Clinical Study to Examine Brushing on Dental Implants
Condition: Gingival Diseases
MeSH terms: Gingival Diseases
Intervention: Fluoride; Triclosan, fluoride
Intervention description: Brush twice daily; Brush twice daily
Intervention MeSH terms: Triclosan; Fluorides
Phase: Phase 3
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Enrollment: 105.0
Sex: All
Minimum age: 18 Years
Maximum age: 76 Years
Healthy volunteers: Accepts Healthy Volunteers

Summary:

      The efficacy of two dentifrices in controlling gingivitis and plaque in adults with implants
    

Eligibility criteria:

        Inclusion Criteria:

          -  Males and females in good oral and general health aged 18 to 76 years.

          -  A willingness to read, understand, and sign the Informed Consent Form after the nature
             of the study has been fully explained to them. Subject should demonstrate willingness
             to comply with all study procedures and availability for duration of study.

          -  Subjects will use the provided test articles and discontinue the use of other
             dentifrices and mouthrinses for the duration of the study.

          -  A minimum of 20 natural teeth with facial and lingual scorable surfaces. Teeth that
             are grossly carious, fully crowned or extensively restored on facial and/or lingual
             surfaces, orthodontically banded, abutments, or third molars will not be included in
             the tooth count.

          -  Adequate oral hygiene and no signs of oral neglect.

          -  Subjects will have at least one dental implant and a contralateral natural tooth.

          -  At the first visit subjects will be examined by a dentist for periodontal health.

          -  Selected subjects will have periodontal pockets less than 6mm.

          -  Subjects with gingival index equal to or greater than 1.0 and plaque index equal to or
             greater than or 1. 5 on the implant tooth will be enrolled. Gingival and plaque
             indices will be measured during the first visit for the implant. Similarly, these
             clinical indices (Gingival and plaque index) will be determined for the contralateral
             natural tooth. (The adjacent teeth will serve as a backup for the studies if control
             tooth is lost during study).

          -  Subjects who are habitual users of Colgate Total or other oral hygiene formulations
             with antimicrobial agents will complete a washout phase of 30 days with a commercial
             fluoride dentifrice prior to enrollment in the study. This washout dentifrice will be
             identified and obtained by the clinical investigator from an appropriate local source.

        Exclusion Criteria:

          -  History of significant adverse effects following use of oral hygiene products such as
             toothpastes and mouthrinses. Allergy to personal care/consumer products or their
             ingredients.

          -  Regular use of mouthwash with antimicrobial agents within the past month.

          -  History of diabetes or hepatic or renal disease, or other serious medical conditions
             or transmittable diseases, e.g. heart disease or AIDS.

          -  History of hepatitis, rheumatic fever, pacemaker, or prosthetic heart valves, heart
             murmur, mitral valve prolapse or other conditions requiring prophylactic antibiotic
             coverage prior to invasive dental procedures.

          -  Subjects presenting significant medical conditions or need for long term drug therapy.

          -  Subjects on antibiotic, anti inflammatory or anticoagulant therapy during the month
             preceding the baseline exam.

          -  Significant oral soft tissue pathology, systemically related gingival enlargement,
             severe gingivitis (based on a visual examinations) that would interfere with the
             study.

          -  History of active severe periodontal disease with bleeding gums and loose teeth.

          -  Widespread caries or chronic neglect. Subjects presenting with gross dental caries,
             severe generalized cervical abrasion and/or enamel abrasion, and large fractured or
             temporary restorations (based on visual examinations).

          -  Fixed or removable orthodontic appliance or removable partial dentures.

          -  Participation in any clinical study including dental plaque/gingivitis clinical trial
             involving oral care products, within the last 30 days. History of dental prophylaxis
             or treatments in the month preceding the start of study.

          -  Self reported pregnancy or lactation.

          -  History or current use of objects to pierce the lips or tongue.

          -  Subjects known to be an alcoholic, or a recovering alcoholic.

          -  History or current use of recreational drugs or narcotics.

          -  Determine smoking status of subjects and exclude current smokers.

          -  Determine reason for placing implants in subject to exclude subjects whose implants
             were placed for trauma.