Evaluating efficacy of a novel dentifrice in reducing probing depths in Stage I and II periodontitis maintenance patients: A randomized, double-blind, positive controlled clinical trial.

Maninder Kaur, Nicolaas C Geurs, Charles M Cobb, Joan Otomo-Corgel, Thair Takesh, June H Lee, Tracie M Lam, Kairong Lin, Audrey Nguyen, Brian L Nguyen, Petra Wilder-Smith

Journal: Journal of periodontology 2021;92(9):1286-1294

PMID: 33331040

Abstract

BACKGROUND

Compliance to periodontal maintenance therapy (PMT) is essential for long-term periodontal health. Between PMT visits, patients must maintain good oral hygiene. A dentifrice with demonstrable clinical benefits for use between PMT visits would be highly desirable. The aim of this clinical study was to investigate the effect of a novel dental gel on probing depths (PD) and inflammation when used as a home care dentifrice in Stage I and II periodontitis patients.

METHODS

This double-blind clinical study randomized 65 subjects with Stage I and II periodontitis to the novel dental gel containing 2.6% EDTA, and a commercially available anti-gingivitis dentifrice with 0.454% stannous fluoride. Primary endpoint was PD at 6 months for those sites with baseline PD ≥ 4 mm and secondary endpoints included whole mouth mean scores of modified gingival index (MGI), modified sulcus bleeding index (mSBI) and plaque index (PI). No SRP was performed at baseline.

RESULTS

Subjects using the novel dentifrice showed significant PD reductions of 1.18 mm (from 4.27 mm at baseline to 3.09 mm at 6 months) compared to 0.93 mm (from 4.23 mm at baseline to 3.30 mm at 6 months) shown for those using the positive control dentifrice. Difference between treatments at 6 months was 0.21 mm with P-value = 0.0126. Significant improvements in MGI (P = 0.0000), mSBI (P = 0.0000), and PI (P = 0.0102) were also observed in 6 months.

CONCLUSION

The novel dentifrice showed significant reductions in PD and gingival inflammation over 6 months solely as a home care dentifrice without baseline SRP in Stage I and II periodontitis maintenance patients.

© 2020 American Academy of Periodontology.

Address: School of Dentistry, Department of Periodontology, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Department of Periodontics, University of Missouri-Kansas City, Kansas City, Missouri, USA.; School of Dentistry, Department of Periodontology, University of California at Los Angles, Los Angeles, California, USA.; Beckman Laser Institute and Medical Clinic, Department of Dentistry, University of California at Irvine, Irvine, California, USA.
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