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CompletedNCT04914208Updated Feb 14, 2024

Effect of Wearing Face Masks on Salivary Parameters and Halitosis

An interventional study of DIY face mask and Surgical face mask in Dry Mouth and Halitosis, sponsored by University of Göttingen. Completed at 1 site in Germany. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-02-14.

Sponsored by University of Göttingen · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

During the current COVID-19 pandemic, the use of face masks is recommended / mandatory to prevent infection. Patients and students have reported to experience limitations in their oral health-related quality of life, especially with regard to the occurrence of dry mouth and halitosis, while wearing face masks.

Scientific studies regarding the effects of face masks have so far focused exclusively on medical staff. Studies among the general population are not yet available, but are of interest as dry mouth is a risk factor for dental diseases (e.g., caries, erosion).

Therefore, the present study aims at measuring the effect of wearing different face masks on salivary parameters (unstimulated and stimulated saliva flow rate, pH, buffer capacity) and halitosis (volatile sulphur compounds).

02

Conditions studied

  • Dry Mouth
  • Halitosis
03

In context

Xerostomia

286 studies on the registry are indexed under Xerostomia; 51 are open to participants now.

This study's enrollment of 40 is close to the median of 44 across 235 interventional studies indexed under Xerostomia.

Browse Xerostomia studies →

Lead sponsor

University of Göttingen is the lead sponsor of 37 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Oral healthy adult volunteers who are able to give written consent

Exclusion criteria

Exclusion Criteria:

  • Non-fulfillment of the inclusion criteria
  • Denied access to the University Medical Center Goettingen at the Corona screening
  • Exemption from wearing a face mask for medical reasons
  • Medical reasons hindering participants from refraining eating and drinking prior (except for water) or during the visits
  • Hyposalivation / xerostomia (unstimulated saliva \< 0.3 mL/min, stimulated saliva \< 0.7 mL/min)
  • Refusal to use fluoridated toothpastes
  • Smoking
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    Wearing a face mask for 4 hours

    Participants are wearing different kinds of face masks for 4 hours each. Masks are worn on different days and the order is randomly assigned.

    Device: DIY face mask · Device: Surgical face mask · Device: FFP2 respirator mask · Other: Use of fluoridated toothpaste

  • Other
    4 hours without wearing a face mask

    Participants do not wear any face mask for 4 hours.

    Other: Waiting for 4 hours without wearing a mask · Other: Use of fluoridated toothpaste

Interventions

  • DeviceDIY face mask

    Participants are wearing a DIY face mask for 4 hours (beginning between 8 and 9 a.m.). The correct fit of the face mask is checked by the study officials and corrected if necessary.

  • DeviceSurgical face mask

    Participants are wearing a surgical face mask for 4 hours (beginning between 8 and 9 a.m.). The correct fit of the face mask is checked by the study officials and corrected if necessary.

  • DeviceFFP2 respirator mask

    Participants are wearing a FFP2 respirator mask for 4 hours (beginning between 8 and 9 a.m.). The correct fit of the face mask is checked by the study officials and corrected if necessary.

  • OtherWaiting for 4 hours without wearing a mask

    Participants do not wear any face mask for 4 hours (beginning between 8 and 9 a.m.).

  • OtherUse of fluoridated toothpaste

    Participants use fluoridated toothpaste.

06

What researchers measure

Primary outcomes

  1. Determination of unstimulated saliva flow rate

    mL/min

    Time frame: Each day, prior (between 8 and 9 a.m.) and after wearing a face mask for 4 hours or 4 hours without wearing any mask. Saliva samples are collected for 5 min each.

Secondary outcomes

  1. Determination of stimulated saliva flow rate

    mL/min

    Time frame: Each day, prior (between 8 and 9 a.m.) and after wearing a face mask for 4 hours or 4 hours without wearing any mask. Stimulated saliva samples are collected for 5 min while chewing a paraffin pellet.

  2. Determination of unstimulated and stimulated saliva pH

    pH

    Time frame: Each day, prior (between 8 and 9 a.m.) and after wearing a face mask for 4 hours or 4 hours without wearing any mask. Saliva samples are collected for 5 min each. Stimulated saliva samples are collected while chewing a paraffin pellet.

  3. Determination of unstimulated and stimulated salivary buffer capacity

    pH

    Time frame: Each day, prior (between 8 and 9 a.m.) and after wearing a face mask for 4 hours or 4 hours without wearing any mask. Saliva samples are collected for 5 min each. Stimulated saliva samples are collected while chewing a paraffin pellet.

  4. Determination of volatile sulphur compounds (VSC)

    ppm

    Time frame: Each day, prior (between 8 and 9 a.m.) and after wearing a face mask for 4 hours or 4 hours without wearing any mask.

07

Study locations

1 site
  • University Medical Center Goettingen, Dept. of Preventive Dentistry, Periodontology and Cariology
    Göttingen, Lower Saxony 37075, Germany
08

References and documents

Publications

  • Farronato M, Boccalari E, Del Rosso E, Lanteri V, Mulder R, Maspero C. A Scoping Review of Respirator Literature and a Survey among Dental Professionals. Int J Environ Res Public Health. 2020 Aug 17;17(16):5968. doi: 10.3390/ijerph17165968. PubMed 32824564 ↗
  • Rebmann T, Carrico R, Wang J. Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses. Am J Infect Control. 2013 Dec;41(12):1218-23. doi: 10.1016/j.ajic.2013.02.017. Epub 2013 Jun 12. PubMed 23768438 ↗
  • Shenal BV, Radonovich LJ Jr, Cheng J, Hodgson M, Bender BS. Discomfort and exertion associated with prolonged wear of respiratory protection in a health care setting. J Occup Environ Hyg. 2012;9(1):59-64. doi: 10.1080/15459624.2012.635133. PubMed 22168256 ↗
  • Kanzow P, Rammert LS, Rohland B, Barke S, Placzek M, Wiegand A. Effect of face masks on salivary parameters and halitosis: Randomized controlled crossover trial. J Oral Pathol Med. 2023 Jan;52(1):56-62. doi: 10.1111/jop.13390. Epub 2022 Dec 13. PubMed 36459058 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2021 to primary completion in Apr 2022, 6 months.

Of 85 non-industry interventional studies with no phase under Xerostomia, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 33. This study's 6 months is below that.

Counting every sponsor, half of 101 studies reached it within 13 months; a quarter within 4 and three quarters within 33.

How these figures are worked out, and which studies are left out of them.

Registered
May 30, 2021
First posted
Jun 4, 2021
StartActual
Sep 28, 2021
Primary completionActual
Apr 8, 2022
CompletionActual
Apr 8, 2022
Last update
Feb 14, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04914208
Lead sponsor
University of Göttingen
Responsible party
Philipp Kanzow, PD Dr. med. dent., Dr. rer. medic. (Senior Dental Practitioner, University Medical Center Goettingen) — Principal investigator
First posted
Jun 4, 2021
Start date
Sep 28, 2021
Primary completion
Apr 8, 2022
Completion
Apr 8, 2022
Last update
Feb 14, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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