contol Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Other (Not Including Serious) Adverse Events
Experimental Dentifrice 0.5g, 45 Seconds Brushing Group Experimental Dentifrice 0.5g, 2 Minutes Brushing Group Experimental Dentifrice 1.5g, 45 Seconds Brushing Group Experimental Dentifrice 1.5g, 2 Minutes Brushing Group Contol Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 11/59 (18.6%) 8/59 (13.6%) 12/58 (20.7%) 10/58 (17.2%) 10/60 (16.7%)
Gastrointestinal disorders
Gingival mucosa imprint from teeth 28 and 29 1/59 (1.7%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Erythema anterior hard palate 1/59 (1.7%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Gingival mucosa edentulous maxillary anterior ridge erythema 0/59 (0%) 1/59 (1.7%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Swelling of right inside of mouth & lip caused by biting 0/59 (0%) 1/59 (1.7%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Ulceration on gingival lingual 26 ~2mm (millimeter) 0/59 (0%) 1/59 (1.7%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Gingival mucosa cervical lingual area swollen with exudate 0/59 (0%) 1/59 (1.7%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Gingival mucosa erythema of right posterior edentulous ridge 0/59 (0%) 1/59 (1.7%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Gingival mucosa erythema left posterior edentulous ridge 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
White coating on tongue 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Sore area on ridge area #22 from partial 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Submandibular area small ulcer not painful 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Gingival mucosa erythema lingual tooth 23 0/59 (0%) 0/59 (0%) 0/58 (0%) 1/58 (1.7%) 0/60 (0%)
Labial mucosa chapped lips upper & lower 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 1/60 (1.7%)
General disorders
Common cold 3/59 (5.1%) 2/59 (3.4%) 3/58 (5.2%) 2/58 (3.4%) 1/60 (1.7%)
Cellulitis lower right leg 1/59 (1.7%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Sprained right ankle 1/59 (1.7%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Sinus infection 1/59 (1.7%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Kidneys infection 1/59 (1.7%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Gout 1/59 (1.7%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Felt very tired 0/59 (0%) 1/59 (1.7%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Back pain from arthritis 0/59 (0%) 1/59 (1.7%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Gout flare-up 0/59 (0%) 1/59 (1.7%) 0/58 (0%) 0/58 (0%) 0/60 (0%)
Urinary tract infection 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 1/58 (1.7%) 0/60 (0%)
Boil on vaginal area 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Chest pains 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Worsening of acid reflux 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Mycosis fungoides of the skin 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Seasonal allergies 0/59 (0%) 0/59 (0%) 1/58 (1.7%) 0/58 (0%) 0/60 (0%)
Lower back pain 0/59 (0%) 0/59 (0%) 0/58 (0%) 1/58 (1.7%) 0/60 (0%)
Diverticulitis 0/59 (0%) 0/59 (0%) 0/58 (0%) 1/58 (1.7%) 0/60 (0%)
Sinus drainage 0/59 (0%) 0/59 (0%) 0/58 (0%) 1/58 (1.7%) 0/60 (0%)
Erythema facial 0/59 (0%) 0/59 (0%) 0/58 (0%) 1/58 (1.7%) 0/60 (0%)
Brown coating on tongue 0/59 (0%) 0/59 (0%) 0/58 (0%) 1/58 (1.7%) 1/60 (1.7%)
Dizziness and vomiting 0/59 (0%) 0/59 (0%) 0/58 (0%) 1/58 (1.7%) 0/60 (0%)
Broke right hip (right intertrochanteric hip fracture) 0/59 (0%) 0/59 (0%) 0/58 (0%) 1/58 (1.7%) 0/60 (0%)
Worsening of arthritis 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 1/60 (1.7%)
Left eye swollen and red beneath eye 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 1/60 (1.7%)
Stomach virus 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 1/60 (1.7%)
Right shoulder pain 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 1/60 (1.7%)
Infections and infestations
Infected tooth 10 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 1/60 (1.7%)
Injury, poisoning and procedural complications
Thermal burn anterior hard palate 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 1/60 (1.7%)
Crown come off tooth 9 0/59 (0%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 1/60 (1.7%)
Respiratory, thoracic and mediastinal disorders
Sore throat left side 1/59 (1.7%) 0/59 (0%) 0/58 (0%) 0/58 (0%) 0/60 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization GlaxoSmithKline
Phone 866-435-7343
Email
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01563172
Other Study ID Numbers:
  • T3158587
First Posted:
Mar 26, 2012
Last Update Posted:
Feb 7, 2018
Last Verified:
Jan 1, 2018