Working...
ClinicalTrials.gov
ClinicalTrials.gov Menu

Antimicrobial Agent for Reducing Bacteria in Aerosols and Oral Cavity

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT02319668
Recruitment Status : Completed
First Posted : December 18, 2014
Results First Posted : April 17, 2017
Last Update Posted : July 19, 2017
Sponsor:
Information provided by (Responsible Party):
GlaxoSmithKline

Brief Summary:
The primary objective of this study will be to evaluate the effect of two week pre-surgical rinsing with an antimicrobial mouthrinse containing 0.2% w/v Chlorhexidine digluconate on the total number of plaque bacteria in the mouth 3 days post implant surgery. The study will be conducted at Eastman Clinical Investigation Centre (ECIC), University College London (UCL) Eastman Dental Institute. Participants will be those who require a single and simple surgical implant to be placed, and will be recruited from new patient referrals within the Eastman Dental Hospital

Condition or disease Intervention/treatment Phase
Dental Prophylaxis and Implant Surgery Drug: 0.2% w/v Chlorhexidine digluconate Drug: Sodium fluoride toothpaste (Aquafresh Mild & Minty) Phase 4

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 38 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Prevention
Official Title: A Clinical Study to Evaluate the Efficacy of Pre-procedural and Pre-surgical Rinsing With an Antimicrobial Agent in Reducing Bacteria in Dental Aerosols and in the Oral Cavity
Actual Study Start Date : February 1, 2015
Actual Primary Completion Date : June 1, 2015
Actual Study Completion Date : February 29, 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Antibiotics

Arm Intervention/treatment
Experimental: Test product
Mouthwash containing 0.2% w/v Chlorhexidine digluconate
Drug: 0.2% w/v Chlorhexidine digluconate
Participants will brush their teeth with the reference product (toothpaste) and thoroughly rinse their mouth with water and wait 5 timed minutes before using 10 ml of the 0.2% w/v Chlorhexidine digluconate mouthwash, except when using at site, where no brushing will take place prior to using the mouthrinse.

Drug: Sodium fluoride toothpaste (Aquafresh Mild & Minty)
Participants will apply a strip of toothpaste to cover the head of the toothbrush and will brush in their usual manner for two timed minutes twice daily. They will then rinse their mouth thoroughly with water after brushing

Placebo Comparator: Control
Sodium fluoride toothpaste (Aquafresh Mild & Minty)
Drug: Sodium fluoride toothpaste (Aquafresh Mild & Minty)
Participants will apply a strip of toothpaste to cover the head of the toothbrush and will brush in their usual manner for two timed minutes twice daily. They will then rinse their mouth thoroughly with water after brushing




Primary Outcome Measures :
  1. Total Number of Detectable Plaque Bacteria Sampled 3 Days Post Implant Surgery [ Time Frame: At Day 3 ]
    The examiner identified three plaque sampling sites as follows: surgical site, contralateral site to the surgical site and tongue. An individual cotton swab was used at each identified site for up to 20 seconds in order to harvest a plaque sample and immediately be placed into 1mL phosphate buffered saline in a sterile Eppendorf tube. The samples were analysed using quantitative polymerase chain reaction (qPCR) which determined the total number of bacteria in a sample by quantifying the number of 16S ribosomal ribonucleic acid (rRNA) genes in the sample. The number of bacteria in each of the three identified plaque sampling sites (surgical site, contralateral site to the surgical site and tongue) for each participant were summed to calculate the total number of bacteria for each participant.


Secondary Outcome Measures :
  1. Total Number of Detectable Plaque Bacteria Sampled at Implant Surgery (at Pre-rinse, Pre, Mid and Post Implant Surgery) and Post Implant Surgery (at Day 1 and 7) [ Time Frame: At Day 0 (pre-rinse, pre, mid and post implant surgery), Day 1 and 7 ]
    The examiner identified three plaque sampling sites as follows: surgical site, contralateral site to the surgical site and tongue. An individual cotton swab was used at each identified site for up to 20 seconds in order to harvest a plaque sample and immediately be placed into 1mL phosphate buffered saline in a sterile Eppendorf tube. The samples were analysed using quantitative polymerase chain reaction (qPCR) which determined the total number of bacteria in a sample by quantifying the number of 16S ribosomal ribonucleic acid (rRNA) genes in the sample.

  2. Area Under the Curve (AUC) for the Total Number of Plaque Bacteria in the Mouth Post Implant Surgery [ Time Frame: Up to 7 days post implant surgery ]
    The examiner identified three plaque sampling sites as follows: surgical site, contralateral site to the surgical site and tongue. An individual cotton swab was used at each identified site for up to 20 seconds in order to harvest a plaque sample and immediately be placed into 1mL phosphate buffered saline in a sterile Eppendorf tube. The samples were analysed using quantitative polymerase chain reaction (qPCR) which determined the total number of bacteria in a sample by quantifying the number of 16S ribosomal ribonucleic acid (rRNA) genes in the sample. The AUC of the total count of detectable plaque bacteria was calculated using trapezoidal rule in the time range from immediately post implant surgery to 7 days post implant surgery

  3. Total Number of Recoverable Viable Bacteria in the Aerosol Generated During Dental Prophylaxis [ Time Frame: At Baseline ]
    Thick settle blood agar plates (supplemented with 5% [volume by volume v/v]) defibrinated horse blood) were used to determine the bacterial load of the aerosol. Thirty (30) minutes prior to the participants had their procedure (dental prophylaxis), a total of 5 settle plates with lids removed were placed at set positions around the dental surgery. After 30 minutes, the settle plates lids were replaced. This was repeated during the dental prophylaxis procedure using 5 fresh settle plates. All plates were then sealed with parafilm and transported for incubation in an anaerobic chamber at 37°C for 3 days. The plates were inspected daily to access growth and after 3 days removed and stored at 4°C for subsequent colony enumeration and Colony Forming Unit/mL (CFU/mL) calculation



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years to 64 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Demonstrates understanding of the study and willingness to participate as evidenced by voluntary written informed consent and has received a signed and dated copy of the informed consent form.
  • Aged between 18-64 years old.
  • Understands and is willing, able and likely to comply with all study procedures and restrictions
  • Good general and mental health with, in the opinion of the investigator or medically qualified designee:

    1. No clinically significant and relevant abnormalities in medical history or upon oral examination.
    2. Absence of any condition that could affect the participant's safety or well being or their ability to understand and follow study procedures and requirements.
  • Females of childbearing potential who are, in the opinion of the investigator, practicing a reliable method of contraception
  • Dental Health

    1. Good overall oral health in the opinion of investigator.
    2. A minimum of 20 permanent teeth.
    3. Requiring a single and simple implant (single tooth replacement with no bone augmentation required for implant placement).
  • Females of childbearing potential who are, in the opinion of the investigator, practising a reliable method of contraception.

Exclusion Criteria:

  • Women who are known to be pregnant or who are intending to become pregnant over the duration of the study
  • Women who are breast-feeding
  • Known or suspected intolerance or hypersensitivity to the study materials (or closely related compounds) or any of their stated ingredients
  • Participation in another clinical study or receipt of an investigational drug within 30 days of the screening visit
  • Previous participation in this study
  • Recent history (within the last 1 year) of alcohol or other substance abuse
  • Use of antibiotics within 14 days prior to the Baseline visit or Implant surgery visit.
  • An employee of the sponsor or the study site or members of their immediate family

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02319668


Locations
Layout table for location information
United Kingdom
GSK Investigational Site
London, United Kingdom, WC1X 8LD
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Layout table for investigator information
Study Director: GSK Clinical Trials GlaxoSmithKline

Layout table for additonal information
Responsible Party: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT02319668     History of Changes
Other Study ID Numbers: 202200
2014-003222-40 ( EudraCT Number )
RH02604 ( Other Identifier: GSK )
First Posted: December 18, 2014    Key Record Dates
Results First Posted: April 17, 2017
Last Update Posted: July 19, 2017
Last Verified: June 2017

Additional relevant MeSH terms:
Layout table for MeSH terms
Fluorides
Sodium Fluoride
Listerine
Chlorhexidine
Chlorhexidine gluconate
Anti-Infective Agents
Anti-Bacterial Agents
Cariostatic Agents
Protective Agents
Physiological Effects of Drugs
Anti-Infective Agents, Local
Disinfectants
Dermatologic Agents