Effects of a Dental Gel Over 6 Months on Periodontal Health in Subjects with Stage II and III (Mild and Moderate) Periodontitis
Open accessAbstract
Objective: Overall aim of this prospective, randomized, positive controlled, double-blind in vivo study was to identify the effects of a test dental gel containing 2.6% edathamil with an added carrier and permeability enhancer vs. a positive control dentifrice on periodontal health measures in patients with Stage II and III periodontitis. Methods: In this prospective double-blinded, randomized study, 33 subjects were randomly assigned in a 1:1 ratio to brushing their teeth with either the test gel (LivFresh®, Livionex Dental Gel, Los Gatos, CA 95030) or the positive control toothpaste (Crest ProHealth®, P&G, Cincinnati, OH 45202).Full-mouth gingival index, modified sulcus bleeding index, and periodontal pocket probing depths were recorded for all teeth at baseline, and on days 90 and 180.Subjects brushed with the study material twice a day. Results: The test dental gel reduced gingival inflammation and bleeding, as well as periodontal pocket probing depths significantly more than a control dentifrice. Conclusions: In this pilot study in subjects with Stage II and III periodontitis, a test dental gel was found to improve gingival inflammation and bleeding, as well as periodontal pocket depths significantly better than a control dentifrice.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Previous studies have demonstrated the efficacy of a new dental gel with EDTA in reducing oral plaque deposits, gingival inflammation, and probing depths with minimal patient-reported side effects or impact upon tooth surface microarchitecture and microhardness.
“previous studies have demonstrated the efficacy of a new dental gel with EDTA, in reducing oral plaque deposits, gingival inflammation, and probing depths with minimal patient-reported side effects or impact upon tooth surface microarchitecture and microhardness. 20-26”
From A randomized double-blind clinical trial evaluating comparative plaque and gingival health associated with commercially available stannous fluoride-containing dentifrices as compared to a sodium fluoride control dentifrice (2023) · cites this paper as [22]
Split into 2 atoms — 1 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredPrevious investigations lacked comparison between multiple commercially-available dentifrices, including a direct comparison with other stannous fluoride formulations.
“A critique of previous investigations included a lack of comparison between multiple commercially-available dentifrices, including a direct comparison with other stannous fluoride formulations. 20-26”
From A randomized double-blind clinical trial evaluating comparative plaque and gingival health associated with commercially available stannous fluoride-containing dentifrices as compared to a sodium fluoride control dentifrice (2023) · cites this paper as [22]
The Discussion (page unavailable) describes earlier studies comparing the test gel with a positive-control dentifrice, which supports the narrower point that those comparisons used a single control. It does not explicitly critique previous investigations for lacking comparisons across multiple commercially available dentifrices or with other stannous fluoride formulations. (LLM, conf=0.76)
Experimental — accuracy not yet measuredThe comparative efficacy of a similar dentifrice formulation without stannous fluoride in plaque and gingival inflammatory reduction is consistent across studies.
“While only one of these reports evaluates a formulation that includes stannous fluoride, 26 the comparative efficacy of a similar dentifrice formulation without stannous fluoride in plaque and gingival inflammatory reduction is consistent across studies. 20-26”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Strategies for combating bacterial biofilm infections
Wu, H., Moser, C., Wang, H.-Z., Høiby, N., & Song, Z.-J. (2015) · International Journal of Oral Science · doi:10.1038/ijos.2014.65 · Cited by 925 · see citing works
Eke, P. I., Thornton-Evans, G. O., Wei, L., Borgnakke, W. S., Dye, B. A., & Genco, R. J. (2018) · The Journal of the American Dental Association · doi:10.1016/j.adaj.2018.04.023 · Cited by 650 · cited 2× · see citing works
“It is estimated that up to 50–90% of adults are affected by gingivitis [5].”
BackgroundVan Der Weijden, G. A., & Hioe, K. P. K. (2005) · Journal of Clinical Periodontology · doi:10.1111/j.1600-051x.2005.00795.x · Cited by 304 · see citing works
Ajdaharian, J., Dadkhah, M., Sabokpey, S., Biren-Fetz, J., Chung, N. E., Wink, C., & Wilder-Smith, P. (2014) · Lasers in Surgery and Medicine · doi:10.1002/lsm.22265 · Cited by 15 · see citing works
Plaque Removal and Gingival Health after Use of a Novel Dental Gel: A Clinical Study
Nayudu, A., & Lam, T. (2016) · Dentistry · doi:10.4172/2161-1122.1000396 · Cited by 10 · see citing works
Flagged first, then by citations
Research works printed but not linked: 21
- [1]Haffajee AD. Microbial etiological agents of destructive periodontal diseases. Periodontol 2000. 1994; 5: 78– 111. 9673164
- [2]Page RC. The etiology and pathogenesis of periodontitis. Compend Contin Educ Dent. 2002; 23(Suppl 5): 11– 14. 12789963
- [3]Theilade E, Wright WH, Jensen SB, Löe H. Experimental gingivitis in man: II. A longitudinal clinical and bacteriological investigation. Jl periodontal res. 1966; 1(1): 1– 3. 4224181
- [4]Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease. J clinic periodontol. 1981; 8(4): 281– 94. 6947992
- [6]Nogueira‐ Filho GR, Toledo S, Cury JA. Effect of 3 dentifrices containing triclosan and various additives: an experimental gingivitis study. J clin periodontal. 2000; 27(7): 494– 8. 10914890
- [8]Lippert F, Arrageg MA, Eckert GJ, Hara AT. Interaction between toothpaste abrasivity and toothbrush filament stiffness on the development of erosive/abrasive lesions in vitro. Int Dent J. 2017; 67 (6): 344– 50. 28574173 PMC9378893
- [9]Feng X, Chen A, Zhang Y, Wang J, Shao L, Wei W. Application of dental nanomaterials: potential toxicity to the central nervous system. Int J Nanomedicine. 2015; 10: 3547– 65. 25999717 PMC4437601
- [10]Morris AJ, Steele J, White DA. The oral cleanliness and periodontal health of UK adults in 1998. Br Dent J. 2001; 191(4): 186– 92. 11551090
- [11]Yates R, Jenkins S, Newcombe R, Wade W, Moran J, Addy M. A 6-month home usage trial of a 1% chlorhexidine toothpaste (1). Effects on plaque, gingivitis, calculus and tooth staining. J Clin Periodontol. 1993; 20(2): 130– 8 8436632
- [12]Madlena M, Banoczy J, Gotz G, Marton S, Kaan M, Nagy G. Effects of amine and stannous fluorides on plaque accumulation and gingival health in orthodontic patients treated with fixed appliances: A pilot study. Oral Health Dent Manag. 2012; 11(2): 57– 61. 22692271
- [13]Barkvoll P Should toothpastes foam? Sodium lauryl sulfate--a toothpaste detergent in focus. Nor Tannlaegeforen Tid. 1989; 99(3): 82– 4. 2696932
- [14]Lee AY, Yoo SH, Oh JG, Kim YG. 2 cases of allergic contact cheilitis from sodium lauryl sulfate in toothpaste. Contact Dermatitis. 2000; 42(2): 111 10703642
- [15]Herlofson BB, Barkvoll P. Sodium lauryl sulfate and recurrent aphthous ulcers. A preliminary study. Acta Odontol Scand. 1994; 52(5): 257– 9. 7825393
- [16]Randhawa S, Bahna SL. Hypersensitivity reactions to food additives. Curr Opin Allergy Clin Immunol. 2009; 9(3): 278– 83. 19390435
- [18]Zhang M, Wong IG, Gin JB, Ansari NH. Assessment of methylsulfonylmethane as a permeability enhancer for regional EDTA chelation therapy. Drug Deliv. 2009; 16: 243– 8. 19538004
- [19]Fang X, Keutgen XM, Jiang Y, Sherertz R, Hachem R. The role of chelators in preventing biofilm formation and catheter-related bloodstream infections. Curr Opin Infect Dis. 2008; 21: 385– 92. 18594291
- [20]Dadkhah M, Chung NE, Ajdaharian J, Wink C, Klokkevold P, Wilder-Smith P. Effects of a novel dental gel on plaque and gingivitis: A comparative study. Dentistry (Sunnyvale). 2014; 4(6): 239. 26052472 PMC4454341
- [22]Anbarani AG, Wink C, Ho J, Lam T, Sahni K, Forghany A Dental Plaque Removal and Re-Accumulation: A Clinical Randomized Pilot Study Evaluating a Gel Dentifrice Containing 2.6%Edathamil. J Clin Dent. 2018; 29(2): 40– 44. 30211989
- [23]Anbarani AG, Ho J, Vu TH, Forghany A, Lam T, Khashai E A double-blinded, randomized study evaluating the in vivo effects of a novel dental gel on enamel surface microstructure and microhardness. J Clin Dent. 2017; 28(3): 49– 55. 29211951
- [25]Löe H The gingival index, the plaque index and the retention index systems. J Periodontol 1967; 38(6):(Suppl): 610– 16. 5237684
- [26]Newbrun E Indices to measure gingival bleeding. J Periodontol. 1996; 67(6): 555– 61. 8794964
Cited by
Sorted by citations
Kaur, M., Geurs, N. C., Cobb, C. M., Otomo‐Corgel, J., Takesh, T., Lee, J. H., Lam, T. M., Lin, K., Nguyen, A., Nguyen, B. L., et al. (2021) · Journal of Periodontology · doi:10.1002/jper.20-0721 · Cited by 11 · see citing works
Self-citationTakesh, T., Goshtasbi, A., Lin, K., Yang, S. M., Wink, C., Geisinger, M. L., & Wilder‐Smith, P. (2023) · Journal of Periodontology · doi:10.1002/jper.22-0254 · Cited by 4 · see citing works
Geisinger, M. L., Geurs, N. C., Novy, B., Otomo‐Corgel, J., Cobb, C. M., Jacobsen, P. L., Takesh, T., & Wilder‐Smith, P. (2023) · Journal of Periodontology · doi:10.1002/jper.22-0675 · Cited by 3 · see citing works
Self-citation
- Authors
- M Cobb, C.
- Affiliations
- Professor Emeritus, Department of Periodontics, School of Dentistry, University of Missouri-Kansas City, Kansas City, MO 64108, USA.
- Venue
- Journal of Dentistry and Oral Sciences
- Published
- 2019-11-18
- Volume
- 1
- Issue
- 3
- ISSN
- 2582-3736 (ISSN-L)
- PMC
- PMC6938303
- OpenAlex
- W2994923874
- Cited by
- 6
- References
- 5
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2020: 1
- FWCI
- 0.87
- Type
- journal article
- Language
- et
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Journal of Dentistry and Oral Sciences (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, cc-by)
- eScholarship (California Digital Library) (submittedVersion, other-oa)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Arnold and Mabel Beckman Foundation (LAMMP NIH/NIBIB P41EB05890, NIH/NIBIB R03EB014852.)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Keywords
- dental gel, periodontitis, gingivitis, gingival bleeding, probing depth, toothpaste, gingival index, modified sulcus bleeding index, periodontal health, penetration enhancers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review