Anticaries Effect of Probiotic Lactobacillus Brevis CD2 (Lb CD2).
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Purpose
In a previous study the efficacy of Lb CD2 on interim covariates related to caries development was tested. So, it was decided to plan a new study on schoolchildren from the same area. The aim of the present research protocol was to evaluate the anticariogenic effect of probiotics daily used, on the caries development in children. The null hypothesis was that the probiotic Lb CD2 would not modify the caries risk of the children. Moreover, the study will be carried out to investigate the plaque acidogenicity in situ following the regular consumption of a probiotic product compared to a control group.
Objective: To determine the effect of a regularly consumed probiotic on the development of new caries lesions.
Study design: Double blind, placebo-controlled, longitudinal study, monocentric, national, in situ
| Condition | Intervention | Phase |
|---|---|---|
|
Dental Caries Gingivitis |
Dietary Supplement: lozenges |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Anticaries Effect of Probiotic Lactobacillus Brevis CD2 (Lb CD2). A Randomized Double Blind Interventional Study. |
- Caries increment by ICDAS method [ Time Frame: 180 days ] [ Designated as safety issue: No ]ICDAS (International Caries Detection and Assessment System) index, Oral mucosa
- salivary mutans streptococci [ Time Frame: 90 days ] [ Designated as safety issue: No ]Saliva factors and flow rate will be measured each time in the morning.
- plaque pH [ Time Frame: 90 days ] [ Designated as safety issue: No ]plaque pH after a rinse with a 10% sucrose solution for 1 min. Measurements of plaque pH will be performed before and after 2, 5, 10, 15 and 30 minutes.
| Estimated Enrollment: | 440 |
| Study Start Date: | February 2013 |
| Estimated Study Completion Date: | April 2015 |
| Estimated Primary Completion Date: | March 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Lozenges with Lactobacillus brevis CD2
During the treatment phases subjects will use 2 lozenges a day.
|
Dietary Supplement: lozenges
The test products for the study is manufactured and provided by CD Investments srl, Italy. The placebo lozenges will look like the active lozenges with the same taste and weight of 1 gram containing only the ingredients listed above in the same proportion as the active but with no L. brevis CD2. It will not be possible to differentiate the two products. The study center and the monitor must be informed of any deficiency in the study products (products will be kept at 4° degrees during the study). |
|
Placebo Comparator: Lozenges
During the treatment phases subjects will use 2 lozenges a day.
|
Dietary Supplement: lozenges
The test products for the study is manufactured and provided by CD Investments srl, Italy. The placebo lozenges will look like the active lozenges with the same taste and weight of 1 gram containing only the ingredients listed above in the same proportion as the active but with no L. brevis CD2. It will not be possible to differentiate the two products. The study center and the monitor must be informed of any deficiency in the study products (products will be kept at 4° degrees during the study). |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 6 Years to 7 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Written declaration of informed consent signed by parents/guardian
- At least 20 teeth
- Good general health, as assessed by investigator
- Average oral hygiene (cleaning the teeth at least twice a day)
- Agreement of test subject not to use any oral hygiene products other than the test products and toothpaste provided for the duration of the study; the use of non-fluoridated oral hygiene agents is allowed.
- Flow rate of stimulated saliva ≥ 0.7 ml/min
- High caries risk following Cariogram [Campus et al., 2009]
Exclusion Criteria:
- Ongoing oral or dental treatment except for emergency treatment.
- Known allergic reaction to an oral hygiene product and/or medication and/or dental material previously used in the mouth or pharynx.
- Existing allergy to one of the components of the test products or the standard toothpaste.
- Pathological changes of the oral mucosa, e.g. acute ulcerating gingivitis, acute herpetic gingivostomatitis, recurrent aphthous ulceration or systemic illnesses with oral manifestations.
- Antibiotic therapy within the past six months, used for a period more than 10 days.
- Any non-permitted therapy.
Contacts and Locations| Contact: Giovanna Congiu, DDS PhD | giannicaro83@yahoo.it |
| Italy | |
| Department of Surgery, Microsurgery and Medicine Sciences -School of Dentistry University of sassari | Not yet recruiting |
| Sassari, SS, Italy, 07100 | |
| Contact: Guglielmo Campus +39 079 228540 gcampus@uniss.it | |
| Contact: Guglielmo Campus +390 79 228540 gcampus@uniss.it | |
| Principal Investigator: Guglielmo Campus, DDS, PhD | |
| Sub-Investigator: Fabio Cocco, DCS, PhD | |
| Sub-Investigator: Giovanna Congiu, DDS PhD | |
More Information
No publications provided
| Responsible Party: | Guglielmo Campus, Associate Professor, Università degli Studi di Sassari |
| ClinicalTrials.gov Identifier: | NCT01778699 History of Changes |
| Other Study ID Numbers: | 2013_01_21_a |
| Study First Received: | January 21, 2013 |
| Last Updated: | January 28, 2013 |
| Health Authority: | Italy: National Bioethics Committee |
Keywords provided by Università degli Studi di Sassari:
|
Lactobacillus brevis CD2 caries incidence plaque-pH |
Additional relevant MeSH terms:
|
Dental Caries Gingivitis Tooth Demineralization Tooth Diseases |
Stomatognathic Diseases Gingival Diseases Periodontal Diseases Mouth Diseases |
ClinicalTrials.gov processed this record on May 16, 2013