title: A double blind randomised controlled clinical trial comparing a novel anti-stain and calculus reducing dentifrice with a standard fluoride dentifrice.
abstract: OBJECTIVE
  This clinical trial tested the anti-stain efficacy at 3 and 6 months of a novel, sodium polyaspartate-containing, anti-stain dentifrice. In addition, the efficacy of the new dentifrice in controlling gingival inflammation and inhibition of calculus deposition was tested.
  
  
  METHODS
  Participants were recruited to this double blind randomised control clinical trial, and allocated to either test or control groups. The presence of stain and calculus were entry criteria. Measurements of stain, calculus and gingival inflammation were recorded using the Shaw and Murray Stain score, Volpe-Manhold Calculus score and the Modified Gingival Index respectively. Measurements were made at baseline, prior to the removal of stain and calculus, and after 3 and 6 months. Missing data were imputed by and the outcomes were analysed using univariate analysis.
  
  
  RESULTS
  At three months, toothpaste containing sodium polyaspartate was better (difference of mean 1.13 with SEM 0.57) than control for the control of dental stain (p<0.05). Stain scores also showed a trend in favour of the test product (difference of mean 1.03 with SEM 0.78) at six months (p>0.05). There was no difference between toothpastes with respect to calculus deposition or gingival inflammation.
  
  
  CONCLUSIONS
  Toothpaste containing sodium polyaspartate was more effective than a control toothpaste at preventing deposition of dental stain for 3 months after professional tooth cleaning but showed no significant effect at 6 months.
  
  
  CONCLUSIONS
  Sodium polyaspartate toothpaste was more effective than a control toothpaste at preventing dental stain formation and maybe helpful in controlling staining between episodes of scaling and polishing.
authors.affiliation: Academic Unit of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, Sheffield, S10 2TA, UK. a.k.jowett@sheffield.ac.uk
authors.forename: Adrian K
authors.initials: AK
authors.lastname: Jowett
authors.forename: Ian
authors.initials: I
authors.lastname: Marlow
authors.forename: Andrew
authors.initials: A
authors.lastname: Rawlinson
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003728:Dental Calculus / Q000517:prevention & control*; D003802:Dentifrices / Q000737:chemistry / Q000627:therapeutic use*; D004311:Double-Blind Method; D005260:Female; D005459:Fluorides / Q000627:therapeutic use; D005891:Gingivitis / Q000517:prevention & control*; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010455:Peptides / Q000627:therapeutic use*; D010710:Phosphates / Q000627:therapeutic use; D012964:Sodium; D014075:Tooth Discoloration / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D003802:Dentifrices; D010455:Peptides; D010710:Phosphates; C012980:fluorophosphate; C017645:polyaspartate; D012964:Sodium; D005459:Fluorides