UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045250
Receipt number R000051322
Scientific Title Effects of sonic and manual toothbrushes applied for assisted brushing of the disabled on plaque removal efficiency, caregiver burden, and long-term oral hygiene - A randomized, parallel-group study
Date of disclosure of the study information 2021/08/25
Last modified on 2021/08/25 08:52:27

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Basic information

Public title

Effects of sonic and manual toothbrushes applied for assisted brushing of the disabled on plaque removal efficiency, caregiver burden, and long-term oral hygiene - A randomized, parallel-group study

Acronym

SBDOH

Scientific Title

Effects of sonic and manual toothbrushes applied for assisted brushing of the disabled on plaque removal efficiency, caregiver burden, and long-term oral hygiene - A randomized, parallel-group study

Scientific Title:Acronym

SBDOH

Region

Japan


Condition

Condition

periodontal disease
severely handicapped person

Classification by specialty

Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Oral diseases are mainly bacterial infections. Compared to normal people, people with disabilities have poor oral hygiene and a higher incidence of oral diseases such as dental caries and gingivitis. In addition, even if they have oral diseases, they often cannot complain of pain or difficulty in chewing and are found in an advanced state. In order to prevent these diseases, daily brushing is of utmost importance. However, if a person has a strong refusal behavior due to a disability, assisted brushing can be burdensome for the caregiver, making it difficult to maintain adequate oral hygiene. Therefore, this study was conducted to measure the efficiency of plaque removal and the rate of periodontitis inhibition by continuous use of a sonic toothbrush with high bacterial removal efficiency and a manual toothbrush with high bacterial removal accuracy in assisted brushing of patients with disabilities using the conventional indices PlI and GI and the new index PISA. In addition, the changes in the number of bacteria, genome, and In addition, changes in the number of bacteria and changes in the oral flora by genome analysis will be evaluated. In this study, the effects of assisted brushing with a sonic toothbrush on the gingiva of people with disabilities and its clinical effects will be clarified. In addition, the degree of burden on the caregiver will be verified by questionnaire, and an efficient oral cleaning method with less burden for both the patient and the caregiver supporting the patient will be proposed.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

0 weeks and 32 weeks PlI

Key secondary outcomes

0 and 32 weeks: PCR, bacterial count test, periodontal inflammation surface area (PISA), GI, bacterial flora test (next generation sequencing), caregiver burden (questionnaire)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Forty patients with disabilities who regularly visit our department and who have obtained written consent from their guardians will be included. At the time of the regular checkup, the age, sex, type and degree of disability, background disease, and treatment will be transcribed from the medical record. The dentist in charge will evaluate the PCR, PlI, GI, and PISA scores of the patients 1-5 hours after meals and collect dental plaque. The collected plaque will be counted for bacteria using a calisimeter. In addition, a questionnaire regarding the level of burden associated with assisted brushing will be administered to caregivers. The PCR will be assessed every 8 weeks to measure changes in oral hygiene over time. 32 weeks later, the same assessment will be conducted as before the intervention to evaluate changes over time in each group and to assess differences between groups. After 32 weeks, the same assessment will be performed as before the intervention to evaluate the change over time for each group and to evaluate the difference between the groups.

Interventions/Control_2

Forty patients with disabilities who regularly visit our department and who have obtained written consent from their guardians will be included. At the time of the regular checkup, the age, sex, type and degree of disability, background disease, and treatment will be transcribed from the medical record. The dentist in charge will evaluate the PCR, PlI, GI, and PISA scores of the patients 1-5 hours after meals and collect dental plaque. The collected plaque will be counted for bacteria using a calisimeter. In addition, a questionnaire regarding the level of burden associated with assisted brushing will be administered to caregivers. The PCR will be assessed every 8 weeks to measure changes in oral hygiene over time. 32 weeks later, the same assessment will be conducted as before the intervention to evaluate changes over time in each group and to assess differences between groups. After 32 weeks, the same assessment will be performed as before the intervention to evaluate the change over time for each group and to evaluate the difference between the groups.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

(1) Age 20 years or older at the time of obtaining consent
(2) Adults scheduled for oral hygiene instruction
(2) Adults scheduled to receive oral hygiene instruction (3) Those with 20 or more remaining teeth
(2) Adults who are scheduled to receive oral hygiene instruction (3) Those who have at least 20 remaining teeth (4) Those who can obtain written consent from a substitute for participation in this study
(5) Those with the most severe or severe disability (Hiroshima City Ryoiku Techo (Ryoiku Techo) maruA and A) or those with motor disabilities due to cerebral palsy.

Key exclusion criteria

1) Those with C3 caries
(2) Patients taking antibacterial drugs
(3) Patients taking antiepileptic drugs or calcium channel blockers that induce gingival proliferation
3) Those who are taking antiepileptic drugs or calcium channel blockers that induce gingival proliferation. 4) Those who cannot brush by a caregiver.
(4) Those who cannot brush by a caregiver (5) Others who are deemed inappropriate by the principal investigator or sub-investigator

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Yoshiyuki
Middle name
Last name Okada

Organization

Hiroshima University Hospital

Division name

Dentistry for the Disabled

Zip code

734-8551

Address

1-2-3, Kasumi, Minami-ku, Hiroshima City

TEL

082-257-5788

Email

okay@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Chika
Middle name
Last name Kozono

Organization

Hiroshima University Hospital

Division name

Clinical Support Department, Dental Division

Zip code

734-8551

Address

1-2-3, Kasumi, Minami-ku, Hiroshima City

TEL

082-257-5788

Homepage URL


Email

kozono@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima University Hospital

Institute

Department

Personal name



Funding Source

Organization

Hiroshima University Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hiroshima University Hospital

Address

1-2-3, Kasumi, Minami-ku, Hiroshima City

Tel

082-257-5788

Email

okay@hiroshima-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 08 Month 25 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2021 Year 08 Month 23 Day

Date of IRB

2021 Year 08 Month 23 Day

Anticipated trial start date

2021 Year 08 Month 24 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 08 Month 24 Day

Last modified on

2021 Year 08 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051322


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name