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In Situ Caries Efficacy of Fluoride Toothpastes

Clinical Efficacy of Fluoride Toothpastes Using an in Situ Caries Model

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00708097
Enrollment
57
Registered
2008-07-02
Start date
2008-04-30
Completion date
2008-07-31
Last updated
2015-01-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Caries

Keywords

fluoride, in situ, remineralization, enamel, caries

Brief summary

This study is to evaluate the effect of fluoride dentifrices on enamel with artificial caries lesions in an in situ model

Detailed description

In situ models represent an acceptable approach for testing the anti-caries potential of fluoride products. This study is to evaluate the effect of fluoride dentifrice containing 1450 parts per million fluoride (ppm F) on enamel with artificial caries lesions in an in situ model. The study toothpaste containing sodium fluoride (NaF) and 0.4% carbopol will be compared to 4 other dentifrices. Comparator toothpastes include NaF toothpaste (1400 ppm F), NaF toothpaste (675 ppm F), sodium monofluorophosphate (NaMFP) and NaF toothpaste (1450 ppm F) and placebo toothpaste (0 ppm F).

Interventions

DRUGNaF

Fluoride

DRUGPlacebo

Placebo

DRUGNaMFP

Fluoride

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 78 Years
Healthy volunteers
Yes

Inclusion criteria

* Consent:Demonstrates understanding of the study and willingness to participate as evidenced by voluntary written informed consent and has received a signed and dated copy of the informed consent form. * Age:Aged between 18 and 80 years. * Compliance:Understands and is willing, able and likely to comply with all study procedures and restrictions. * General Health:Good general health with (in the opinion of the investigator) no clinically significant and relevant abnormalities of medical history or physical examination. * Fluoride:Currently living in the Indianapolis, Indiana area and not taking fluoride supplements for medical reasons * Dentures: a)Currently wearing a removable mandibular partial denture with sufficient room in both posterior buccal flange areas to accommodate two enamel specimens on each side, four specimens in total - required dimensions 12 x 7 millimeter (mm) per side. b) 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 * Dental health: Have no current active caries or periodontal disease that may compromise the study or the health of the subjects and 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 milliliter (mL)/minute; gum base stimulated whole saliva flow rate = 0.8 mL/minute)

Exclusion criteria

* Pregnancy: Women who are known to be pregnant or who are intending to become pregnant over the duration of the study. * Breast-feeding:Women who are breast-feeding. * Allergy/Intolerance: Known or suspected intolerance or hypersensitivity to the study materials (or closely related compounds) or any of their stated ingredients. * Antibiotics: Currently taking antibiotics or have taken antibiotics in the two weeks prior to the screening visit * Clinical Study/Experimental Medication: a) Participation in another clinical study or receipt of an investigational drug within 30 days of the screening visit.b) Participation in another GSKCH investigational dental product study within 7 days of first study treatment c)Previous participation in this study. * Substance abuse: Recent history (within the last year) of alcohol or other substance abuse. * Personnel:a) A member of the site study staff living in same household.b)An employee of the sponsor. c) Any employee of any toothpaste manufacturer or their spouse or family member

Design outcomes

Primary

MeasureTime frameDescription
Percentage Surface Microhardness Recovery (%SMHR) of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF) and NaF Toothpaste (1400ppmF)Baseline to 14 daysSMH test was used to assess mineral status of partially demineralized enamel specimens using Wilson 2100 Hardness tester. SMH was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening/demineralization while decrease in the indentation represents rehardening/ remineralization of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline(B); after intra-oral exposure(R) on Day 14; and after in-vitro demineralization(D) on Day 14 using formula \[(D-R)/(D-B)\]\*100.

Secondary

MeasureTime frameDescription
Percentage SMHR of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaMFP/NaF Toothpaste (1450ppmF), NaF Toothpaste (675ppmF) and Placebo Toothpaste (0ppmF)Baseline to 14 daysSMH test was used to assess mineral status of partially demineralized enamel specimens using Wilson 2100 Hardness tester. SMH was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening/demineralization while decrease in the indentation represents rehardening/ remineralization of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline(B); after intra-oral exposure(R) on Day 14; and after in-vitro demineralization(D) on Day 14 using formula \[(D-R)/(D-B)\]\*100.
Percentage SMHR of Demineralized Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaF Toothpaste (675ppmF), NaMFP/NaF Toothpaste(1450ppmF) and Placebo Toothpaste (0ppmF)Baseline to 14 daysSMH test was used to assess mineral status of partially demineralized enamel specimens using Wilson 2100 Hardness tester. SMH was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening/demineralization while decrease in the indentation represents rehardening/ remineralization of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline(B); after intra-oral exposure(R) on Day 14; and after in-vitro demineralization(D) on Day 14 using formula \[(D-R)/(D-B)\]\*100.
Enamel Fluoride Uptake (Sound Enamel Specimens)Baseline to 14 daysEnamel fluoride uptake was determined using the microdrill enamel biopsy technique. The amount of fluoride uptake by enamel was calculated based on the amount of fluoride (F) divided by the area of the enamel cores. The difference between treatments was calculated with respect to fluoride uptake by enamel.
Enamel Fluoride Uptake (Demineralized Specimens)Baseline to 14 daysEnamel fluoride uptake was determined using the microdrill enamel biopsy technique. The amount of fluoride uptake by enamel was calculated based on the amount of fluoride (F) divided by the area of the enamel cores. The difference between treatments was calculated with respect to fluoride uptake by enamel.

Countries

United States

Participant flow

Pre-assignment details

Two days before the start of each treatment period, participants received a professional dental cleaning of their natural teeth, then brushed at home with the fluoride-free toothpaste.

Participants by arm

ArmCount
All Randomized Participants
All randomized participants who received at least one of the treatment dentifrices during the study and had at least one safety assessment after using the treatment dentifrice.
57
Total57

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Period 1Other Reason00001
Period 1Protocol Violation01020
Period 2Protocol Violation01110

Baseline characteristics

CharacteristicAll Randomized Participants
Age, Continuous65.5 years
STANDARD_DEVIATION 10.32
Region of Enrollment
United States
57 participants
Sex: Female, Male
Female
34 Participants
Sex: Female, Male
Male
23 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
3 / 501 / 523 / 534 / 531 / 5110 / 57
serious
Total, serious adverse events
0 / 500 / 520 / 530 / 530 / 510 / 57

Outcome results

Primary

Percentage Surface Microhardness Recovery (%SMHR) of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF) and NaF Toothpaste (1400ppmF)

SMH test was used to assess mineral status of partially demineralized enamel specimens using Wilson 2100 Hardness tester. SMH was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening/demineralization while decrease in the indentation represents rehardening/ remineralization of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline(B); after intra-oral exposure(R) on Day 14; and after in-vitro demineralization(D) on Day 14 using formula \[(D-R)/(D-B)\]\*100.

Time frame: Baseline to 14 days

Population: Intent to Treat (ITT) population: All randomized participants who had at least one post baseline efficacy assessment. Missing data was not imputed. Due to drop outs there were differences in the number of participants (N) per treatment group.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
NaF Toothpaste (1450ppmF)Percentage Surface Microhardness Recovery (%SMHR) of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF) and NaF Toothpaste (1400ppmF)28.31 Percentage SMHRStandard Error 5.54
NaF Toothpaste (1400ppmF)Percentage Surface Microhardness Recovery (%SMHR) of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF) and NaF Toothpaste (1400ppmF)26.32 Percentage SMHRStandard Error 5.51
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.575795% CI: [-5, 8.97]ANOVA
Secondary

Enamel Fluoride Uptake (Demineralized Specimens)

Enamel fluoride uptake was determined using the microdrill enamel biopsy technique. The amount of fluoride uptake by enamel was calculated based on the amount of fluoride (F) divided by the area of the enamel cores. The difference between treatments was calculated with respect to fluoride uptake by enamel.

Time frame: Baseline to 14 days

Population: ITT population: All randomized participants with at least one post baseline efficacy assessment. Missing data was not imputed. Due to drop out there are differences in the number of participants analyzed per treatment group.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
NaF Toothpaste (1450ppmF)Enamel Fluoride Uptake (Demineralized Specimens)2499.47 μg*F/cm^2Standard Error 133.46
NaF Toothpaste (1400ppmF)Enamel Fluoride Uptake (Demineralized Specimens)2513.37 μg*F/cm^2Standard Error 131.09
NaMFP/NaF Toothpaste (1450ppmF)Enamel Fluoride Uptake (Demineralized Specimens)1923.76 μg*F/cm^2Standard Error 129.91
NaF Toothpaste (675ppmF)Enamel Fluoride Uptake (Demineralized Specimens)1861.80 μg*F/cm^2Standard Error 129.78
Placebo Toothpaste (0ppmF)Enamel Fluoride Uptake (Demineralized Specimens)686.18 μg*F/cm^2Standard Error 132.2
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.929395% CI: [-322.47, 294.66]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.000395% CI: [268.24, 883.17]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [330.3, 945.03]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [1503.03, 2123.54]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.000295% CI: [285.31, 893.92]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [346.44, 956.7]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [1519.78, 2134.6]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.687495% CI: [-241.25, 365.17]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [931.46, 1543.7]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [869.15, 1482.1]ANOVA
Secondary

Enamel Fluoride Uptake (Sound Enamel Specimens)

Enamel fluoride uptake was determined using the microdrill enamel biopsy technique. The amount of fluoride uptake by enamel was calculated based on the amount of fluoride (F) divided by the area of the enamel cores. The difference between treatments was calculated with respect to fluoride uptake by enamel.

Time frame: Baseline to 14 days

Population: ITT population:. All randomized participants who had at least one post baseline efficacy assessment. Missing data was not imputed. Due to drop out there are differences in the number of participants analyzed per treatment group.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
NaF Toothpaste (1450ppmF)Enamel Fluoride Uptake (Sound Enamel Specimens)648.06 micrograms (μg)*F/centimeters(cm)^2]Standard Error 47.1
NaF Toothpaste (1400ppmF)Enamel Fluoride Uptake (Sound Enamel Specimens)650.07 micrograms (μg)*F/centimeters(cm)^2]Standard Error 46.3
NaMFP/NaF Toothpaste (1450ppmF)Enamel Fluoride Uptake (Sound Enamel Specimens)541.16 micrograms (μg)*F/centimeters(cm)^2]Standard Error 45.91
NaF Toothpaste (675ppmF)Enamel Fluoride Uptake (Sound Enamel Specimens)487.14 micrograms (μg)*F/centimeters(cm)^2]Standard Error 45.86
Placebo Toothpaste (0ppmF)Enamel Fluoride Uptake (Sound Enamel Specimens)425.59 micrograms (μg)*F/centimeters(cm)^2]Standard Error 46.67
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.969795% CI: [-106.34, 102.32]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.04495% CI: [2.92, 210.87]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.002695% CI: [56.96, 264.88]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [117.58, 327.36]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.038295% CI: [5.98, 211.83]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.002195% CI: [59.68, 266.18]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [120.51, 328.46]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.300395% CI: [-48.56, 156.61]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.243295% CI: [-42.14, 165.24]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to EFU. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.028995% CI: [12.02, 219.13]ANOVA
Secondary

Percentage SMHR of Demineralized Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaF Toothpaste (675ppmF), NaMFP/NaF Toothpaste(1450ppmF) and Placebo Toothpaste (0ppmF)

SMH test was used to assess mineral status of partially demineralized enamel specimens using Wilson 2100 Hardness tester. SMH was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening/demineralization while decrease in the indentation represents rehardening/ remineralization of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline(B); after intra-oral exposure(R) on Day 14; and after in-vitro demineralization(D) on Day 14 using formula \[(D-R)/(D-B)\]\*100.

Time frame: Baseline to 14 days

Population: ITT population. All randomized participants who had at least one post baseline efficacy assessment. Missing data was not imputed. Due to drop out there were differences in the number of participants analyzed per treatment group.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
NaF Toothpaste (1450ppmF)Percentage SMHR of Demineralized Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaF Toothpaste (675ppmF), NaMFP/NaF Toothpaste(1450ppmF) and Placebo Toothpaste (0ppmF)34.62 Percentage SMHRStandard Error 2.82
NaF Toothpaste (1400ppmF)Percentage SMHR of Demineralized Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaF Toothpaste (675ppmF), NaMFP/NaF Toothpaste(1450ppmF) and Placebo Toothpaste (0ppmF)36.06 Percentage SMHRStandard Error 2.79
NaMFP/NaF Toothpaste (1450ppmF)Percentage SMHR of Demineralized Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaF Toothpaste (675ppmF), NaMFP/NaF Toothpaste(1450ppmF) and Placebo Toothpaste (0ppmF)31.12 Percentage SMHRStandard Error 2.77
NaF Toothpaste (675ppmF)Percentage SMHR of Demineralized Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaF Toothpaste (675ppmF), NaMFP/NaF Toothpaste(1450ppmF) and Placebo Toothpaste (0ppmF)27.15 Percentage SMHRStandard Error 2.77
Placebo Toothpaste (0ppmF)Percentage SMHR of Demineralized Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaF Toothpaste (675ppmF), NaMFP/NaF Toothpaste(1450ppmF) and Placebo Toothpaste (0ppmF)11.10 Percentage SMHRStandard Error 2.8
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.545195% CI: [-6.15, 3.26]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.143395% CI: [-1.2, 8.19]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.00295% CI: [2.78, 12.16]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [18.79, 28.25]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.037395% CI: [0.29, 9.59]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.000295% CI: [4.24, 13.59]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [20.27, 29.66]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.092595% CI: [-0.66, 8.61]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [15.35, 24.7]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [11.36, 20.74]ANOVA
Secondary

Percentage SMHR of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaMFP/NaF Toothpaste (1450ppmF), NaF Toothpaste (675ppmF) and Placebo Toothpaste (0ppmF)

SMH test was used to assess mineral status of partially demineralized enamel specimens using Wilson 2100 Hardness tester. SMH was determined by measuring the length of the indentations of enamel specimens. An increase in the indentation length compared to the baseline indicates softening/demineralization while decrease in the indentation represents rehardening/ remineralization of enamel surface. Percent SMHR was calculated from indentation values of enamel specimens at baseline(B); after intra-oral exposure(R) on Day 14; and after in-vitro demineralization(D) on Day 14 using formula \[(D-R)/(D-B)\]\*100.

Time frame: Baseline to 14 days

Population: ITT population: All randomized participants who had at least one post baseline efficacy assessment. Missing data was not imputed. Due to drop out there were differences in the number of participants analyzed per treatment group.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
NaF Toothpaste (1450ppmF)Percentage SMHR of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaMFP/NaF Toothpaste (1450ppmF), NaF Toothpaste (675ppmF) and Placebo Toothpaste (0ppmF)28.31 Percentage SMHRStandard Error 5.54
NaF Toothpaste (1400ppmF)Percentage SMHR of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaMFP/NaF Toothpaste (1450ppmF), NaF Toothpaste (675ppmF) and Placebo Toothpaste (0ppmF)26.32 Percentage SMHRStandard Error 5.51
NaMFP/NaF Toothpaste (1450ppmF)Percentage SMHR of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaMFP/NaF Toothpaste (1450ppmF), NaF Toothpaste (675ppmF) and Placebo Toothpaste (0ppmF)26.13 Percentage SMHRStandard Error 5.49
NaF Toothpaste (675ppmF)Percentage SMHR of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaMFP/NaF Toothpaste (1450ppmF), NaF Toothpaste (675ppmF) and Placebo Toothpaste (0ppmF)25.52 Percentage SMHRStandard Error 5.48
Placebo Toothpaste (0ppmF)Percentage SMHR of Sound Enamel Specimens Exposed to NaF Toothpaste (1450ppmF), NaF Toothpaste (1400ppmF), NaMFP/NaF Toothpaste (1450ppmF), NaF Toothpaste (675ppmF) and Placebo Toothpaste (0ppmF)53.38 Percentage SMHRStandard Error 5.52
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.538795% CI: [-4.79, 9.14]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.430695% CI: [-4.18, 9.77]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [-32.09, -18.06]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.956795% CI: [-6.71, 7.09]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.818895% CI: [-6.14, 7.76]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [-34.03, -20.08]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: 0.859995% CI: [-6.28, 7.51]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [-34.2, -20.3]ANOVA
Comparison: Null hypothesis considered population means of the treatments in comparison, to be equal with respect to percent SMH. Statistical tests were 2-sided with a significance level of 0.05.p-value: <0.000195% CI: [-34.84, -20.89]ANOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026