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Study of an Experimental Toothbrush for Treatment and Prevention of Gingivitis

Efficacy of an Experimental Toothbrush on the Treatment and Prevention of Gingivitis

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01224158
Enrollment
153
Registered
2010-10-19
Start date
2010-09-13
Completion date
2010-10-29
Last updated
2019-12-04

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

Conditions

Dental Devices, Home Care

Brief summary

This study is 6 weeks long with 6 visits to a clinical site. People participating in this study will be asked to brush their teeth two times a day with a provided toothbrush. For one of those six weeks people will be asked to rinse with a mouthwash. During that time, people will use the mouthwash two times a day and will not be allowed to brush their teeth at all. The mouth, teeth, tongue and gums will be looked at by a dentist. At each visit, people will rinse with a pink liquid that will dye their mouths pink. The dye is temporary and will go away by the end of the day. They may also be asked to complete a short questionnaire about their experience.

Detailed description

This is a 42-day, randomized, observer-blind, parallel group, single-center clinical trial. Generally healthy adults will be recruited from a database of known plaque formers. A sufficient number of subjects meeting the necessary inclusion/exclusion criteria will be enrolled into two groups, so that 140 subjects (70 per treatment group) would reasonably be expected to complete the study. The study will have a pre-experimental phase, which will last 2 weeks followed by an experimental phase that is 4 weeks in duration. At the start of the pre-experimental phase (Day 0), subjects will undergo an initial oral exam, during which gingivitis and pre-brushing plaque evaluations will be performed. Supragingival plaque levels will be assessed on all scorable teeth according to the Rustogi Modified Navy Plaque Index (RMNPI) and gingivitis will be scored according to the Modified Gingival Index (MGI). Subjects with a whole mouth mean plaque level \> 0.60 and a whole mouth mean MGI ≥ 1.75 will then brush their teeth with their assigned toothbrush using American Dental Association (ADA) Accepted fluoride toothpaste. They will be provided with written and verbal instructions to use their toothbrush twice a day, for the next 7 days (Normalization period), allowing the participants to get familiar with the assigned test product. During the second visit (Day 7), the subjects will return the products to the clinical site, and start the experimental gingivitis phase, during which they will only be allowed to use a placebo rinse (W002194-0221P) as means of oral hygiene. The objective of the experimental gingivitis phase is to standardize the levels of plaque and gingivitis in both groups. At visit 3 (Day 14), subjects will undergo a second gingivitis and pre-brushing plaque evaluation and receive their assigned brush, instructions and diary. They will brush with their assigned toothbrush for two weeks (14 days), using an ADA accepted fluoride toothpaste. During the fourth visit (Day 28), the subjects will return to the site and undergo a third gingivitis and post-brushing plaque evaluation. At the last visit (Day 42), the study participants will undergo final gingivitis and post-brushing plaque evaluations and return all used products.

Interventions

DEVICEExperimental Power Toothbrush

Following a placebo mouthwash phase, Subjects will be asked to brush their teeth (twice per day with the experimental toothbrush and toothpaste provided) moving to the next quadrant of the mouth at 30-second intervals.

DEVICEFlat trimmed Manual Toothbrush

Following a placebo mouthwash phase, Subjects will be asked to brush their teeth (twice per day using the toothbrush and toothpaste provided) in their usual manner.

Sponsors

Johnson & Johnson Consumer and Personal Products Worldwide
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Males and females at least 18 years of age and in good general and oral health. * Evidence of a personally signed and dated informed consent document indicating the subject (or legally acceptable representative) has been informed of all pertinent aspects of the trial. * Willingness to use the assigned products according to instructions, availability for appointments and likelihood of completing the clinical trial. * Good general and oral health with manual dexterity. * Willingness to refrain from all oral hygiene procedures within 18-24 hours prior to the study visit. * A minimum of twenty scorable teeth with at least one scorable molar in each quadrant. * A whole-mouth mean plaque level greater than 0.60 at Day 0. * Whole-mouth-mean gingivitis level greater than or equal to 1.75 at Day 0. * Absence of orthodontic bands, appliances, bridges, numerous crowns, extensive large restorations, excessive caries, removable orthodontic appliances or partial dentures. * Absence of significant oral soft tissue pathology, excluding gingivitis, based on the visual oral examination and at the discretion of the examiner. * Adequate oral hygiene (i.e., brush teeth daily and exhibit no signs of oral neglect). * Absence of moderate/advanced periodontitis. * Absence of extensive supragingival calculus. * Absence of ulcerations on lips and oral mucosa.

Exclusion criteria

* Currently taking steroids, antibiotic medication or any other medication within the previous month that may interfere with the efficacy evaluations. * Those requiring antibiotic premedication prior to dental treatment. * Participation in a dental clinical trial involving oral care products currently or within the past 28 days. * Dental prophylaxis within one week prior to enrollment into the study. * Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial. * Physical limitations or restrictions that might preclude use of normal oral hygiene procedures (i.e., toothbrushing, etc.). * Self-reported pregnant or lactating women.

Design outcomes

Primary

MeasureTime frameDescription
Whole-mouth Mean Modified Gingival Index (MGI) Score at Day 42Day 42Gingivitis was assessed by the Modified Gingival Index on the buccal and lingual marginal gingiva and interdental papillae of all scorable teeth by the dental examiner using following scale score range from 0 to 4, where 0 - Normal (absence of inflammation); 1 - Mild inflammation (slight change in color, little change in texture) of any portion of the gingival unit; 2 - Mild inflammation of the entire gingival unit; 3 - Moderate inflammation (moderate glazing, redness, edema, and/or hypertrophy) of the gingival unit; 4 - Severe inflammation (marked redness and edema/hypertrophy, spontaneous bleeding, or ulceration) of the gingival unit.

Secondary

MeasureTime frameDescription
Whole-mouth Mean Modified Gingival Index (MGI) Score at Day 28Day 28Gingivitis was assessed by the Modified Gingival Index on the buccal and lingual marginal gingiva and interdental papillae of all scorable teeth by the dental examiner using following scale with score range from 0 to 4, where 0 - Normal (absence of inflammation); 1 - Mild inflammation (slight change in color, little change in texture) of any portion of the gingival unit; 2 - Mild inflammation of the entire gingival unit; 3 - Moderate inflammation (moderate glazing, redness, edema, and/or hypertrophy) of the gingival unit; 4 - Severe inflammation (marked redness and edema/hypertrophy, spontaneous bleeding, or ulceration) of the gingival unit.
Whole-mouth Mean Rustogi Modified Navy Plaque Index (RMNPI) Score at Day 42Day 42Supra-gingival plaque was assessed on the facial and lingual surfaces of the teeth (7-7 each arch) using the RMNPI. The facial and lingual surfaces were divided into nine unequal segments, as follows, for a total of 18 sites per tooth: A-C along the gingival margin; D and F (inter-proximal zones) directly above A-C; G-H across the middle of the tooth and I covers the incisal area. Plaque was assigned on one of the following score: 0 represents no dental plaque and 1 represents plaque present in the measured segment of the tooth. Mean RMNPI overall was calculated for each participant as the total score for all tooth sites assessed divided by the total number of tooth sites assessed.
Whole-Mouth Mean Rustogi Modified Navy Plaque Index (RMNPI) Score at Day 28Day 28Supra-gingival plaque was assessed on the facial and lingual surfaces of the teeth (7-7 each arch) using the RMNPI. The facial and lingual surfaces were divided into nine unequal segments, as follows, for a total of 18 sites per tooth: A-C along the gingival margin; D and F (inter-proximal zones) directly above A-C; G-H across the middle of the tooth and I covers the incisal area. Plaque was assigned on one of the following score: 0 represents no dental plaque and 1 represents plaque present in the measured segment of the tooth. Mean RMNPI overall was calculated for each participant as the total score for all tooth sites assessed divided by the total number of tooth sites assessed.
Hard-to-reach Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42Day 28 and 42Hard-to-reach mean score is defined as mean of scores over following areas combined; a) Gingival margin (Sites A - C); b) Distal Molars (F for teeth 2, 15, 18, and 31 or the most posterior molar in that quadrant); c) Lingual of the mandibular incisors (Teeth 23-26, lingual); d) Interproximal (Sites D and F); e) Mandibular posterior lingual (Teeth 18-21, 28-31, lingual). Supra-gingival plaque was assessed on facial and lingual surfaces of teeth (7-7 each arch) using the RMNPI. The facial and lingual surfaces were divided into nine unequal segments, as follows, for a total of 18 sites per tooth: A-C along gingival margin; D and F (inter-proximal zones) directly above A-C; G-H across middle of tooth and I covers incisal area. Plaque was disclosed on a scale (0 indicates no dental plaque to 1 indicates dental plaque), Mean RPI overall was calculated for each participant as total score for all tooth sites assessed divided by total number of tooth sites assessed.
Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaDay 28 and 42Hard-to-reach mean score is defined as mean of scores over following areas separately d; a) Gingival margin (Sites A - C); b) Distal Molars (F for teeth 2, 15, 18, and 31 or the most posterior molar in that quadrant); c) Lingual of the mandibular incisors (Teeth 23-26, lingual); d) Interproximal (Sites D and F); e) Mandibular posterior lingual (Teeth 18-21, 28-31, lingual). Supra-gingival plaque was assessed on facial and lingual surfaces of teeth (7-7 each arch) using the RMNPI. The facial and lingual surfaces were divided into nine unequal segments, as follows, for a total of 18 sites per tooth: A-C along gingival margin; D and F (inter-proximal zones) directly above A-C; G-H across middle of tooth and I covers incisal area. Plaque on each area was assigned one of the following score: on a scale (0 indicates no dental plaque and 1 indicates plaque present in the measured segment of the tooth).

Countries

United States

Participant flow

Participants by arm

ArmCount
Manual Toothbrush (PR-000172)
Following a placebo rinse phase of 7 days, participants brushed their teeth (twice per day using the PR-000172 toothbrush and toothpaste provided) in their usual manner up to Day 42.
76
Power Toothbrush (PR-009577)
Following a placebo rinse phase for 7 days, Participants brushed their teeth (twice per day with the experimental toothbrush PR-009577 and toothpaste provided) up to Day 42.
77
Total153

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicManual Toothbrush (PR-000172)Power Toothbrush (PR-009577)Total
Age, Continuous32.4 years
STANDARD_DEVIATION 10.21
32.9 years
STANDARD_DEVIATION 9.61
32.7 years
STANDARD_DEVIATION 9.89
Region of Enrollment
United States
USA
76 Participants77 Participants153 Participants
Sex: Female, Male
Female
42 Participants46 Participants88 Participants
Sex: Female, Male
Male
34 Participants31 Participants65 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 760 / 77
other
Total, other adverse events
0 / 760 / 77
serious
Total, serious adverse events
0 / 760 / 77

Outcome results

Primary

Whole-mouth Mean Modified Gingival Index (MGI) Score at Day 42

Gingivitis was assessed by the Modified Gingival Index on the buccal and lingual marginal gingiva and interdental papillae of all scorable teeth by the dental examiner using following scale score range from 0 to 4, where 0 - Normal (absence of inflammation); 1 - Mild inflammation (slight change in color, little change in texture) of any portion of the gingival unit; 2 - Mild inflammation of the entire gingival unit; 3 - Moderate inflammation (moderate glazing, redness, edema, and/or hypertrophy) of the gingival unit; 4 - Severe inflammation (marked redness and edema/hypertrophy, spontaneous bleeding, or ulceration) of the gingival unit.

Time frame: Day 42

Population: Full Analysis Set (FAS), included all randomized participants who have MGI at Day 0 and at least one MGI value on Day 28 or Day 42.

ArmMeasureValue (MEAN)Dispersion
Manual Toothbrush (PR-000172)Whole-mouth Mean Modified Gingival Index (MGI) Score at Day 421.880 Unit on a scaleStandard Deviation 0.1223
Power Toothbrush (PR-009577)Whole-mouth Mean Modified Gingival Index (MGI) Score at Day 421.770 Unit on a scaleStandard Deviation 0.1443
Secondary

Hard-to-reach Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42

Hard-to-reach mean score is defined as mean of scores over following areas combined; a) Gingival margin (Sites A - C); b) Distal Molars (F for teeth 2, 15, 18, and 31 or the most posterior molar in that quadrant); c) Lingual of the mandibular incisors (Teeth 23-26, lingual); d) Interproximal (Sites D and F); e) Mandibular posterior lingual (Teeth 18-21, 28-31, lingual). Supra-gingival plaque was assessed on facial and lingual surfaces of teeth (7-7 each arch) using the RMNPI. The facial and lingual surfaces were divided into nine unequal segments, as follows, for a total of 18 sites per tooth: A-C along gingival margin; D and F (inter-proximal zones) directly above A-C; G-H across middle of tooth and I covers incisal area. Plaque was disclosed on a scale (0 indicates no dental plaque to 1 indicates dental plaque), Mean RPI overall was calculated for each participant as total score for all tooth sites assessed divided by total number of tooth sites assessed.

Time frame: Day 28 and 42

Population: FAS included all randomized participants who have MGI at Day 0 and at least one MGI value on Day 28 or Day 42.

ArmMeasureGroupValue (MEAN)Dispersion
Manual Toothbrush (PR-000172)Hard-to-reach Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42Day 280.232 Units on a scaleStandard Deviation 0.1066
Manual Toothbrush (PR-000172)Hard-to-reach Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42Day 420.208 Units on a scaleStandard Deviation 0.0993
Power Toothbrush (PR-009577)Hard-to-reach Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42Day 280.209 Units on a scaleStandard Deviation 0.1067
Power Toothbrush (PR-009577)Hard-to-reach Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42Day 420.186 Units on a scaleStandard Deviation 0.0905
Secondary

Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach Area

Hard-to-reach mean score is defined as mean of scores over following areas separately d; a) Gingival margin (Sites A - C); b) Distal Molars (F for teeth 2, 15, 18, and 31 or the most posterior molar in that quadrant); c) Lingual of the mandibular incisors (Teeth 23-26, lingual); d) Interproximal (Sites D and F); e) Mandibular posterior lingual (Teeth 18-21, 28-31, lingual). Supra-gingival plaque was assessed on facial and lingual surfaces of teeth (7-7 each arch) using the RMNPI. The facial and lingual surfaces were divided into nine unequal segments, as follows, for a total of 18 sites per tooth: A-C along gingival margin; D and F (inter-proximal zones) directly above A-C; G-H across middle of tooth and I covers incisal area. Plaque on each area was assigned one of the following score: on a scale (0 indicates no dental plaque and 1 indicates plaque present in the measured segment of the tooth).

Time frame: Day 28 and 42

Population: FAS included all randomized participants who have MGI at Day 0 and at least one MGI value on Day 28 or Day 42.

ArmMeasureGroupValue (MEAN)Dispersion
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaGingival Margin: Day 280.298 Units on a scaleStandard Deviation 0.1172
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaGingival Margin: Day 420.273 Units on a scaleStandard Deviation 0.1181
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaDistal Molars: Day 280.413 Units on a scaleStandard Deviation 0.2599
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaDistal Molars: Day 420.352 Units on a scaleStandard Deviation 0.2172
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaLingual of the Mandibular Incisors: Day 280.190 Units on a scaleStandard Deviation 0.2501
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaLingual of the Mandibular Incisors: Day 420.152 Units on a scaleStandard Deviation 0.1892
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaInterproximal: Day 280.195 Units on a scaleStandard Deviation 0.1173
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaInterproximal: Day 420.171 Units on a scaleStandard Deviation 0.1047
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaMandibular Posterior Lingual: Day 280.368 Units on a scaleStandard Deviation 0.1808
Manual Toothbrush (PR-000172)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaMandibular Posterior Lingual: Day 420.351 Units on a scaleStandard Deviation 0.1789
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaInterproximal: Day 420.148 Units on a scaleStandard Deviation 0.1054
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaGingival Margin: Day 280.271 Units on a scaleStandard Deviation 0.1169
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaLingual of the Mandibular Incisors: Day 420.119 Units on a scaleStandard Deviation 0.2035
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaGingival Margin: Day 420.246 Units on a scaleStandard Deviation 0.0992
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaMandibular Posterior Lingual: Day 420.336 Units on a scaleStandard Deviation 0.1473
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaDistal Molars: Day 280.399 Units on a scaleStandard Deviation 0.2175
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaInterproximal: Day 280.169 Units on a scaleStandard Deviation 0.1122
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaDistal Molars: Day 420.339 Units on a scaleStandard Deviation 0.2284
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaMandibular Posterior Lingual: Day 280.372 Units on a scaleStandard Deviation 0.1888
Power Toothbrush (PR-009577)Mean Rustogi Modified Navy Plaque Index (RMNPI) at Day 28 and 42 for Each Hard-to-reach AreaLingual of the Mandibular Incisors: Day 280.149 Units on a scaleStandard Deviation 0.243
Secondary

Whole-mouth Mean Modified Gingival Index (MGI) Score at Day 28

Gingivitis was assessed by the Modified Gingival Index on the buccal and lingual marginal gingiva and interdental papillae of all scorable teeth by the dental examiner using following scale with score range from 0 to 4, where 0 - Normal (absence of inflammation); 1 - Mild inflammation (slight change in color, little change in texture) of any portion of the gingival unit; 2 - Mild inflammation of the entire gingival unit; 3 - Moderate inflammation (moderate glazing, redness, edema, and/or hypertrophy) of the gingival unit; 4 - Severe inflammation (marked redness and edema/hypertrophy, spontaneous bleeding, or ulceration) of the gingival unit.

Time frame: Day 28

Population: Full Analysis Set (FAS), included all randomized participants who have MGI at Day 0 and at least one MGI value on Day 28 or Day 42.

ArmMeasureValue (MEAN)Dispersion
Manual Toothbrush (PR-000172)Whole-mouth Mean Modified Gingival Index (MGI) Score at Day 281.957 Unit on a scaleStandard Deviation 0.1225
Power Toothbrush (PR-009577)Whole-mouth Mean Modified Gingival Index (MGI) Score at Day 281.868 Unit on a scaleStandard Deviation 0.1287
Secondary

Whole-Mouth Mean Rustogi Modified Navy Plaque Index (RMNPI) Score at Day 28

Supra-gingival plaque was assessed on the facial and lingual surfaces of the teeth (7-7 each arch) using the RMNPI. The facial and lingual surfaces were divided into nine unequal segments, as follows, for a total of 18 sites per tooth: A-C along the gingival margin; D and F (inter-proximal zones) directly above A-C; G-H across the middle of the tooth and I covers the incisal area. Plaque was assigned on one of the following score: 0 represents no dental plaque and 1 represents plaque present in the measured segment of the tooth. Mean RMNPI overall was calculated for each participant as the total score for all tooth sites assessed divided by the total number of tooth sites assessed.

Time frame: Day 28

Population: FAS included all randomized participants who have MGI at Day 0 and at least one MGI value on Day 28 or Day 42.

ArmMeasureValue (MEAN)Dispersion
Manual Toothbrush (PR-000172)Whole-Mouth Mean Rustogi Modified Navy Plaque Index (RMNPI) Score at Day 280.164 Units on a scaleStandard Deviation 0.0755
Power Toothbrush (PR-009577)Whole-Mouth Mean Rustogi Modified Navy Plaque Index (RMNPI) Score at Day 280.148 Units on a scaleStandard Deviation 0.0762
Secondary

Whole-mouth Mean Rustogi Modified Navy Plaque Index (RMNPI) Score at Day 42

Supra-gingival plaque was assessed on the facial and lingual surfaces of the teeth (7-7 each arch) using the RMNPI. The facial and lingual surfaces were divided into nine unequal segments, as follows, for a total of 18 sites per tooth: A-C along the gingival margin; D and F (inter-proximal zones) directly above A-C; G-H across the middle of the tooth and I covers the incisal area. Plaque was assigned on one of the following score: 0 represents no dental plaque and 1 represents plaque present in the measured segment of the tooth. Mean RMNPI overall was calculated for each participant as the total score for all tooth sites assessed divided by the total number of tooth sites assessed.

Time frame: Day 42

Population: FAS included all randomized participants who have MGI at Day 0 and at least one MGI value on Day 28 or Day 42.

ArmMeasureValue (MEAN)Dispersion
Manual Toothbrush (PR-000172)Whole-mouth Mean Rustogi Modified Navy Plaque Index (RMNPI) Score at Day 420.146 Units on a scaleStandard Deviation 0.071
Power Toothbrush (PR-009577)Whole-mouth Mean Rustogi Modified Navy Plaque Index (RMNPI) Score at Day 420.131 Units on a scaleStandard Deviation 0.0633

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