Sonic Toothbrush Versus an Oscillating-rotating Toothbrush on Plaque Control and Gingival Health (SONICOR)
A Randomized Crossover Clinical Trial Comparing a Sonic Toothbrush Versus an Oscillating-rotating Toothbrush on Plaque Control and Gingival Health
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
This study is a single-center, randomized, evaluator-blinded, 2×2 crossover clinical trial designed to compare the effectiveness of a sonic toothbrush and an oscillating-rotating powered toothbrush in improving oral hygiene and gingival health in adult participants.
Participants will be randomly assigned to one of two intervention sequences. Each intervention period will last three weeks and will be separated by a three-week washout period during which standardized oral hygiene measures will be used to minimize potential carryover effects. The total study duration for each participant will be nine weeks.
At baseline and follow-up visits, participants will undergo oral examinations and standardized assessments performed by a trained examiner blinded to the assigned toothbrush. Clinical and salivary measurements will be collected throughout the study according to the protocol schedule. Participants will receive standardized oral hygiene instructions and will be provided with the same fluoridated toothpaste for the entire study period. The use of additional antiseptic oral products or intensive oral hygiene devices will not be permitted during the intervention periods unless clinically indicated.
The study aims to generate updated clinical evidence regarding the comparative performance of two widely used powered-toothbrush technologies under controlled conditions. The crossover design allows each participant to serve as his or her own control, reducing inter-individual variability and increasing the precision of treatment comparisons.
The study will be conducted at the Hospital Odontològic Universitat de Barcelona (HOUB) in accordance with Good Clinical Practice principles, applicable regulatory requirements, and ethical standards for research involving human participants.
Tipo de estudio
Inscripción (Estimado)
Fase
- Fase 4
Contactos y Ubicaciones
Estudio Contacto
- Nombre: José López-López, Doctor
- Número de teléfono: 0034-606457362
- Correo electrónico: jl.lopez@ub.edu
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion criteria Adults aged 18 years or older. Able to perform daily oral hygiene independently. Presence of at least 20 natural teeth and/or implant-supported restorations. Patients attending the Master of Oral Medicine, Oral Surgery and Oral Implantology clinics at the Hospital Odontològic Universitat de Barcelona (HOUB).
Willing and able to comply with study procedures and follow-up visits. Provision of written informed consent.
Exclusion Criteria:
Moderate or severe periodontitis requiring immediate treatment. Fixed orthodontic appliances. Use of systemic antibiotics or antiseptic mouthwashes (e.g., chlorhexidine) within 4 weeks prior to enrollment.
Pregnancy or breastfeeding. Participants unable to cooperate with study procedures due to psychomotor dysfunction or behavioral disorders.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación cruzada
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: sonic toothbrush
Participants will be instructed to brush their teeth twice daily for 2 minutes using the assigned sonic toothbrush.
Standardized oral hygiene instructions will be provided at the beginning of the phase
|
Participants will use a powered sonic toothbrush for 3 weeks as part of a randomized crossover study.
Subjects will be instructed to brush twice daily (morning and evening) for 2 minutes using a standardized fluoridated toothpaste provided by the investigators.
Standardized oral hygiene instructions will be given at the beginning of each intervention period.
No antiseptic mouthwashes or additional intensive oral hygiene devices will be allowed during the study period.
|
|
Comparador activo: Oscillating toothbrush
Participants will be instructed to brush their teeth twice daily for 2 minutes using the assigned oscillating-rotating electric toothbrush .
Standardized oral hygiene instructions will be provided at the beginning of the phase
|
Participants will use a powered sonic toothbrush for 3 weeks as part of a randomized crossover study.
Subjects will be instructed to brush twice daily (morning and evening) for 2 minutes using a standardized fluoridated toothpaste provided by the investigators.
Standardized oral hygiene instructions will be given at the beginning of each intervention period.
No antiseptic mouthwashes or additional intensive oral hygiene devices will be allowed during the study period.
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Plaque Index (O'Leary Plaque Control Record)
Periodo de tiempo: Baseline and after each 3-week intervention period (up to 9 weeks).
|
Change in the percentage of tooth surfaces with dental plaque, assessed using the O'Leary Plaque Control Record.
Plaque presence will be recorded on four surfaces of each tooth after application of a plaque-disclosing agent.
Results will be expressed as the percentage of surfaces with plaque.
|
Baseline and after each 3-week intervention period (up to 9 weeks).
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Gingival Bleeding Index
Periodo de tiempo: Baseline and after each 3-week intervention period (up to 9 weeks).
|
Change in gingival inflammation assessed using the Silness and Löe Gingival Index, based on color changes, edema, and bleeding on probing.
|
Baseline and after each 3-week intervention period (up to 9 weeks).
|
|
Salivary pH
Periodo de tiempo: Baseline and after each 3-week intervention period (up to 9 weeks).
|
Change in salivary pH measured using pH indicator strips applied to unstimulated saliva samples collected under standardized conditions
|
Baseline and after each 3-week intervention period (up to 9 weeks).
|
|
Unstimulated Salivary Flow Rate
Periodo de tiempo: Baseline and after each 3-week intervention period (up to 9 weeks).
|
Change in unstimulated salivary flow rate (mL/min), measured by collecting saliva for 5 minutes in a sterile container.
|
Baseline and after each 3-week intervention period (up to 9 weeks).
|
|
Total Bacterial Load (16S rRNA Quantification)
Periodo de tiempo: Baseline and after each 3-week intervention period (up to 9 weeks).
|
Change in total salivary bacterial load determined by quantitative PCR (qPCR) quantification of the bacterial 16S rRNA gene, expressed as copies per mL of saliva.
|
Baseline and after each 3-week intervention period (up to 9 weeks).
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
- toothbrush01
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
producto fabricado y exportado desde los EE. UU.
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