A. Binney et al., A 3-MONTH HOME-USE STUDY COMPARING THE ORAL HYGIENE AND GINGIVAL HEALTH BENEFITS OF TRICLOSAN AND CONVENTIONAL FLUORIDE TOOTHPASTES, Journal of clinical periodontology, 23(11), 1996, pp. 1020-1024
A number of triclosan toothpastes are available which have been shown
to benefit gingival health when compared to triclosan free control for
mulations. There have been few studies to compare such active products
with conventional fluoride toothpaste products. The aim of this study
was to compare, in home use, a triclosan product with conventional fl
uoride products already found to show slightly less plaque inhibition
in a short term plaque regrowth study. The study was a single-blind, p
arallel design with a total of 129 healthy dentate volunteers (32 male
, 97 female) who toothbrushed with one of 4 toothpaste products at hom
e, twice a day over a period of 12 weeks. At the beginning of the tria
l, each volunteer was scored for plaque and gingivitis and then receiv
ed a thorough prophylaxis. Each volunteer was allocated a toothpaste a
ccording to a predetermined randomisation scheme. The volunteers were
re-examined after 6 and 12 weeks. The volunteers refrained from using
any other oral hygiene products during the period of the trial. The to
othpastes tested were two conventional fluoride toothpastes, a childre
n's fluoride toothpaste and a triclosan/copolymer toothpaste. Results
indicated that there were no overall significant treatment differences
for either plaque index or gingival index and ordering of toothpastes
was not possible. All volunteers' oral hygiene and gingivitis improve
d following the 6-week period and continued to improve to the 12th wee
k. This is a feature of most oral hygiene trials and presumably arises
from the initial prophylaxis and a Hawthorne response of improved too
thcleaning by the subjects. It must be concluded from this study that
in normal home use the triclosan/copolymer toothpaste provides oral hy
giene and gingival health benefits no greater than achievable with con
ventional toothpaste products.