Kraivaphan 2006.
Methods | Trial design: parallel (2 arms) Location: antenatal care unit, Taksin Hospital, Bangkok, Thailand Number of centres: 1 Recruitment period: not reported Funding source: not reported |
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Participants | Inclusion criteria: healthy pregnant women (3 months' gestation); mean baseline modified Löe‐Silness Gingival Index score of 1.0 or more Exclusion criteria: not reported Baseline plaque: not reported Baseline gingivitis: (Löe‐Silness Gingival Index) Gp A: mean 1.778 (SD 0.432); Gp B: mean 1.797 (SD 0.432) Baseline caries: not reported Age at baseline (years): Gp A: mean 27 (range 19‐37); Gp B: mean 26 (range 19‐40) Gender: not applicable Any other details of important prognostic factors: it is important to stress that the main factor differentiating this study population from others included in the review is that they were pregnant women Number randomised: 140 (not reported by group) Number evaluated: 120 (Gp A: 60; Gp B: 60) |
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Interventions |
Comparison: triclosan/copolymer (sodium fluoride not stated) versus placebo (sodium fluoride not stated) Gp A (n = 60 evaluated): twice daily brushing for 1 minute with toothpaste containing 0.3% triclosan, 2% copolymer; all participants received thorough baseline oral prophylaxis (removal of all subgingival and supragingival plaque and calculus deposits) Gp B (n = 60 evaluated): as above but with placebo toothpaste Duration of treatment: 9 months (including 3 months' postpartum use) |
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Outcomes | Gingivitis (Löe‐Silness Gingival Index); assessed at 3, 5 and 9 months' follow‐up | |
Notes | Sample size calculation: not reported Adverse effects: not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "...randomly assigned" Comment: insufficient information on the method of sequence generation |
Allocation concealment (selection bias) | Unclear risk | Quote: "...randomly assigned" Comment: not mentioned |
Blinding of participants (performance bias) All outcomes | Low risk | Quote: "double‐blind" Comment: participants did not know which group they were assigned to |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "double‐blind" Comment: the examiner did not know which group the participants they were assessing had been assigned to |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 14% of randomised participants were not included in the final analysis. Attrition was not reported by group and reasons were not given, but authors stated that reasons were not related to the use of either of the toothpastes. However, if the missing participants had higher mean gingivitis scores in one group than the other, as the attrition rate increased, so would over/understatement of the mean difference |
Selective reporting (reporting bias) | Low risk | Appropriate outcome measure considered and reported in full, as described in the methods section |
Other bias | Unclear risk | No mention of calibration of outcome assessor so it is unclear whether or not there was a risk of differential diagnostic activity |