Evidence map›Paper›PMID 41184910›Full record

Trial reportBMC oral health2025

The effect of enzyme and protein containing toothpaste on gingival condition: a randomised controlled study.

Xiao Hu, PingNeng Zhang, Lu Zhang, Jane R Matheson, Shengnan Lin, Jianing N Sun, Cristina Delfanti, Jiangang Tian, Ashok K Gupta, Renuka Vasantharaghavan and 1 more

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06932211 (A Study to Measure the Effect of a Toothpaste Containing Proteins and Enzymes and a Fluoride Toothpaste on Gingival Health), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06932211 nacompletednot on this map

A Study to Measure the Effect of a Toothpaste Containing Proteins and Enzymes and a Fluoride Toothpaste on Gingival Health

TypeinterventionalSponsorUnilever R&DRan2018 to 2019Enrolled251ConditionsGingival Inflammation, Dental PlaqueArmsToothpaste containing proteins and enzymes, Control fluoride toothpaste
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Xiao Hu *Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.
PingNeng Zhang *Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.
Lu ZhangUnilever Oral Care, 66 Linxin Road, Changning District, Shanghai, 200335, China. shirley.zhang@unilever.com.
Jane R MathesonUnilever Oral Care, Bromborough Road, Bebington, Wirral, CH63 3JW, UK.
Shengnan LinUnilever Oral Care, 66 Linxin Road, Changning District, Shanghai, 200335, China.
Jianing N SunUnilever Oral Care, 66 Linxin Road, Changning District, Shanghai, 200335, China.
Cristina DelfantiUnilever Oral Care, Via Lever Gibbs 3, Casalpusterlengo, 26841, Italy.
Jiangang TianKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.
Ashok K GuptaUnilever Oral Care, 64 Main Road, Whitefield, Bangalore, 560 066, India.
Renuka VasantharaghavanUnilever Oral Care, 64 Main Road, Whitefield, Bangalore, 560 066, India.
Ruizhe HuangKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China. huangrzh@xjtu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccumulation of dental plaque can lead to gingival problems. A fluoride toothpaste containing naturally occurring enzymes and proteins has been shown to improve gingival health and reduce supragingival plaque in European populations. The objective of the current study was to evaluate the ability of this toothpaste to improve gingival condition and reduce supragingival plaque in an alternative study population.

methodsThis was a double-blind (participant, examiner, investigator, statistician), randomised, parallel group, efficacy study conducted at a Chinese university dental hospital. Participants (age 18-70) with a mean Gingival Index (GI) ≥ 1.0 and mean Modified Quigley and Hein Plaque Index (MQHPI) ≥ 1.5 were randomised at baseline using sex stratification to twice-daily brushing with either test toothpaste (n=127) or control fluoride toothpaste (n=124) for 26 weeks. Assessments of GI (primary outcome) and MQHPI were conducted at baseline and after 4, 13 and 26 weeks of product use. Results were analysed using ANCOVA model for between product comparison (α= 0.05).

resultsOne hundred and six participants using test toothpaste and 92 using control toothpaste completed the study. The test toothpaste showed significantly greater improvements in gingival health than the control toothpaste. The estimated differences in GI between groups were -0.18 (95% CI: -0.23 to -0.12) at week 4, -0.16 (95% CI: -0.20 to -0.11) at week 13, and -0.53 (95% CI: -0.60 to -0.46) at week 26 (all p < 0.0001). Similarly, reductions in supragingival plaque were greater in the test group, with differences in MQHPI of -0.29 (95% CI: -0.38 to -0.21) at week 4, -0.35 (95% CI: -0.45 to -0.25) at week 13, and -0.96 (95% CI: -1.06 to -0.85) at week 26 (all p < 0.0001).

conclusionsThe study demonstrated that a toothpaste containing naturally occurring enzymes and proteins significantly improved gingival health and reduced supragingival plaque compared to a control toothpaste, after 4, 13, and 26 weeks of use. CLINICAL

trial registrationNCT06932211 (retrospectively registered on April 17, 2025).

Indexed as

Cariostatic AgentsDental PlaqueGingivitisToothpastesAdolescentAdultAgedDental Plaque IndexDouble-Blind MethodFemaleFluoridesFollow-Up StudiesHumansMaleMiddle AgedPeriodontal IndexCariostatic AgentsFluoridesToothpastesDental plaqueEnzymesGingival healthLactoferrinLactoperoxidaseLysozymeToothpaste

Identifiers

PMID41184910
PMCPMC12581499

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.