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CompletedNCT01589991Updated Oct 28, 2013

Anticaries Potential and Fluorosis Risk From Different Fluoride Toothpastes

A Phase 1 interventional study of Toothpaste in Dental Caries and Dental Fluorosis, sponsored by University of Campinas, Brazil. Completed at 1 site in Brazil. Open to participants aged 3 Years to 4 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-10-28.

Sponsored by University of Campinas, Brazil · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
3 Years to 4 Years
Sex
All
01

Study summary

Fluoride toothpaste has been associated not only with declining dental caries prevalence but also with an increase in dental fluorosis. In the balance of benefits/risks of fluoride toothpaste use, the purpose of this study is to evaluate the availability of fluoride concentration in the mouth (biofilm fuild), as an indicator of fluoride benefits (anticaries effect), and the fluoride concentration in urine, as an indicator of fluoride absorption from ingested toothpastes (with potential to cause dental fluorosis), in a sample of young Brazilian children using toothpaste formulations representative of those available and most used by this age-group.

02

Conditions studied

  • Dental Caries
  • Dental Fluorosis

Keywords

  • toothpastes
  • bioavailability
  • sodium fluoride
  • monofluorphosphate
  • low-fluoride
03

In context

Dental Caries

1,109 studies on the registry are indexed under Dental Caries; 197 are open to participants now.

This study's enrollment of 24 is below the median of 60 across 916 interventional studies indexed under Dental Caries.

Browse Dental Caries studies →

Lead sponsor

University of Campinas, Brazil is the lead sponsor of 166 studies on the registry; 13 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
3 Years to 4 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  • Good general health
  • Good oral health
05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Investigator)
Enrollment
24 participants (actual)

Study arms

  • Placebo comparator
    Non-fluoride toothpaste

    Drug: Toothpaste

  • Experimental
    Toothpaste 550 µg F/g (NaF/SiO2)

    Drug: Toothpaste

  • Experimental
    Toothpaste 1100 µg F/g (NaF/SiO2)

    Drug: Toothpaste

  • Experimental
    Toothpaste 1450 µg F/g (MFP/CaCO3)

    Drug: Toothpaste

Interventions

  • DrugToothpaste

    The volunteers brushed their teeth with 0.3 g of the assigned toothpastes, 3x/day.

06

What researchers measure

Primary outcomes

  1. Fluoride concentration in biofilm fluid

    Remants of dental plaque (biofilm) will be collected 30 min after brushing with the toothpastes, the fluid will be separated from the solids by centrifugation and the fluoride concentration in the biofilm fluid will be determined by a fluoride electrode adapted for microanalysis.

    Time frame: 30min

  2. Urinary fluoride excretion

    Urine will be collected at two time-points, either before the use of the toothpaste or at the last day of use, in each experimental phase. Fluoride concentration was determined by an inverted ion-specific fluoride electrode and fluoride excretion will be measured by fluoride/cratinine ratio (mg F/mg creatinine).

    Time frame: 8h

Secondary outcomes

  1. Fluoride concentration in biofilm solid

    Remants of dental plaque (biofilm) will be collected 30 min after brushing with the toothpastes, the fluid will be separated from the solids by centrifugation and the fluoride concentration in the biofilm solids will be determined after acid extraction using a fluoride electrode adapted for microanalysis.

    Time frame: 30min

  2. Fluoride concentration in saliva

    Non-stimulated saliva will be collected at 0 (immediately before toothbrushing), 7, 15 and 30 min after toothbrushing. Fluoride concentration in saliva will be determined by a ion-specific fluoride electrode, adapted for microanalysis.

    Time frame: 30min

  3. Amount of toothpaste ingested

    Determination of amount of toothpaste ingested after one simulated brushing.

    Time frame: January 2013 to July 2013

07

Study locations

1 site
  • Piracicaba Dental School, University of Campinas
    Piracicaba, Sao Paulo 13414903, Brazil
08

References and documents

Publications

  • Cury JA, do Amaral RC, Tenuta LM, Del Bel Cury AA, Tabchoury CP. Low-fluoride toothpaste and deciduous enamel demineralization under biofilm accumulation and sucrose exposure. Eur J Oral Sci. 2010 Aug;118(4):370-5. doi: 10.1111/j.1600-0722.2010.00745.x. PubMed 20662910 ↗
  • Lima TJ, Ribeiro CC, Tenuta LM, Cury JA. Low-fluoride dentifrice and caries lesion control in children with different caries experience: a randomized clinical trial. Caries Res. 2008;42(1):46-50. doi: 10.1159/000111749. Epub 2007 Nov 27. PubMed 18042987 ↗
  • Cury JA, Tenuta LM, Ribeiro CC, Paes Leme AF. The importance of fluoride dentifrices to the current dental caries prevalence in Brazil. Braz Dent J. 2004;15(3):167-74. doi: 10.1590/s0103-64402004000300001. Epub 2005 Mar 18. PubMed 15798817 ↗
  • Paes Leme AF, Dalcico R, Tabchoury CP, Del Bel Cury AA, Rosalen PL, Cury JA. In situ effect of frequent sucrose exposure on enamel demineralization and on plaque composition after APF application and F dentifrice use. J Dent Res. 2004 Jan;83(1):71-5. doi: 10.1177/154405910408300114. PubMed 14691117 ↗
  • Cury JA, Francisco SB, Simoes GS, Del Bel Cury AA, Tabchoury CP. Effect of a calcium carbonate-based dentifrice on enamel demineralization in situ. Caries Res. 2003 May-Jun;37(3):194-9. doi: 10.1159/000070444. PubMed 12740543 ↗
  • Cury JA, Simoes GS, Del Bel Cury AA, Goncalves NC, Tabchoury CP. Effect of a calcium carbonate-based dentifrice on in situ enamel remineralization. Caries Res. 2005 May-Jun;39(3):255-7. doi: 10.1159/000084807. PubMed 15914990 ↗
  • Cury JA, Oliveira MJ, Martins CC, Tenuta LM, Paiva SM. Available fluoride in toothpastes used by Brazilian children. Braz Dent J. 2010;21(5):396-400. doi: 10.1590/s0103-64402010000500003. PubMed 21180793 ↗
  • Martins CC, Oliveira MJ, Pordeus IA, Cury JA, Paiva SM. Association between socioeconomic factors and the choice of dentifrice and fluoride intake by children. Int J Environ Res Public Health. 2011 Nov;8(11):4284-99. doi: 10.3390/ijerph8114284. Epub 2011 Nov 10. PubMed 22163207 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01589991
Lead sponsor
University of Campinas, Brazil
Responsible party
Livia Maria Andaló Tenuta (Assistant Professor, Biochemistry and Cariology, University of Campinas, Brazil) — Principal investigator
First posted
May 2, 2012
Start date
Jan 2011
Primary completion
Dec 2012
Completion
Jul 2013
Last update
Oct 28, 2013

Study contacts

Livia MA Tenuta, PhD
study chair · Piracicaba Dental School, University of Campinas

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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