About this trial
The study is a randomized clinical trial to compare the effectiveness of a dual light ultrasonic toothbrush on periodontal health in orthodontic patients undergoing surgery.
Patients with cleft lip and palate undergo bone graft and orthognathic surgery. The study will compare the periodontal outcomes in patients who use these toothbrushes during the post-surgical period.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patient of record of the Craniofacial and Special Care Orthodontic Clinic at Children's Hospital Los Angeles
Between the ages of 6 and 20 years
Physical status of ASA I or II
Diagnosis of craniofacial and/or isolated, complete or incomplete, bilateral or unilateral cleft lip and palate
Disqualifiers
physical inability to brush teeth
cognitive inability to comprehend and follow directions.
Trial design
Parallel
Treatments tested in this trial
Toothbrush
DeviceWe will test three toothbrushes in patients undergoing surgery and a control no surgery group. These toothbrushes are manual toothbrushes, sonic toothbrushes, and sonic and dual light toothbrushes.
Treatment groups
9
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Löe and Silness Gingival Index
This involves a two-step process: Step One (1): evaluation of the clinical appearance of the gingival tissue; and Step Two (2): assessment of inflammation based on induction of bleeding from probing11. Step One will not be accomplished chairside but will be measured using photographs; Step Two will be done chairside.
Bleeding index
For Bleeding Index (Appendix IIC) and measurement of Probing Depth, the scorers will be calibrated following the Examiner Guide to Measuring Periodontal Parameters \& Indices11. Probing Depth will be measured using a University of North Carolina (UNC) #15 manual probe and a #5 mouth mirror
Secondary outcomes
Turesky et al Modified Quigley-Hein Plaque Index and Modified Plaque Index for Orthodontic Patient
After placement of five drops of Trace® plaque disclosing liquid under the tongue, the participant will swish the solution for 30 seconds. Upon expectoration, the participant will rinse his/her mouth with water three times. Immediately, intraoral photographs will be made. All photos for Gingival Index and Plaque Index will be scored by two blinded scorers with inter-rater reliability calculated. All scoring data will be assessed by statistician.
Sponsors and contacts
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