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CTRI Number  CTRI/2022/02/040616 [Registered on: 25/02/2022] Trial Registered Prospectively
Last Modified On: 10/02/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Effectiveness of various mechanical oral hygiene aids(like toothbrush,fingerbrush) among toddlers(2 to 3 yrs old children) in Chennai -A Randomized Controlled Trial 
Scientific Title of Study   Effectiveness of various mechanical oral hygiene aids among toddlers in Chennai -A Randomized Controlled Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SARANYASRI S 
Designation  MDS POSTGRADUATE STUDENT 
Affiliation  THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,CHENNAI-600003 
Address  DEPARTMENT OF PUBLIC HEALTH DENTISTRY,ROOM NUMBER:G-3,THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,OPPOSITE TO FORT STATION,MUTHUSWAMY SALAI,CHENNAI-600003. PHONE NUMBER-9791509571

Chennai
TAMIL NADU
600003
India 
Phone    
Fax    
Email  drssaranyasri@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  RAMESH KUMAR S G 
Designation  SENIOR ASSISTANT PROFESSOR 
Affiliation  THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,CHENNAI-600003 
Address  DEPARTMENT OF PUBLIC HEALTH DENTISTRY,ROOM NUMBER:G-3,THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,OPPOSITE TO FORT STATION,MUTHUSWAMY SALAI,CHENNAI-600003. PHONE NUMBER:9840792950

Chennai
TAMIL NADU
600003
India 
Phone    
Fax    
Email  ramesh172000@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SARANYASRI S 
Designation  MDS POSTGRADUATE STUDENT 
Affiliation  THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,CHENNAI-600003 
Address  DEPARTMENT OF PUBLIC HEALTH DENTISTRY,ROOM NUMBER:G-3,THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,OPPOSITE TO FORT STATION,MUTHUSWAMY SALAI,CHENNAI-600003. PHONE NUMBER-9791509571

Chennai
TAMIL NADU
600003
India 
Phone    
Fax    
Email  drssaranyasri@gmail.com  
 
Source of Monetary or Material Support  
DEPARTMENT OF PUBLIC HEALTH DENTISTRY,ROOM NUMBER:G-3,THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,OPPOSITE TO FORT STATION,MUTHUSWAMY SALAI,CHENNAI-600003.  
 
Primary Sponsor  
Name  SARANYASRI S 
Address  THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,CHENNAI-600003 
Type of Sponsor  Other [SELF FUNDING] 
 
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 SARANYASRI S  THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL  DEPARTMENT OF PUBLIC HEALTH DENTISTRY,ROOM NUMBER:G-3,THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL,OPPOSITE TO FORT STATION,MUTHUSWAMY SALAI,CHENNAI-600003
Chennai
TAMIL NADU 
9791509571

drssaranyasri@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL REVIEW BOARD ,THE TAMILNADU GOVERNMENT DENTAL COLLEGE AND HOSPITAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K051||Chronic gingivitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  TOOTH BRUSH,FINGER BRUSH,GUAZE CLOTHE,TOOTH WIPES   After baseline plaque score recording, the randomisation of the study participants to the 4 different intervention groups (TB (tooth brush group), FB (finger brush group), GC (gauze clothe group), and TW (tooth wipes group) will be done by providing Sequentially numbered, opaque, sealed envelope (SNOSE) technique by the co-investigator and the chief investigator is blinded to the intervention group the participants are allocated. The co-investigator provides the parent with the necessary oral hygiene aids viz. tooth brush or finger brush or gauze cloth or tooth wipes. Oral hygiene instructions regarding how to use the mechanical oral hygiene aids is explained to the parents using preformed, pretested audio-visual aid. The study participants are reviewed after 14 days and post intervention plaque score is recorded by the chief investigator. Compliance, ease of use and parents’ opinion regarding the usage of the mechanical aid will be obtained using a pretested, customised questionnaire. 
Comparator Agent  TOOTHBRUSH  After baseline plaque score recording, the randomisation of the study participants to the 4 different intervention groups (TB (tooth brush group), FB (finger brush group), GC (gauze clothe group), and TW (tooth wipes group) will be done by providing Sequentially numbered, opaque, sealed envelope (SNOSE) technique by the co-investigator and the chief investigator is blinded to the intervention group the participants are allocated. The co-investigator provides the parent with the necessary oral hygiene aids viz. tooth brush or finger brush or gauze cloth or tooth wipes. Oral hygiene instructions regarding how to use the mechanical oral hygiene aids is explained to the parents using preformed, pretested audio-visual aid. The study participants are reviewed after 14 days and post intervention plaque score is recorded by the chief investigator. Compliance, ease of use and parents’ opinion regarding the usage of the mechanical aid will be obtained using a pretested, customised questionnaire 
 
Inclusion Criteria  
Age From  24.00 Month(s)
Age To  36.00 Month(s)
Gender  Both 
Details  1. Toddlers of age 24 to 36 months with normal developmental milestones.
2. Have at least four incisors and 1st primary molar erupted.
3. Toddlers scoring two to five in the Diet questions (Question no:13) of “WHO Oral
Health Questionnaire for Children” (2013) 
 
ExclusionCriteria 
Details  Toddlers with
1. Systemic illness
2. Developmental anomalies
3. Rampant carieS 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Plaque score using Turesky -Gilmore-Glickman Modified Quigley-Hein Plaque
Index (TQHPI)  
14TH DAY  
 
Secondary Outcome  
Outcome  TimePoints 
compliance and acceptance of using oral hygiene aid  14th day 
 
Target Sample Size   Total Sample Size="144"
Sample Size from India="144" 
Final Enrollment numbers achieved (Total)= "94"
Final Enrollment numbers achieved (India)="94" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/03/2022 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The role of the accumulation of dental plaque in the development of dental caries and periodontal diseases is well established. Dental plaque is considered as one of the risk factor for caries in infants, toddlers and preschool children, mainly early childhood caries (ECC).So Toothbrushing should start as soon as the first teeth erupts into oral cavity. Various tooth cleaning aids like Toothbrushes of small sizes, finger toothbrush ,tooth and gum wipes are commercially available for the mothers to brush their child’s teeth.The aim of the present study is to evaluate the effectiveness of tooth wipes, gauze cloth, finger brush and manual toothbrush in removing dental plaque among the toddlers visiting various Play Schools and Child Day Care Centres in Chennai employing Randomized Controlled trial design.The sample comprising of toddlers aged 24 months to 36 months based on inclusion and exclusion criteria will be recruited from various Play Schools and Child Day Care Centres in Chennai by Multistage random sampling. Sample size is determined to be 36 in each group using the effect size calculated from previous study, Effectiveness of Tooth Wipes in Removing Babies’ Dental Biofilm by Abanto et al in 2012. Prior to recruitment, information regarding the study will be given to parents of the children and written informed consent will be obtained. Based on inclusion and exclusion criteria a total of 144 participants will be recruited to the randomised controlled trial. Prior to intervention the chief investigator will assess the baseline plaque score (Turesky -Gilmore-Glickman Modified Quigley-Hein Plaque Index (TQHPI) using disclosing agent) for all participants. All teeth will be assessed and the plaque revealed on the buccal and lingual surfaces of the teeth are given scores on a scale of 0 to 5, An index for the entire mouth is determined by dividing the total score by the number of surfaces examined.After baseline plaque score recording, the randomisation of the study participants to the 4 different intervention groups (TB (tooth brush group), FB (finger brush group), GC (gauze clothe group), and TW (tooth wipes group) will be done by providing Sequentially numbered, opaque, sealed envelope (SNOSE) technique by the co-investigator and the chief investigator is blinded to the intervention group the participants are allocated. The co-investigator provides the parent with the necessary oral hygiene aids viz. tooth brush or finger brush or gauze cloth or tooth wipes. Oral hygiene instructions regarding how to use the mechanical oral hygiene aids is explained to the parents using preformed, pretested audio-visual aid. The study participants are reviewed after 14 days and post intervention plaque score is recorded by the chief investigator. Compliance, ease of use and parents’ opinion regarding the usage of the mechanical aid will be obtained using a pretested, customised questionnaire.The data management and data analysis will be done using SPSS software version 21. Paired t test will be used to test the effectiveness of individual mechanical plaque control aid. ANOVA test will be used to compare the difference in effectiveness of the mechanical plaque control aids followed by post-hoc test  
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