Fruit-based Chewing Gums for Improving Oral Health

Study Overview
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Brief Summary
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This study aims to conduct a randomized cross-over study investigating the release of cranberry polyphenols from chewing gum formulated with polyphenol-lecithin precipitate (PLP). 10 participants will be on study for up to 2 weeks and will each complete 2-30 minute study intervention visits.

Detailed Description
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This study is intended to evaluate the bioavailability of a dietary supplement, cranberry PLP, compared to another dietary ingredient, cranberry extract. The intent of the evaluation is to provide preliminary data for future evaluation of cranberry PLP on the normal structure or function in humans, which includes the effect of cranberry PLP on oral health. Participants will be asked to refrain from eating, drinking, or using tobacco products, and vigorous exercise for 1 hour before the intervention period. Participants will also be asked to avoid chewing gum 48 hours before the intervention. Water is acceptable up until 10 minutes before sample collection. Participants will be given these instructions during the informed consent process, and will be sent a reminder email about study protocols at least 72 hours in advance of the study visit. If their second visit is 48 hours after their first, the investigators will remind them of these restrictions at the end of their first visit. On the day of each intervention and sampling period, participants will be asked to visit the Bolling Laboratory at the Department of Food Science adhering to the dietary guidance described above. Participants with appliances or dentures will be asked to remove them during sampling periods. Then, participants will chew the intervention or control gum for a total of 60 minutes while providing chewed gum and saliva samples at specified intervals throughout this time. Participants will come back to the Bolling Laboratory at a later time, a minimum of 48 hours after the last sampling period, to chew the other gum in the same manner as the first sampling period.

Official Title
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Fruit-based Chewing Gums for Improving Oral Health

Conditions
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Oral Health

Intervention / Treatment
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* Other: polyphenol-lecithin precipitate (PLP)
* Other: control formulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: healthy adults 18 years and older willing to avoid foods, beverages, tobacco products, and additional gum in the wash-in and wash-out periods willing to chew the intervention gum during the sampling periods willing to provide saliva and gum samples during the sampling periods willing to fill out post-visit surveys after their visits Exclusion Criteria: Participants who do not consider themselves healthy have less than 20 natural teeth and 8 natural posterior teeth (excluding third molars) have a salivary rate ≥ 0.3 mL/min as determined from an unstimulated salivary flow trial taking medications that contraindicates grapefruit juice consumption allergic to any intervention foods or ingredients (e.g. sunflower, soy, food colorants, berry ingredients, or any other component of the study gum) diagnosed with phenylketonuria (PKU), gross untreated caries, advanced gingivitis and periodontitis, and temporomandibular joint disorder participants who are pregnant or lactating

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Participants will be randomized to their first intervention and cross over to the second intervention.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cranberry PLP<br>Chew the treatment chewing gum made with PLP at specific time intervals for a total of 60 minutes | Other: polyphenol-lecithin precipitate (PLP)<br>* Chewing gum made with material produced from patented technology to rapidly isolate polyphenols from fruit juice (PLP).<br>|
| Experimental: Cranberry Extract Control<br>Chew the control chewing gum made with Cranberry Extract at specific time intervals for a total of 60 minutes | Other: control formulation<br>* Chewing gum made with material produced from conventional technology (e.g cranberry extract).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Concentration of Polyphenols | Participant chewed gum samples will be measured for polyphenol concentration. | Baseline before chewing gum; then 1, 3, 6, 10, 15, 21 minutes after start of chewing gum. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pH | Participant saliva samples will be measured for pH. | Baseline before chewing gum and approximately 60 minutes after start of chewing gum. | 
| Concentration of Polyphenols | Participant saliva samples will be measured for polyphenol concentration. | Baseline before chewing gum and approximately 60 minutes after start of chewing gum. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cranberry, Bioavailability, Polyphenol