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CTRI Number  CTRI/2025/07/091659 [Registered on: 24/07/2025] Trial Registered Prospectively
Last Modified On: 23/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Biological
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Bamboo vs. Plastic Toothbrushes in adults 
Scientific Title of Study   ASSESSING THE EFFECTIVENESS OF BAMBOO AND PLASTIC TOOTHBRUSHES IN ENHANCING PLAQUE CONTROL AND GINGIVAL HEALTH: A RANDOMIZED CONTROLLED TRIAL  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aruhi Sinha 
Designation  Post graduate student 
Affiliation  Government Dental College & Hospital Raipur, Chhattisgarh  
Address  Department of Public Health Dentistry, Government Dental College Raipur, Chhattisgarh, India, 492001
Department of Public Health Dentistry, Government Dental College Raipur, Chhattisgarh, India, 492001
Raipur
CHHATTISGARH
492001
India 
Phone  7033688832  
Fax  0771-2222990  
Email  aruhi.sinha1708@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramakrishna Chevvuri 
Designation  Associate Professor 
Affiliation  Government Dental College & Hospital Raipur, Chhattisgarh  
Address  Department of Public Health Dentistry, Government Dental College Raipur, Chhattisgarh, India, 492001
Department of Public Health Dentistry, Government Dental College Raipur, Chhattisgarh, India, 492001
Raipur
CHHATTISGARH
492001
India 
Phone  9826177279  
Fax  0771-2222990  
Email  drrkc15@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Dr Aruhi Sinha 
Designation  Post graduate student 
Affiliation  Government Dental College & Hospital Raipur, Chhattisgarh  
Address  Department of Public Health Dentistry, Government Dental College Raipur, Chhattisgarh, India, 492001
Department of Public Health Dentistry, Government Dental College Raipur, Chhattisgarh, India, 492001
Raipur
CHHATTISGARH
492001
India 
Phone  7033688832  
Fax  0771-2222990  
Email  aruhi.sinha1708@gmail.com  
 
Source of Monetary or Material Support  
Primary Investigator, Department of Public Health Dentistry, Government Dental College Raipur, Chhattisgarh, India, 492001 
 
Primary Sponsor  
Name  Dr. Aruhi Sinha 
Address  Government Dental College, Raipur, Chhattisgarh 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aruhi Sinha  Government Dental College  room No. 13,Department of Public Health Dentistry, Government Dental College Raipur, Chhattisgarh, India, 492001
Raipur
CHHATTISGARH 
9470652267

aruhi.sinha1708@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Dental College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  U00-U85 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bamboo Toothbrush  A manual toothbrush made of bamboo with soft nylon bristles, used twice daily for toothbrushing as per standard oral hygiene recommendations. 
Comparator Agent  Plastic Toothbrush  A manual toothbrush made of plastic with soft nylon bristles, used twice daily for toothbrushing as per standard oral hygiene recommendations. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  44.00 Year(s)
Gender  Both 
Details  Individuals aged between 18 and 44 years who have at least 20 natural teeth will be included in the study. Participants must be willing to provide informed consent and demonstrate a commitment to complying with the study protocol. They should also agree to follow the prescribed oral hygiene instructions and attend all scheduled follow-up visits as required. 
 
ExclusionCriteria 
Details  Individuals with systemic conditions that may affect oral health, those taking medications known to influence oral health or microbial flora such as antibiotics or corticosteroids, those undergoing orthodontic treatment or using oral appliances will be excluded from the study. Pregnant or lactating women and individuals with active periodontal disease requiring treatment beyond routine oral prophylaxis will also not be eligible to participate. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Plaque Index Score (Silness and Löe Index) – Mean reduction in plaque accumulation from baseline to 2 weeks and 4 weeks.
Gingival Index Score (Löe and Silness Index) – Mean reduction in gingival inflammation from baseline to 2 weeks and 4 weeks. 
Plaque Index Score (Silness and Löe Index) – Mean reduction in plaque accumulation from baseline to 2 weeks and 4 weeks.
Gingival Index Score (Löe and Silness Index) – Mean reduction in gingival inflammation from baseline to 2 weeks and 4 weeks. 
 
Secondary Outcome  
Outcome  TimePoints 
Toothbrush Wear Assessment – Evaluation of bristle wear and deformation using a standardized wear index at 4 weeks.
Microbial Analysis – Quantitative assessment of oral microbial load (e.g., Streptococcus mutans and Lactobacillus spp.) using saliva samples at baseline, 2 weeks, 4 weeks. 
2 and 4 weeks 
 
Target Sample Size   Total Sample Size="88"
Sample Size from India="88" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   04/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [aruhi.sinha1708@gmail.com].

  6. For how long will this data be available start date provided 16-03-2025 and end date provided 16-03-2030?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary        Oral health is crucial for overall well-being, impacting functions like eating, speaking, and social interactions. Poor oral health is linked to systemic diseases such as cardiovascular disease, diabetes, and respiratory illnesses. Toothbrushes play a vital role in oral hygiene, but plastic toothbrushes contribute significantly to environmental pollution. With an estimated 400 million toothbrushes discarded annually in the United States alone, plastic waste poses a major ecological concern due to its non-biodegradable nature. Bamboo toothbrushes have emerged as an eco-friendly alternative, offering biodegradable handles and comparable effectiveness in plaque removal and gingival health. This randomized controlled trial (RCT) aims to compare bamboo and plastic toothbrushes in terms of plaque removal, gingival health improvement, and microbial contamination. The study will recruit 88 healthy adults (aged 18–44 years) from the Outpatient Department (OPD) of Government Dental College and Hospital, Raipur, Chhattisgarh. Participants will be randomly assigned to Group A (bamboo toothbrush) or Group B (plastic toothbrush). The study objectives include evaluating plaque removal using plaque indices, assessing gingival health through gingival indices, and analyzing microbial contamination post-use. Ethical approval will be obtained, and informed consent will be taken from participants. Previous studies indicate that bamboo toothbrushes may initially harbor more bacteria but show a significant reduction over time. This study will contribute valuable evidence on their effectiveness and hygienic conditions, guiding recommendations for sustainable oral hygiene practices. 
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