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Trial registered on ANZCTR
Registration number
ACTRN12615001345572
Ethics application status
Approved
Date submitted
17/11/2015
Date registered
9/12/2015
Date last updated
25/10/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A Pilot Study To Test A New Method Of Improving Oral Hygiene In Adults
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Scientific title
Does the plaque removal device (PRD) improve oral hygiene in adults?
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Secondary ID [1]
287673
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CT-2015-CTN-02261-1-v2
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Universal Trial Number (UTN)
U1111-1175-5800
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oral Hygiene
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Public Health
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Condition category
Condition code
Oral and Gastrointestinal
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0
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Normal oral and gastrointestinal development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will be asked to use the Plaque Removal Device (PRD) for two minutes twice daily, ideally morning and night, with standard toothpaste, for a period of two weeks in lieu of their normal oral hygiene routine.
PRD use involves;
- lightly wetting the PRD under running water, and applying toothpaste to the full length of both sides of the PRD using the applicator provided
- placing the PRD in the mouth & aligning teeth on one side of mouth between PRD bristles
- chew normally for 1min, then remove the PRD from the mouth
- placing the PRD in the mouth & aligning teeth on opposite side of mouth between PRD bristles
- chew normally for 1min, then remove the PRD from the mouth
- rinsing PRD under warm running water & hanging on hook supplied to air dry between uses
- recording PRD usage in diary of device use
- phone review will also be undertaken with participants at halfway (1 week) into the study
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Intervention code [1]
293086
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Prevention
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change in overall plaque levels as recorded using Turesky Modified Quigley Hein Index
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Assessment method [1]
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Timepoint [1]
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immediately after use & 2 weeks
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Secondary outcome [1]
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Change in gingival margin plaque levels as recorded using Marginal Plaque Index
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Assessment method [1]
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Timepoint [1]
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immediately after use & 2 weeks
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Secondary outcome [2]
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Acceptability
- assessed by participant feedback questionnaire designed specifically for this study
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Assessment method [2]
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Timepoint [2]
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2 weeks
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Secondary outcome [3]
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Suitability
- adverse outcomes, if any, assessed by clinician during clinical examination or reported by participant
- durability (visual deterioration, if any) assessed by examination of PRD, returned at conclusion of 2 week trial period
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Assessment method [3]
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Timepoint [3]
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2 weeks
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Eligibility
Key inclusion criteria
Able-bodied adult participants:
- be over 18 years of age
- have the capacity to make informed consent to participate
Adults who require carer support to maintain oral hygiene participants:
- as above, plus
- require carer support to maintain oral hygiene
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Patients meeting any of the following criteria will be excluded from the study:
- has an intellectual disability or for any reason is unable to provide informed consent
- has a prior diagnosis of heart disease
- has been diagnosed with a significant disease requiring treatment e.g. chemotherapy or radiotherapy treatment or patient is immunodeficient due to illness or medication
- has severe periodontal disease
- is edentulous (no natural teeth) or has less than 20 teeth
- has dentures
- is currently taking Warfarin or other anticoagulants
- any evidence of an incompetent swallowing mechanism
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Only applicable for randomised controlled trials. Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Only applicable for randomised controlled trials.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
N/A
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
number of participants: 72 (36 able-bodied adults, and 36 adults who require a carer to maintain oral hygiene)
As the PRD has not been tested previously, data was used from available studies to provide mean and standard deviation to use in the power calculation. The data was from studies that examined the effectiveness of manual and electric toothbrushes to remove plaque as measured by the Turesky Modified Quigley Hein Index. To detect a change of 0.5 unit in plaque score using the Turesky Modified Quigley Hein Index (power 0.9, a= 0.05), 30 participants per group are required in the PRD study. To allow for a 20 per cent loss to follow up, 36 participants per group will be recruited. The participants will be drawn from patients already attending RDHM (Special Needs Clinic and Primary Care Clinic).
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2016
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Actual
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Date of last participant enrolment
Anticipated
30/06/2017
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
72
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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The Royal Dental Hospital of Melbourne - Carlton
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Recruitment postcode(s) [1]
10670
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3053 - Carlton
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Department of State Development, Business and Innovation
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Address [1]
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Level 35, 121 Exhibition Street
Melbourne VIC 3000
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
APS Innovations Pty Ltd
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Address
41 / 756 Burwood Highway, Ferntree Gully VIC 3156
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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Government body
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Name [1]
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Dental Health Services Victoria
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Address [1]
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720 Swanston St, Carlton VIC 3053
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Melbourne Dental School Human Ethics Advisory Group
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Ethics committee address [1]
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Office for Research Ethics & Integrity Level 3, 780 Elizabeth St The University of Melbourne VIC 3010
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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03/06/2016
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Approval date [1]
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01/08/2016
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Ethics approval number [1]
293711
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Summary
Brief summary
BACKGROUND & RATIONALE In 2013, Dental Health Services Victoria and APS Innovations were awarded a grant from the Department of State Development, Business and Innovation to develop a new Plaque Removal Device (PRD) and undertake a feasibility study. The PRD is an alternative for people who cannot use a toothbrush due to manual dexterity issues. This is a three year project (2013-2016) and the PRD is being produced, made using the same materials in the production of standard manual toothbrushes. The PRD will be ready for testing in early 2016. This pilot study aims to: 1. Determine the impact of the PRD on oral hygiene in two groups: i. Able-bodied adults, and ii. Adults who require carer support to maintain oral hygiene. 2. Assess the suitability of the PRD for use in adults. STUDY OBJECTIVES 1. To determine changes in oral hygiene after two weeks of use of the PRD. 2. To determine the changes in plaque when using the PRD, immediately after use, and after two weeks of use twice daily i. Overall plaque levels ii. At gingival margins 3. To determine acceptability of the use of the PRD by participants and carers, as appropriate, over the two week period, with twice daily use. i. To identify any adverse outcomes from using the PRD on the soft and hard tissues of the oral cavity ii. To examine the durability of the PRD. STUDY DESIGN Type of study This is a pilot study using pre- and post-design to determine user acceptability and impacts on oral hygiene using the PRD in a small number of adults (able-bodied, and those who require carer support to maintain oral hygiene). STUDY SETTING This study will be undertaken at The Royal Dental Hospital of Melbourne and other settings such as aged care facilities.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Rodrigo Marino
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Address
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Oral Health CRC
The University of Melbourne
Level 5, 720 Swanston Street
Carlton VIC 3053
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Country
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Australia
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Phone
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+61 3 9341 1558
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Callum MacLeod
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Address
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Project Manager
APS Innovations Pty Ltd
41 / 756 Burwood Hwy, Ferntree Gully VIC 3156
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Country
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Australia
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Phone
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+61 3 9752 2144
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Rodrigo Marino
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Address
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Oral Health CRC
The University of Melbourne
Level 5, 720 Swanston Street
Carlton VIC 3053
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Country
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Australia
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Phone
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+61 3 9341 1558
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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