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CTRI Number  CTRI/2025/05/087550 [Registered on: 26/05/2025] Trial Registered Prospectively
Last Modified On: 24/05/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Preventive 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Assessing Plaque Removal Efficiency: Water Jet vs. Regular Floss in Adults 
Scientific Title of Study   Efficacy of regular floss vs water jet after a single use in plaque reduction among adults- A Randomized clinical 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  Banda Sri Deepti Sindhusha 
Designation  Post graduate 
Affiliation   
Address  Sibar institute of dental sciences, Takkellapdu, Guntur, Andhra Pradesh

Guntur
ANDHRA PRADESH
522509
India 
Phone  9676307893  
Fax    
Email  sindhusha61297@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  R Srinivas  
Designation  Professor 
Affiliation   
Address  Sibar institute of dental sciences, Takkellapadu, Guntur, Andhra Pradesh

Guntur
ANDHRA PRADESH
522509
India 
Phone  9490379721  
Fax    
Email  srnvs.ravuri@gmail.com  
 
Details of Contact Person
Public Query
 
Name  P Srinivas  
Designation  HOD&Professor 
Affiliation   
Address  Sibar institute of dental sciences, Takkellapadu, Guntur, Andhra Pradesh

Guntur
ANDHRA PRADESH
522509
India 
Phone  9849368466  
Fax    
Email  srinivaspachava@gmail.com  
 
Source of Monetary or Material Support  
Sibar institute of dental sciences, Takellapadu, Guntur, Andhra Pradesh- 522509 
 
Primary Sponsor  
Name  Sibar institute of dental sciences 
Address  Sibar institute of dental sciences, Takellapadu, Guntur, Andhra Pradesh 
Type of Sponsor  Other [Private dental college ] 
 
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 
Banda Sri Deepti Sindhusha  Sibar institute of dental sciences  Sibar institute of dental sciences, Department of public health dentistry, room.no 10, Takkellapadu, Guntur, Andhra Pradesh
Guntur
ANDHRA PRADESH 
9676307893

sindhusha61297@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics committee sibar institute of dental sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  with low plaque score  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Regular floss  plaque scores at baseline and immediately after post intervention 
Intervention  water flosser  plaque score at baseline and immediately after post intervention  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1.Subjects aged 18–45 years
2.people with fair to poor oral hygiene.
3.People especially who have lower canines and premolars with no rotations or crowding.
4.Pocket depth less than 3
5.Subjects didn’t use any floss type for the last 24 hours and who gave informed consent.
6.Subjects with no known medical history.
 
 
ExclusionCriteria 
Details  1.Presence of aggressive periodontitis and presence of severe periodontitis, that is, clinical attachment loss of greater than or equal to 5 mm.
2.Subjects with any physical limitations that might compromise the normal flossing technique.
3.Evidence of neglected oral hygiene or major hard or soft tissue lesions or trauma, gross caries or the other hard tissue pathology, heavy calculus, orthodontics, prosthodontics, and oral piercings, a medical condition with a requirement of prophylactic antibiotic coverage before dental treatment.
4.Use of antibiotic therapy or anti-inflammatory medications in the previous 28 days.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the efficacy of regular floss and water floss in reduction of plaque scores.  baseline and immediately after intervention 
 
Secondary Outcome  
Outcome  TimePoints 
1. To know the reduction in plaque score when regular floss is used before & immediately after intervention.
2. To know the reduction in plaque score when water floss is used before & immediately after intervention. 
baseline & immediately after intervention 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   11/06/2025 
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="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

A randomized controlled clinical trial was conducted to compare the plaque removal efficacy of water flosser and regular floss. It is a Single blind study with split mouth technique.The study will be explained to the study participants and informed consent will be obtained. Subjects will be selected according to inclusion and exclusion criteria and Rustogi et al modified navy plaque index (RMNPI) will be used to measure plaque index using WHO probe for all the subjects prior to the intervention by an examiner. The type of floss used will be randomly assigned to each side of the oral cavity; unflavored waxed regular floss will be used in one side, while a water flosser will be used in the other side.

Regular floss was coded as ‘1’ and water flosser was coded as ‘2’. For each subject a coded chit was picked and assigned to right side and the other floss was assigned to left side.

Standardized oral hygiene instructions and use of the regular floss & water flosser will be demonstrated to all subjects.

Under supervision of a trained investigator subjects will be asked to use unflavored waxed regular floss & water flosser as assigned and post intervention plaque scores were again obtained.  
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