<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20200618047823N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-07-06</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of efficacy of an Iranian-made toothbrush in orthodontic patients</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of clinical efficacy of an Iranian-made toothbrush in fixed orthodontic patients (Randomized clinical trial)</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-07-09</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/49104</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Randomization is done by Balanced block randomization.
To randomize the samples, they are numbered in order of entry into the study,
Randomization is done using 4 random blocks.Due to the fact that there are 2 different modes of 2 types of intervention, in each block 2 samples are assigned to each of the following states:
1. First Oral B then Confident
2. First Confident then Oral B

The placement of samples inside the blocks will be by Random allocation method, in such a way that there are 2 samples from each group in the block.
Randomization is done using Excel software and This process is designed by the project methodological consultant who is not involved in the executive operation of the study, Blinding description: Participant: The brand name of the toothbrush is covered.
Care provider: The toothbrushes are distributed by another person and the person who measures indexes does not know how the participants are allocated in groups.
Outcome assessor: The toothbrushes are distributed by another person and the person who gives patients information about oral hygiene and the method of brushing does not know how the participants are allocated in groups.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Evaluation of Plaque index (Silness &amp; Loe), Gingival index (Silness &amp; Loe) and Ortho-plaque index in fixed orthodontic patients.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Participants use an Iranian toothbrush (Confident brand, with national standard mark, ISO 9001 certification and ISO 13485 certification) for one month, twice a day, 4 minutes each time, Modified bass method. All of them are taught by a clinician using a face-to-face dental model and instruction videos to brush the Modified bass method. Patients in both groups are advised to use the same interdental toothbrush, orthodontic floss, toothpaste and mouthwash. Also do not change them during the study period. At the beginning of the study and after one month, the Plaque index, Gingival index and Ortho-plaque index are measured using disclosing tablets (Made in USA). The clinical efficiency of the toothbrush is evaluated by comparing these indexes. Intervention 2: Control group:  Participants use Oral B toothbrush (Made in Ireland ) for one month, twice a day, 4 minutes each time, Modified bass method. All of them are taught by a clinician using a face-to-face dental model and instruction videos to brush the Modified bass method. Patients in both groups are advised to use the same interdental toothbrush, orthodontic floss, toothpaste and mouthwash. Also do not change them during the study period. At the beginning of the study and after one month, the Plaque index, Gingival index and Ortho-plaque index are measured using disclosing tablets (Made in USA). The clinical efficiency of the toothbrush is evaluated by comparing these indexes.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is No more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Atefeh Saffar Shahroudi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>N kargar st.,Tehran University of Medical Sciences Faculty of Dentistry</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>300088351176</zip>
        <telephone>+98 21 4279 4000</telephone>
        <email>Atefe.saffar@yahoo.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Behrad Tanbakuchi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>N kargar st.,Tehran University of Medical Sciences Faculty of Dentistry</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>300088351176</zip>
        <telephone>+98 21 4279 4000</telephone>
        <email>behrad.tanbakuchi@yahoo.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients are 13-35 years old.
Patients are at the end of the first phase of treatment.
Patients have a fixed orthodontic appliance for at least one month.
Patients are physically and mentally healthy in order to observe oral hygiene.
Patient's consent to participate in the study and use of prescribed toothbrushes</inclusion_criteria>
      <agemin>13 years</agemin>
      <agemax>35 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Systemic disease
History of antibiotic use over the past two months
The presence of lingual arch in the lower jaw and transpalatal arch or Nance in the upper jaw and any auxillary appliance such as headgear, intrusion arch and ...</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Participants use an Iranian toothbrush (Confident brand, with national standard mark, ISO 9001 certification and ISO 13485 certification) for one month, twice a day, 4 minutes each time, Modified bass method. All of them are taught by a clinician using a face-to-face dental model and instruction videos to brush the Modified bass method. Patients in both groups are advised to use the same interdental toothbrush, orthodontic floss, toothpaste and mouthwash. Also do not change them during the study period. At the beginning of the study and after one month, the Plaque index, Gingival index and Ortho-plaque index are measured using disclosing tablets (Made in USA). The clinical efficiency of the toothbrush is evaluated by comparing these indexes.</i_keyword>
      <i_keyword>Control group:  Participants use Oral B toothbrush (Made in Ireland ) for one month, twice a day, 4 minutes each time, Modified bass method. All of them are taught by a clinician using a face-to-face dental model and instruction videos to brush the Modified bass method. Patients in both groups are advised to use the same interdental toothbrush, orthodontic floss, toothpaste and mouthwash. Also do not change them during the study period. At the beginning of the study and after one month, the Plaque index, Gingival index and Ortho-plaque index are measured using disclosing tablets (Made in USA). The clinical efficiency of the toothbrush is evaluated by comparing these indexes.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Plaque index (Silness &amp; Loe). Timepoint: Measurement of Plaque index at the beginning of the study (before the start of the intervention) and 30, 37 and 67 days after the start of the study. Method of measurement: Disclosing tablets.</prim_outcome>
      <prim_outcome>Gingival index (Silness &amp; Loe). Timepoint: Measurement of Gingival index at the beginning of the study (before the start of the intervention) and 30, 37 and 67 days after the start of the study. Method of measurement: Williams periodontal probe.</prim_outcome>
      <prim_outcome>Ortho-plaque index. Timepoint: Measurement of Ortho-plaque index at the beginning of the study (before the start of the intervention) and 30, 37 and 67 days after the start of the study. Method of measurement: Disclosing tablets.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-06-14</approval_date>
        <contact_name>Ethics committee of Dentistry school of Tehran University of Medical Science</contact_name>
        <contact_address>N Kargar st.,Tehran University of Medical Sciences Faculty of Dentistry Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
