Fluoride Retention in the Mouth of Older Adults
Optimizing Fluoride Retention in the Mouth of Older Adults With Distinct Salivary Flow Rates
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- School of Dentistry, University of Michigan
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Provision of signed and dated informed consent form
- Stated willingness to comply with all study procedures and availability for the duration of the study
- Good general health as evidenced by medical history
- Good oral health as evidenced by a clinical oral exam
- Having at least 20 teeth in the mouth, being at least 4 (natural or crowned) teeth in all four quadrants of the mouth
- Having salivary flow rate ranging from normal to hyposalivation according to direct flow rate determination methods
- Agreement to adhere to the study protocol
Exclusion Criteria:
- Unable to understand and/or follow study instructions
- Active periodontitis
- Oral pain
- In need of urgent dental care
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Fluoride mouthwash alone, then Calcium mouthwash before a fluoride mouthwash
Participants with normal to dry mouth will first test a Fluoride mouthwash containing 226 ppm of fluoride, and fluoride concentration in saliva and dental biofilm will be assessed overtime for up to 2 hours.
After a washout period of at least 3 days, they will then test a Calcium mouthwash (150 milimolars of calcium) immediately before the Fluoride mouthwash, and fluoride concentration in saliva and dental biofilm will be assessed overtime for up to 2 hours.
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Sodium fluoride, at a concentration of 0.05% (226 parts per million (ppm) of fluoride), will be used to rinse the mouth for 1 minute and expectorated.
Other Names:
Calcium lactate, at a concentration of 150 milimolar, will be used to rinse the mouth for 1 minute and expectorated; immediately after, a sodium fluoride rinse, at a concentration of 0.05% (226 ppm of fluoride), will be used to rinse the mouth for 1 minute, and expectorated.
Other Names:
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Experimental: Calcium mouthwash before a fluoride mouthwash, then Fluoride mouthwash alone
Participants with normal to dry mouth will first test a Calcium mouthwash (150 milimolars of calcium) immediately before a Fluoride mouthwash containing 226 ppm of fluoride, and fluoride concentration in saliva and dental biofilm will be assessed overtime for up to 2 hours.
After a washout period of at least 3 days, they will then test the Fluoride mouthwash alone, and fluoride concentration in saliva and dental biofilm will be assessed overtime for up to 2 hours.
|
Sodium fluoride, at a concentration of 0.05% (226 parts per million (ppm) of fluoride), will be used to rinse the mouth for 1 minute and expectorated.
Other Names:
Calcium lactate, at a concentration of 150 milimolar, will be used to rinse the mouth for 1 minute and expectorated; immediately after, a sodium fluoride rinse, at a concentration of 0.05% (226 ppm of fluoride), will be used to rinse the mouth for 1 minute, and expectorated.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fluoride Concentration in Dental Biofilm Fluid at Baseline
Time Frame: Baseline
|
Dental biofilm was collected at baseline (before mouthwash(es)), and the fluid phase was separated using centrifugation.
Fluoride concentration in the dental biofilm fluid was measured using an ion-specific electrode adapted for microanalysis.
|
Baseline
|
|
Fluoride Concentration in Dental Biofilm Fluid at 15 Minutes
Time Frame: 15 minutes after mouthwash(es)
|
Dental biofilm was collected 15 minutes after mouthwash(es), and the fluid phase was separated using centrifugation.
Fluoride concentration in the dental biofilm fluid was measured using an ion-specific electrode adapted for microanalysis.
|
15 minutes after mouthwash(es)
|
|
Fluoride Concentration in Dental Biofilm Fluid at 60 Minutes
Time Frame: 60 minutes after mouthwash(es)
|
Dental biofilm was collected 60 minutes after mouthwash(es), and the fluid phase was separated using centrifugation.
Fluoride concentration in the dental biofilm fluid was measured using an ion-specific electrode adapted for microanalysis.
|
60 minutes after mouthwash(es)
|
|
Fluoride Concentration in Dental Biofilm Fluid at 120 Minutes
Time Frame: 120 minutes after mouthwash(es)
|
Dental biofilm was collected 120 minutes after mouthwash(es), and the fluid phase was separated using centrifugation.
Fluoride concentration in the dental biofilm fluid was measured using an ion-specific electrode adapted for microanalysis.
|
120 minutes after mouthwash(es)
|
|
Fluoride Concentration in Dental Biofilm Solids at Baseline
Time Frame: Baseline
|
Dental biofilm was collected at baseline (before mouthwash(es)).
The fluid phase of the biofilm was collected after centrifugation, and the remaining solids were treated with strong acid for dissolution of fluoride reservoirs.
Solids remaining after acid extraction were treated with strong alkali for total dissolution of the biofilm and estimation of biofilm mass by protein concentration.
Fluoride concentration in the dental biofilm solids acid extract was measured using an ion-specific electrode adapted for microanalysis; protein concentration in the alkali extract was determined using the Lowry colorimetric method.
Fluoride concentration in the biofilm was expressed as micrograms of fluoride/milligrams of protein.
|
Baseline
|
|
Fluoride Concentration in Dental Biofilm Solids at 15 Minutes
Time Frame: 15 minutes after mouthwash(es)
|
Dental biofilm was collected 15 minutes after mouthwash(es).
The fluid phase of the biofilm was collected after centrifugation, and the remaining solids were treated with strong acid for dissolution of fluoride reservoirs.
Solids remaining after acid extraction were treated with strong alkali for total dissolution of the biofilm and estimation of biofilm mass by protein concentration.
Fluoride concentration in the dental biofilm solids acid extract was measured using an ion-specific electrode adapted for microanalysis; protein concentration in the alkali extract was determined using the Lowry colorimetric method.
Fluoride concentration in the biofilm was expressed as micrograms of fluoride/milligrams of protein.
|
15 minutes after mouthwash(es)
|
|
Fluoride Concentration in Dental Biofilm Solids at 60 Minutes
Time Frame: 60 minutes after mouthwash(es)
|
Dental biofilm will be collected 60 minutes after mouthwash(es).
The fluid phase of the biofilm was collected after centrifugation, and the remaining solids were treated with strong acid for dissolution of fluoride reservoirs.
Solids remaining after acid extraction were treated with strong alkali for total dissolution of the biofilm and estimation of biofilm mass by protein concentration.
Fluoride concentration in the dental biofilm solids acid extract was measured using an ion-specific electrode adapted for microanalysis; protein concentration in the alkali extract was determined using the Lowry colorimetric method.
Fluoride concentration in the biofilm was expressed as micrograms of fluoride/milligrams of protein.
|
60 minutes after mouthwash(es)
|
|
Fluoride Concentration in Dental Biofilm Solids at 120 Minutes
Time Frame: 120 minutes after mouthwash(es)
|
Dental biofilm was collected 120 minutes after mouthwash(es).
The fluid phase of the biofilm was collected after centrifugation, and the remaining solids were treated with strong acid for dissolution of fluoride reservoirs.
Solids remaining after acid extraction were treated with strong alkali for total dissolution of the biofilm and estimation of biofilm mass by protein concentration.
Fluoride concentration in the dental biofilm solids acid extract was measured using an ion-specific electrode adapted for microanalysis; protein concentration in the alkali extract was determined using the Lowry colorimetric method.
Fluoride concentration in the biofilm was expressed as micrograms of fluoride/milligrams of protein.
|
120 minutes after mouthwash(es)
|
|
Area Under the Curve of Fluoride Concentration in Dental Biofilm Fluid Overtime
Time Frame: Baseline, 15, 60 and 120 minutes after mouthwash(es)
|
Fluoride concentration in dental biofilm fluid collected at baseline (before mouthwash(es)), 15, 60 and 120 minutes after mouthwash(es) was expressed as the area under the curve of fluoride concentration in dental biofilm fluid as a function of time (parts per million x min).
|
Baseline, 15, 60 and 120 minutes after mouthwash(es)
|
|
Area Under the Curve of Fluoride Concentration in Dental Biofilm Solids Overtime
Time Frame: Baseline, 15, 60 and 120 minutes after mouthwash
|
Fluoride concentration in dental biofilm solids collected at baseline (before mouthwash(es)), 15, 60 and 120 minutes after mouthwash(es) was expressed as the area under the curve of fluoride concentration in dental biofilm solids as a function of time (micrograms of fluoride x minutes/ milligram of proteins).
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Baseline, 15, 60 and 120 minutes after mouthwash
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fluoride Concentration in Saliva at Baseline
Time Frame: Baseline
|
Unstimulated saliva was collected at baseline (before mouthwash(es)), for 5 minutes.
Fluoride concentration in unstimulated saliva was measured using an ion-specific electrode adapted for microanalysis.
|
Baseline
|
|
Fluoride Concentration in Saliva at 16 Minutes
Time Frame: 16-21 minutes after mouthwash(es)
|
Unstimulated saliva was collected 16 minutes after mouthwash(es), for 5 minutes.
Fluoride concentration in unstimulated saliva was measured using an ion-specific electrode adapted for microanalysis.
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16-21 minutes after mouthwash(es)
|
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Fluoride Concentration in Saliva at 30 Minutes
Time Frame: 30-35 minutes after mouthwash(es)
|
Unstimulated saliva was collected 30 minutes after mouthwash(es), for 5 minutes.
Fluoride concentration in unstimulated saliva was measured using an ion-specific electrode adapted for microanalysis.
|
30-35 minutes after mouthwash(es)
|
|
Fluoride Concentration in Saliva at 61 Minutes
Time Frame: 61-66 minutes after mouthwash(es)
|
Unstimulated saliva was collected 61 minutes after mouthwash(es), for 5 minutes.
Fluoride concentration in unstimulated saliva was measured using an ion-specific electrode adapted for microanalysis.
|
61-66 minutes after mouthwash(es)
|
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Fluoride Concentration in Saliva at 90 Minutes
Time Frame: 90-95 minutes after mouthwash(es)
|
Unstimulated saliva was collected 90 minutes after mouthwash(es), for 5 minutes.
Fluoride concentration in unstimulated saliva was measured using an ion-specific electrode adapted for microanalysis.
|
90-95 minutes after mouthwash(es)
|
|
Fluoride Concentration in Saliva at 121 Minutes
Time Frame: 121-126 minutes after mouthwash(es)
|
Unstimulated saliva was collected 121 minutes after mouthwash(es), for 5 minutes.
Fluoride concentration in unstimulated saliva was measured using an ion-specific electrode adapted for microanalysis.
|
121-126 minutes after mouthwash(es)
|
|
Calcium Concentration in Dental Biofilm Fluid at Baseline
Time Frame: Baseline
|
Dental biofilm will be collected at baseline (before mouthwash(es)), and the fluid phase will be separated using centrifugation.
Calcium concentration in the dental biofilm fluid will be measured using an ion-specific electrode adapted for microanalysis, and will be expressed in millimolar.
|
Baseline
|
|
Calcium Concentration in Dental Biofilm Fluid at 15 Minutes
Time Frame: 15 minutes after mouthwash(es)
|
Dental biofilm will be collected 15 minutes after mouthwash(es), and the fluid phase will be separated using centrifugation.
Calcium concentration in the dental biofilm fluid will be measured using an ion-specific electrode adapted for microanalysis, and will be expressed in millimolar.
|
15 minutes after mouthwash(es)
|
|
Calcium Concentration in Dental Biofilm Fluid at 60 Minutes
Time Frame: 60 minutes after mouthwash(es)
|
Dental biofilm will be collected 60 minutes after mouthwash(es), and the fluid phase will be separated using centrifugation.
Calcium concentration in the dental biofilm fluid will be measured using an ion-specific electrode adapted for microanalysis, and will be expressed in millimolar.
|
60 minutes after mouthwash(es)
|
|
Calcium Concentration in Dental Biofilm Fluid at 120 Minutes
Time Frame: 120 minutes after mouthwash(es)
|
Dental biofilm will be collected 120 minutes after mouthwash(es), and the fluid phase will be separated using centrifugation.
Calcium concentration in the dental biofilm fluid will be measured using an ion-specific electrode adapted for microanalysis, and will be expressed in millimolar.
|
120 minutes after mouthwash(es)
|
|
Calcium Concentration in Dental Biofilm Solids at Baseline
Time Frame: Baseline
|
Dental biofilm was collected at baseline (before mouthwash(es)).
The fluid phase of the biofilm was collected after centrifugation, and the remaining solids were treated with strong acid for dissolution of calcium reservoirs.
Solids remaining after acid extraction were treated with strong alkali for total dissolution of the biofilm and estimation of biofilm mass by protein concentration.
Calcium concentration in the dental biofilm solids acid extract was measured using a colorimetric reaction (Arsenazo III); protein concentration in the alkali extract was determined using the Lowry colorimetric method.
Calcium concentration in the biofilm was expressed as micrograms of calcium/milligrams of protein.
|
Baseline
|
|
Calcium Concentration in Dental Biofilm Solids at 15 Minutes
Time Frame: 15 minutes after mouthwash(es)
|
Dental biofilm was collected 15 minutes after mouthwash(es).
The fluid phase of the biofilm was collected after centrifugation, and the remaining solids were treated with strong acid for dissolution of calcium reservoirs.
Solids remaining after acid extraction were treated with strong alkali for total dissolution of the biofilm and estimation of biofilm mass by protein concentration.
Calcium concentration in the dental biofilm solids acid extract was measured using a colorimetric reaction (Arsenazo III); protein concentration in the alkali extract was determined using the Lowry colorimetric method.
Calcium concentration in the biofilm was expressed as micrograms of calcium/milligrams of protein.
|
15 minutes after mouthwash(es)
|
|
Calcium Concentration in Dental Biofilm Solids at 60 Minutes
Time Frame: 60 minutes after mouthwash(es)
|
Dental biofilm was collected 60 minutes after mouthwash(es).
The fluid phase of the biofilm was collected after centrifugation, and the remaining solids were treated with strong acid for dissolution of calcium reservoirs.
Solids remaining after acid extraction were treated with strong alkali for total dissolution of the biofilm and estimation of biofilm mass by protein concentration.
Calcium concentration in the dental biofilm solids acid extract was measured using a colorimetric reaction (Arsenazo III); protein concentration in the alkali extract was determined using the Lowry colorimetric method.
Calcium concentration in the biofilm was expressed as micrograms of calcium/milligrams of protein.
|
60 minutes after mouthwash(es)
|
|
Calcium Concentration in Dental Biofilm Solids at 120 Minutes
Time Frame: 120 minutes after mouthwash(es)
|
Dental biofilm was collected 120 minutes after mouthwash(es).
The fluid phase of the biofilm was collected after centrifugation, and the remaining solids were treated with strong acid for dissolution of calcium reservoirs.
Solids remaining after acid extraction were treated with strong alkali for total dissolution of the biofilm and estimation of biofilm mass by protein concentration.
Calcium concentration in the dental biofilm solids acid extract was measured using a colorimetric reaction (Arsenazo III); protein concentration in the alkali extract was determined using the Lowry colorimetric method.
Calcium concentration in the biofilm was expressed as micrograms of calcium/milligrams of protein.
|
120 minutes after mouthwash(es)
|
|
Calcium Concentration in Saliva at Baseline
Time Frame: Baseline
|
Unstimulated saliva was collected at baseline (before mouthwash(es)), for 5 minutes.
Calcium concentration in unstimulated saliva was measured using a colorimetric reaction (Arsenazo III).
|
Baseline
|
|
Calcium Concentration in Saliva at 16 Minutes
Time Frame: 16-21 minutes after mouthwash(es)
|
Unstimulated saliva was collected at 16 minutes after mouthwash(es), for 5 minutes.
Calcium concentration in unstimulated saliva was measured using a colorimetric reaction (Arsenazo III).
|
16-21 minutes after mouthwash(es)
|
|
Calcium Concentration in Saliva at 30 Minutes
Time Frame: 30-35 minutes after mouthwash(es)
|
Unstimulated saliva was collected at 30 minutes after mouthwash(es), for 5 minutes.
Calcium concentration in unstimulated saliva was measured using a colorimetric reaction (Arsenazo III).
|
30-35 minutes after mouthwash(es)
|
|
Calcium Concentration in Saliva at 61 Minutes
Time Frame: 61-66 minutes after mouthwash(es)
|
Unstimulated saliva was collected at 61 minutes after mouthwash(es), for 5 minutes.
Calcium concentration in unstimulated saliva was measured using a colorimetric reaction (Arsenazo III).
|
61-66 minutes after mouthwash(es)
|
|
Calcium Concentration in Saliva at 90 Minutes
Time Frame: 90-95 minutes after mouthwash(es)
|
Unstimulated saliva was collected at 90 minutes after mouthwash(es), for 5 minutes.
Calcium concentration in unstimulated saliva was measured using a colorimetric reaction (Arsenazo III).
|
90-95 minutes after mouthwash(es)
|
|
Calcium Concentration in Saliva at 121 Minutes
Time Frame: 121-126 minutes after mouthwash(es)
|
Unstimulated saliva was collected at 121 minutes after mouthwash(es), for 5 minutes.
Calcium concentration in unstimulated saliva was measured using a colorimetric reaction (Arsenazo III).
|
121-126 minutes after mouthwash(es)
|
|
Area Under the Curve of Fluoride Concentration in Saliva Overtime
Time Frame: Baseline, 16, 30, 61, 90 and 121 minutes after mouthwash(es)
|
Fluoride concentration in unstimulated saliva collected at baseline (before mouthwash(es)), 16, 30, 61, 90 and 121 minutes after mouthwash(es) was expressed as the area under the curve of fluoride concentration in saliva as a function of time.
|
Baseline, 16, 30, 61, 90 and 121 minutes after mouthwash(es)
|
|
Area Under the Curve of Calcium Concentration in Dental Biofilm Fluid Overtime
Time Frame: Baseline, 15, 60 and 120 minutes after mouthwash(es)
|
Calcium concentration in dental biofilm fluid collected at baseline (before mouthwash(es)), 15, 60 and 120 minutes after mouthwash(es) will be expressed as the area under the curve of calcium concentration in dental biofilm fluid as a function of time (millimolar x min).
|
Baseline, 15, 60 and 120 minutes after mouthwash(es)
|
|
Area Under the Curve of Calcium Concentration in Dental Biofilm Solids Overtime
Time Frame: Baseline, 15, 60 and 120 minutes after mouthwash(es)
|
Calcium concentration in dental biofilm solids collected at baseline (before mouthwash(es)), 15, 60 and 120 minutes after mouthwash(es) was expressed as the area under the curve of calcium concentration in dental biofilm solids as a function of time.
|
Baseline, 15, 60 and 120 minutes after mouthwash(es)
|
|
Area Under the Curve of Calcium Concentration in Saliva Overtime
Time Frame: Baseline, 16, 30, 61, 90 and 121 minutes after a mouthwash(es)
|
Calcium concentration in unstimulated saliva collected at baseline (before mouthwash(es)), 16, 30, 61, 90 and 121 minutes after mouthwash(es) was expressed as the area under the curve of calcium concentration in saliva as a function of time (millimolar x min).
|
Baseline, 16, 30, 61, 90 and 121 minutes after a mouthwash(es)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Livia M Tenuta, DDS, MS, PhD, Associate Professor, University of Michigan
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HUM00159624
- UL1TR002240 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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