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Fluoride Retention in the Mouth of Older Adults

Optimizing Fluoride Retention in the Mouth of Older Adults With Distinct Salivary Flow Rates

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04239872
Enrollment
20
Registered
2020-01-27
Start date
2020-03-11
Completion date
2021-04-05
Last updated
2023-01-31

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

Conditions

Hyposalivation

Brief summary

Individuals with dry mouth (a reduction in the production of saliva) suffer from high rates of oral diseases. Dry mouth is a common problem among older individuals, because many medications to control chronic conditions (such as blood pressure, bladder-control problems and depression) reduce the flow of saliva. For these individuals, fluoride is used to maintain a good oral health. Usually, higher fluoride concentration products, such as prescription toothpastes, are recommended. In this project, the ability to increase fluoride retention in the mouth by using calcium before a conventional fluoride rinse will be tested in older adults with a range of salivary flow rates. This approach was never tested in patients with dry mouth, for whom the treatment with calcium may also be beneficial. A crossover, clinical study with two experimental phases will be conducted, in which patients with a range of saliva flows (from normal to dry mouth) will rinse with a fluoride rinse only (used at over the counter concentration), or a fluoride rinse preceded by a calcium rinse. The concentration of fluoride and calcium in the saliva and dental plaque residues will be determined up to two hours after the rinse(s), to test the effect of the approach to optimize fluoride retention in the mouth of patients with dry mouth.

Interventions

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.

DRUGCalcium and fluoride mouthwash

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.

Sponsors

University of Michigan
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE

Eligibility

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

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

Design outcomes

Primary

MeasureTime frameDescription
Fluoride Concentration in Dental Biofilm Fluid at BaselineBaselineDental 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.
Fluoride Concentration in Dental Biofilm Fluid at 15 Minutes15 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.
Fluoride Concentration in Dental Biofilm Fluid at 60 Minutes60 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.
Fluoride Concentration in Dental Biofilm Fluid at 120 Minutes120 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.
Fluoride Concentration in Dental Biofilm Solids at BaselineBaselineDental 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.
Fluoride Concentration in Dental Biofilm Solids at 15 Minutes15 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.
Fluoride Concentration in Dental Biofilm Solids at 60 Minutes60 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.
Fluoride Concentration in Dental Biofilm Solids at 120 Minutes120 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.
Area Under the Curve of Fluoride Concentration in Dental Biofilm Fluid OvertimeBaseline, 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).
Area Under the Curve of Fluoride Concentration in Dental Biofilm Solids OvertimeBaseline, 15, 60 and 120 minutes after mouthwashFluoride 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).

Secondary

MeasureTime frameDescription
Calcium Concentration in Dental Biofilm Solids at BaselineBaselineDental 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.
Calcium Concentration in Dental Biofilm Solids at 15 Minutes15 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.
Calcium Concentration in Dental Biofilm Solids at 60 Minutes60 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.
Calcium Concentration in Dental Biofilm Solids at 120 Minutes120 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.
Calcium Concentration in Saliva at BaselineBaselineUnstimulated saliva was collected at baseline (before mouthwash(es)), for 5 minutes. Calcium concentration in unstimulated saliva was measured using a colorimetric reaction (Arsenazo III).
Calcium Concentration in Saliva at 16 Minutes16-21 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).
Calcium Concentration in Saliva at 30 Minutes30-35 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).
Fluoride Concentration in Saliva at BaselineBaselineUnstimulated 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.
Calcium Concentration in Saliva at 90 Minutes90-95 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).
Calcium Concentration in Saliva at 121 Minutes121-126 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).
Area Under the Curve of Fluoride Concentration in Saliva OvertimeBaseline, 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.
Area Under the Curve of Calcium Concentration in Dental Biofilm Fluid OvertimeBaseline, 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).
Area Under the Curve of Calcium Concentration in Dental Biofilm Solids OvertimeBaseline, 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.
Area Under the Curve of Calcium Concentration in Saliva OvertimeBaseline, 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).
Calcium Concentration in Saliva at 61 Minutes61-66 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).
Fluoride Concentration in Saliva at 16 Minutes16-21 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.
Fluoride Concentration in Saliva at 30 Minutes30-35 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.
Fluoride Concentration in Saliva at 61 Minutes61-66 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.
Fluoride Concentration in Saliva at 90 Minutes90-95 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.
Fluoride Concentration in Saliva at 121 Minutes121-126 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.
Calcium Concentration in Dental Biofilm Fluid at BaselineBaselineDental 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.
Calcium Concentration in Dental Biofilm Fluid at 15 Minutes15 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.
Calcium Concentration in Dental Biofilm Fluid at 60 Minutes60 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.
Calcium Concentration in Dental Biofilm Fluid at 120 Minutes120 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.

Countries

United States

Participant flow

Participants by arm

ArmCount
Participants With Normal Salivary Flow to Dry Mouth
Participants were randomly assigned to two arms, with varying sequence of treatment used, under a crossover design: Fluoride mouthwash alone, then Calcium mouthwash before a fluoride mouthwash; OR Calcium mouthwash before a fluoride mouthwash, then Fluoride mouthwash alone Fluoride mouthwash consisted of Sodium fluoride, at a concentration of 0.05% (226 parts per million (ppm) of fluoride), used to rinse the mouth for 1 minute and expectorated. Calcium and fluoride mouthwash: Calcium lactate, at a concentration of 150 millimoles per liter, 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), used to rinse the mouth for 1 minute, and expectorated.
20
Total20

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up01

Baseline characteristics

CharacteristicParticipants With Normal Salivary Flow to Dry Mouth
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
20 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
Age, Continuous70.9 years
STANDARD_DEVIATION 4.6
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
1 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
White
18 Participants
Region of Enrollment
United States
20 participants
Sex: Female, Male
Female
12 Participants
Sex: Female, Male
Male
8 Participants
Stimulated salivary flow rate, mL/min1.21 mL/min
STANDARD_DEVIATION 0.87
Unstimulated salivary flow rate, mL/min0.3 mL/min
STANDARD_DEVIATION 0.33

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 190 / 20
other
Total, other adverse events
0 / 190 / 20
serious
Total, serious adverse events
0 / 190 / 20

Outcome results

Primary

Area Under the Curve of Fluoride Concentration in Dental Biofilm Fluid Overtime

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).

Time frame: Baseline, 15, 60 and 120 minutes after mouthwash(es)

Population: The area under the curve was calculated only for participants with all time points collected. This accounts for the smaller number of participants analyzed for this variable.

ArmMeasureValue (MEAN)Dispersion
Fluoride MouthwashArea Under the Curve of Fluoride Concentration in Dental Biofilm Fluid Overtime841.6 parts per million x minutesStandard Deviation 543.2
Calcium Mouthwash Before Fluoride MouthwashArea Under the Curve of Fluoride Concentration in Dental Biofilm Fluid Overtime764.4 parts per million x minutesStandard Deviation 234.1
Comparison: A paired t-test was used to compare the two groups.p-value: 0.554395% CI: [-584.8, 353.6]t-test, 2 sided
Primary

Area Under the Curve of Fluoride Concentration in Dental Biofilm Solids Overtime

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).

Time frame: Baseline, 15, 60 and 120 minutes after mouthwash

Population: The area under the curve was calculated only for participants with all time points collected. This accounts for the smaller number of participants analyzed for this variable.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashArea Under the Curve of Fluoride Concentration in Dental Biofilm Solids Overtime37.85 microgram fluoride/milligram prot x min
Calcium Mouthwash Before Fluoride MouthwashArea Under the Curve of Fluoride Concentration in Dental Biofilm Solids Overtime521.2 microgram fluoride/milligram prot x min
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.000395% CI: [0.842, 1.814]t-test, 2 sided
Primary

Fluoride Concentration in Dental Biofilm Fluid at 120 Minutes

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.

Time frame: 120 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Dental Biofilm Fluid at 120 Minutes0.63 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Dental Biofilm Fluid at 120 Minutes2.58 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.001395% CI: [0.2938, 0.8348]t-test, 2 sided
Primary

Fluoride Concentration in Dental Biofilm Fluid at 15 Minutes

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.

Time frame: 15 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Dental Biofilm Fluid at 15 Minutes15.27 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Dental Biofilm Fluid at 15 Minutes12.29 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.650495% CI: [-0.3955, 0.2573]t-test, 2 sided
Primary

Fluoride Concentration in Dental Biofilm Fluid at 60 Minutes

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.

Time frame: 60 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Dental Biofilm Fluid at 60 Minutes1.57 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Dental Biofilm Fluid at 60 Minutes4.07 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.002495% CI: [0.2372, 0.8243]t-test, 2 sided
Primary

Fluoride Concentration in Dental Biofilm Fluid at 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.

Time frame: Baseline

Population: A smaller number of participants analyzed for this variable means that they did not have sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Dental Biofilm Fluid at Baseline0.24 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Dental Biofilm Fluid at Baseline0.22 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.841295% CI: [-0.09209, 0.07653]t-test, 2 sided
Primary

Fluoride Concentration in Dental Biofilm Solids at 120 Minutes

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.

Time frame: 120 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Dental Biofilm Solids at 120 Minutes0.18 micrograms fluoride/miligram protein
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Dental Biofilm Solids at 120 Minutes4.84 micrograms fluoride/miligram protein
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: <0.000195% CI: [1.081, 2.017]t-test, 2 sided
Primary

Fluoride Concentration in Dental Biofilm Solids at 15 Minutes

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.

Time frame: 15 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Dental Biofilm Solids at 15 Minutes0.44 micrograms fluoride/milligram protein
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Dental Biofilm Solids at 15 Minutes5.30 micrograms fluoride/milligram protein
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: <0.000195% CI: [0.7736, 1.416]t-test, 2 sided
Primary

Fluoride Concentration in Dental Biofilm Solids at 60 Minutes

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.

Time frame: 60 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Dental Biofilm Solids at 60 Minutes0.23 micrograms fluoride/miligram protein
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Dental Biofilm Solids at 60 Minutes5.98 micrograms fluoride/miligram protein
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: <0.000195% CI: [1.112, 1.825]t-test, 2 sided
Primary

Fluoride Concentration in Dental Biofilm Solids at 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.

Time frame: Baseline

Population: A smaller number of participants analyzed for this variable means that they did not have sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Dental Biofilm Solids at Baseline0.17 micrograms fluoride/milligram protein
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Dental Biofilm Solids at Baseline0.13 micrograms fluoride/milligram protein
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.204195% CI: [-0.2964, 0.06929]t-test, 2 sided
Secondary

Area Under the Curve of Calcium Concentration in Dental Biofilm Fluid Overtime

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).

Time frame: Baseline, 15, 60 and 120 minutes after mouthwash(es)

Population: Due to the small amount of biofilm collected from participants, resulting in a reduced biofilm fluid volume, there was not enough sample left for calcium measurement after fluoride concentration in the fluid was determined. Therefore, the area under the curve could not be estimated for this variable.

Secondary

Area Under the Curve of Calcium Concentration in Dental Biofilm Solids Overtime

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.

Time frame: Baseline, 15, 60 and 120 minutes after mouthwash(es)

Population: The area under the curve was calculated only for participants with all time points collected. This accounts for the smaller number of participants analyzed for this variable.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashArea Under the Curve of Calcium Concentration in Dental Biofilm Solids Overtime780 micrograms calcium x time/milligram prot
Calcium Mouthwash Before Fluoride MouthwashArea Under the Curve of Calcium Concentration in Dental Biofilm Solids Overtime1165 micrograms calcium x time/milligram prot
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.047595% CI: [0.004686, 0.6351]t-test, 2 sided
Secondary

Area Under the Curve of Calcium Concentration in Saliva Overtime

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).

Time frame: Baseline, 16, 30, 61, 90 and 121 minutes after a mouthwash(es)

Population: The area under the curve was calculated only for participants with all time points collected. This accounts for the smaller number of participants analyzed for this variable.

ArmMeasureValue (MEAN)Dispersion
Fluoride MouthwashArea Under the Curve of Calcium Concentration in Saliva Overtime176 milimolar x minutesStandard Deviation 46.5
Calcium Mouthwash Before Fluoride MouthwashArea Under the Curve of Calcium Concentration in Saliva Overtime242 milimolar x minutesStandard Deviation 63.8
Comparison: A paired t-test was used to compare the two groups.p-value: 0.000495% CI: [27.46, 73.3]t-test, 2 sided
Secondary

Area Under the Curve of Fluoride Concentration in Saliva Overtime

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.

Time frame: Baseline, 16, 30, 61, 90 and 121 minutes after mouthwash(es)

Population: The area under the curve was calculated only for participants with all time points collected. This accounts for the smaller number of participants analyzed for this variable.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashArea Under the Curve of Fluoride Concentration in Saliva Overtime186 parts per million x minutes
Calcium Mouthwash Before Fluoride MouthwashArea Under the Curve of Fluoride Concentration in Saliva Overtime1415 parts per million x minutes
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: <0.000195% CI: [0.7205, 1.071]t-test, 2 sided
Secondary

Calcium Concentration in Dental Biofilm Fluid at 120 Minutes

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.

Time frame: 120 minutes after mouthwash(es)

Population: Due to the small amount of biofilm collected from participants, resulting in a reduced biofilm fluid volume, there was not enough sample left for calcium measurement after fluoride concentration in the fluid was determined.

Secondary

Calcium Concentration in Dental Biofilm Fluid at 15 Minutes

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.

Time frame: 15 minutes after mouthwash(es)

Population: Due to the small amount of biofilm collected from participants, resulting in a reduced biofilm fluid volume, there was not enough sample left for calcium measurement after fluoride concentration in the fluid was determined.

Secondary

Calcium Concentration in Dental Biofilm Fluid at 60 Minutes

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.

Time frame: 60 minutes after mouthwash(es)

Population: Due to the small amount of biofilm collected from participants, resulting in a reduced biofilm fluid volume, there was not enough sample left for calcium measurement after fluoride concentration in the fluid was determined.

Secondary

Calcium Concentration in Dental Biofilm Fluid at 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.

Time frame: Baseline

Population: Due to the small amount of biofilm collected from participants, resulting in a reduced biofilm fluid volume, there was not enough sample left for calcium measurement after fluoride concentration in the fluid was determined.

Secondary

Calcium Concentration in Dental Biofilm Solids at 120 Minutes

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.

Time frame: 120 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashCalcium Concentration in Dental Biofilm Solids at 120 Minutes5.08 micrograms calcium/miligram protein
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Dental Biofilm Solids at 120 Minutes9.66 micrograms calcium/miligram protein
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.01495% CI: [0.07454, 0.5495]t-test, 2 sided
Secondary

Calcium Concentration in Dental Biofilm Solids at 15 Minutes

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.

Time frame: 15 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashCalcium Concentration in Dental Biofilm Solids at 15 Minutes4.48 micrograms calcium/miligram protein
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Dental Biofilm Solids at 15 Minutes8.88 micrograms calcium/miligram protein
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.005895% CI: [0.1189, 0.5633]t-test, 2 sided
Secondary

Calcium Concentration in Dental Biofilm Solids at 60 Minutes

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.

Time frame: 60 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashCalcium Concentration in Dental Biofilm Solids at 60 Minutes6.64 micrograms calcium/miligram protein
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Dental Biofilm Solids at 60 Minutes12.4 micrograms calcium/miligram protein
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.021395% CI: [0.05266, 0.5426]t-test, 2 sided
Secondary

Calcium Concentration in Dental Biofilm Solids at 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.

Time frame: Baseline

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashCalcium Concentration in Dental Biofilm Solids at Baseline5.74 micrograms calcium/miligram protein
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Dental Biofilm Solids at Baseline4.67 micrograms calcium/miligram protein
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.328395% CI: [-0.1762, 0.06829]t-test, 2 sided
Secondary

Calcium Concentration in Saliva at 121 Minutes

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).

Time frame: 121-126 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (MEAN)Dispersion
Fluoride MouthwashCalcium Concentration in Saliva at 121 Minutes1.60 milimolarStandard Deviation 0.57
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Saliva at 121 Minutes1.80 milimolarStandard Deviation 0.59
Comparison: A paired t-test was used to compare the two groups.p-value: 0.118895% CI: [-0.07934, 0.6371]t-test, 2 sided
Secondary

Calcium Concentration in Saliva at 16 Minutes

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).

Time frame: 16-21 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashCalcium Concentration in Saliva at 16 Minutes1.14 milimolar
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Saliva at 16 Minutes2.38 milimolar
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.000995% CI: [0.1414, 0.4427]t-test, 2 sided
Secondary

Calcium Concentration in Saliva at 30 Minutes

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).

Time frame: 30-35 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashCalcium Concentration in Saliva at 30 Minutes1.12 milimolar
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Saliva at 30 Minutes2.03 milimolar
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.000895% CI: [0.1195, 0.3671]t-test, 2 sided
Secondary

Calcium Concentration in Saliva at 61 Minutes

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).

Time frame: 61-66 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (MEAN)Dispersion
Fluoride MouthwashCalcium Concentration in Saliva at 61 Minutes1.62 milimolarStandard Deviation 0.6
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Saliva at 61 Minutes2.01 milimolarStandard Deviation 0.6
Comparison: A paired t-test was used to compare the two groups.p-value: 0.151595% CI: [-0.1356, 0.7969]t-test, 2 sided
Secondary

Calcium Concentration in Saliva at 90 Minutes

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).

Time frame: 90-95 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashCalcium Concentration in Saliva at 90 Minutes1.50 milimolar
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Saliva at 90 Minutes1.74 milimolar
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.171295% CI: [-0.02327, 0.1203]t-test, 2 sided
Secondary

Calcium Concentration in Saliva at 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).

Time frame: Baseline

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (MEAN)Dispersion
Fluoride MouthwashCalcium Concentration in Saliva at Baseline1.57 milimolarStandard Deviation 0.64
Calcium Mouthwash Before Fluoride MouthwashCalcium Concentration in Saliva at Baseline1.76 milimolarStandard Deviation 0.64
Comparison: A paired t-test was used to compare the two groups.p-value: 0.139395% CI: [-0.09153, 0.5962]t-test, 2 sided
Secondary

Fluoride Concentration in Saliva at 121 Minutes

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.

Time frame: 121-126 minutes after mouthwash(es)

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Saliva at 121 Minutes0.46 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Saliva at 121 Minutes3.71 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: <0.000195% CI: [0.6573, 1.179]t-test, 2 sided
Secondary

Fluoride Concentration in Saliva at 16 Minutes

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.

Time frame: 16-21 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Saliva at 16 Minutes4.60 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Saliva at 16 Minutes20.36 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.000295% CI: [0.3488, 0.905]t-test, 2 sided
Secondary

Fluoride Concentration in Saliva at 30 Minutes

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.

Time frame: 30-35 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Saliva at 30 Minutes2.18 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Saliva at 30 Minutes17.05 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: <0.000195% CI: [0.6671, 1.122]t-test, 2 sided
Secondary

Fluoride Concentration in Saliva at 61 Minutes

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.

Time frame: 61-66 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Saliva at 61 Minutes1.07 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Saliva at 61 Minutes9.98 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: <0.000195% CI: [0.7597, 1.186]t-test, 2 sided
Secondary

Fluoride Concentration in Saliva at 90 Minutes

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.

Time frame: 90-95 minutes after mouthwash(es)

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Saliva at 90 Minutes0.80 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Saliva at 90 Minutes7.66 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: <0.000195% CI: [0.7758, 1.19]t-test, 2 sided
Secondary

Fluoride Concentration in Saliva at 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.

Time frame: Baseline

Population: A smaller number of participants analyzed for this variable means that they did not have a sample collected at this time point, or that the amount collected was not enough for the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)
Fluoride MouthwashFluoride Concentration in Saliva at Baseline0.14 parts per million (ppm) of fluoride
Calcium Mouthwash Before Fluoride MouthwashFluoride Concentration in Saliva at Baseline0.11 parts per million (ppm) of fluoride
Comparison: A paired t-test was used to compare the two groups. To obtain normal distribution, data used in the statistical analysis were transformed to the log10.p-value: 0.282495% CI: [-0.2613, 0.08082]t-test, 2 sided

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026