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Effect of Water Flossing on Gingival Inflammation Around Single Implants

Effect of Water Flossing on Gingival Inflammation Around Single Implants: Randomized Clinical Trial

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07364916
Enrollment
20
Registered
2026-01-23
Start date
2026-01-01
Completion date
2026-09-30
Last updated
2026-01-23

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

Conditions

Peri Implant Mucositis

Keywords

Peri- implant, Mucositis, Water irrigation, Water flosser

Brief summary

This study aims to evaluate the effect of water floss in reversing peri- implant mucositis around dental implants

Detailed description

Patients will be assigned for two clinical appointments, the first visit is for baseline charting, probing depth will be recorded on six sites per implant, using a standardized periodontal probe and the presence or absence of bleeding will be recorded. Disclosing tablets will be utilized to Confirm the presence or absence of plaque around teeth and the implant. Patients (Group A) will be given a water floss, with verbal and written instructions to use the water floss, twice daily for 2 minutes, along with brushing, while Group B will be instructed to brush with a manual brush alone, twice daily for 2 minutes. After two weeks, in the second visit, the implant site is re-evaluated to monitor the outcomes.

Interventions

Water irrigation device

DEVICETooth brush and string floss

The control group will use the toothbrush and the regular string floss.

Sponsors

King Abdulaziz University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Intervention model description

Two groups of implant patients will be randomly allocated to one of 2 interventions; one group will brush only. The other group will brush and use the water flosser around the implant with mucositis.

Eligibility

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

Inclusion criteria

* 18 years of age or older * Medically cleared * Have at least one implant-supported crown.

Exclusion criteria

1. Smoking 2. Any systemic or localized illness that would interfere with dental implant therapy 3. On medications 4. Pregnancy 5. History of periodontitis/ or peri-implant disease 6. Poor oral hygiene 7. Probing depth is \>5

Design outcomes

Primary

MeasureTime frameDescription
Bleeding on Probing2 and 4 weeksThe disappearance of bleeding upon probing with the University of North Carolina-15 mm (UNC-15) periodontal probe. It is done at the same time as probing the pocket depths. It is done at six sites per implant-presence of bleeding = 1, absence = 0 -at each site.
Plaque Index of Silness and Loe4 weeksScore Description 0 No plaque 1 A thin film of plaque adhering to the free gingival margin and adjacent area of the implant; not visible to the naked eye but detectable by probe 2 Moderate accumulation of soft deposits visible to the naked eye within the gingival pocket and/or on the implant and gingival margin \| 3 Abundant soft matter within the gingival pocket and/or on the implant and gingival margin \|

Secondary

MeasureTime frameDescription
Probing Pocket Depths (PPD)4 weeksThe PPD will be recorded at baseline visit using the UNC-15 periodontal probe, at 2 weeks, and at 4 weeks. Pocket depths around implants should usually be around 1-4 mm. Pockets that are deeper than 4 mm or are 4 mm or less but with bleeding will be recorded as abnormal.

Contacts

CONTACTAmal Jamjoom, BDS, MS
agjamjoom@kau.edu.sa+966500190435
CONTACTAmal G Jamjoom, MS
agjamjoom@kau.edu.sa0500190435
PRINCIPAL_INVESTIGATORAmal G Jamjoom

King Abdulaziz University

Outcome results

None listed

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