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Black Stains' Epidemiology, Clinical Evaluation and Dietary Habits: a Clinical Trial.

Not Applicable
Completed
Conditions
Black Stains
Interventions
Other: Lactoferrin products
Other: Probiotics products
Other: Standard home oral care
Registration Number
NCT04865796
Lead Sponsor
University of Pavia
Brief Summary

The aim of this study is to investigate epidemiology and treatment possibilities of black stains, with the assessment of a possible correlation with patients' dietary habits.

Patients will be randomly divided into three groups. For each group, clinical evaluation will be performed at the study begin, after 2 and after 6 months.

At the study begin, evaluation of black stains with Gasparetto's classification will be assessed; then professional oral hygiene with ultrasonic scaler will be performed, plus glycine and polish; then, products for home oral care will be given to patients, depending on the groups. The clinical situation will be re-evaluated after 2 and after 6 months. Home oral care will be performed with different products, containing lactoferrin (group 1) and probiotics (group 2). The control group (Group 3) will use normal products.

Detailed Description

The aim of this study is to investigate epidemiology and treatment possibilities of black stains, with the assessment of a possible correlation with patients' dietary habits.

Patients will be randomly divided into three groups. For each group, clinical evaluation will be performed at the study begin, after 2 and after 6 months.

At the study begin, evaluation of black stains with Gasparetto's classification will be assessed; then professional oral hygiene with ultrasonic scaler will be performed, plus glycine and polish; then, products for home oral care will be given to patients, depending on the groups. The clinical situation will be re-evaluated after 2 and after 6 months.

Home oral care will be performed as follows:

* Group 1: patients will use 2 Forhans GengiFor tables (between foods) and Forhans Scudo Naturale toothpaste containing lactoferrin.

* Group 2: patients will use Biorepair Peribioma chewing-gum for 10 minutes/day and Biorepair Peribioma toothpaste containing probiotics.

* Group 3: patients will choose the best product for their home oral care.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
Inclusion Criteria
  • Adult patients with black stains
  • Patients with high compliance
Exclusion Criteria
  • Patients suffering from psychological, neurological or psychiatric disorders
  • Pregnant or breastfeeding women
  • Patients undergoing anti-cancer therapy
  • Patients with low compliance

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 1Lactoferrin productsPatients will use products based on lactoferrin.
ProbioticsProbiotics productsPatients will use products based on probiotics for home oral care.
Standard therapyStandard home oral carePatients will use standard toothpastes for home oral care.
Primary Outcome Measures
NameTimeMethod
Change in the extension of black stains (Gasparetto et al., 2003)Study begin, 2 and 6 months.

Scoring criteria:

* 1: presence of pigmented dots or thin lines with incomplete coalescence parallel to gingival margin;

* 2: continuous pigmented lines, which can be easily observed and limited to half of the cervical third of the tooth surface;

* 3: presence of pigmented stains extending beyond half of the cervical third of the tooth surface

Secondary Outcome Measures
NameTimeMethod
Change in DMFS (Decayed Missing Filled Surfaces) scoreStudy begin, 2 and 6 months.

It's the measure of caries experience worldwide. This index gives the sum of an individual's decayed, missing, and filled permanent surfaces. It ranges from 0 to 148 (including the wisdom teeth). The higher the score, the worst the oral health condition of the patient.

Dietary habitsStudy begin, 2 and 6 months.

Patients will ask to assess if there is a consumption of the following foods and drinks ≤ 3 times /months, ≤ 6/week, ≥ 1/day:

Beet Swiss chard Broccoli Candies Meat Cabbage Desserts Fresh fruit Dairy product Legumes Spinach Eggs Vegetable Coffee Coca Cola Natural juices Red juices The Red wine

Change in DMFT (Decayed Missing Filled Teeth) scoreStudy begin, 2 and 6 months.

It's the measure of caries experience worldwide. This index gives the sum of an individual's decayed, missing, and filled permanent teeth. It ranges from 0 to 32 (including the wisdom teeth). The higher the score, the worst the oral health condition of the patient.

Trial Locations

Locations (1)

Unit of Dental Hygiene - Section of Dentistry - Department of Clinical, Surgical, Diagnostic and Paediatrics - University of Pavia

🇮🇹

Pavia, Lombardy, Italy

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