Influence of the Number of Layers of a One Bottle Adhesive on the Longevity of Composite Restorations in Primary Molars

NCT ID: NCT01680289

Last Updated: 2014-12-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2015-08-31

Brief Summary

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The aim of this study is to determinate the influence of an alternative adhesive application protocol (i.e. consecutive application of an extra adhesive layer)on restoration longevity in primary molars.

Detailed Description

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Adhesive systems based on total etch technique remains the most popular products among dental practitioners. These systems are based on the use of an acid conditioner to remove the smear layer and demineralize the enamel and dentin. After the removal of the conditioner by rinsing, a mixture containing the primer and adhesive - i.e. one bottle adhesives - is applicated over the demineralized tissues. The polymerization of the adhesive monomers into microporosities created by acid conditioning forms the structure knowing as hybrid layer or resin-dentin interdifusion zone. A common problem related to total etch technique is the incomplete infiltration of adhesive monomers through demineralized dentin, resulting in the presence of a zone of unprotected collagen fibrils beneath the hybrid layer that is prone to enzymatic degradation. According to some laboratory studies, consecutive application of multiple adhesive coats results in quantitative and qualitative improvements in dental adhesion. In addition to increasing the values of bond strength to dentin, consecutive application of multiple adhesive layers enhances the infiltration of adehesive monomers through demineralized dentin, resulting in a more homogenous hybrid layer.

Conditions

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Dental Caries Secondary Dental Caries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Three adhesive coats

Consecutive application of three one-bottle adhesive coats

Group Type EXPERIMENTAL

Two adhesive coats

Intervention Type PROCEDURE

After caries removal, enamel margins will be conditioned with phosphoric acid gel 37% by 15 seconds and dentin walls by 8 seconds. The etchant will be removed with use of water spray by 30 seconds. The water excess will be removed with a cotton pellet. The first layer of Prime \& Bond 2.1 adhesive will be applied with a microbrush. After 20 seconds a second layer will be applied and after 20 seconds, the layers will be gently air-dried by 5 seconds. The two layers will be photopolymerized by 10 seconds with a LED photoactivation unit.

Two adhesive coats

Consecutive application of two one-bottle adhesive coats

Group Type ACTIVE_COMPARATOR

Three adhesive coats

Intervention Type PROCEDURE

After caries removal, enamel margins will be conditioned with phosphoric acid gel 37% by 15 seconds and dentin walls by 8 seconds. The etchant will be removed with use of water spray by 30 seconds. The water excess will be removed with a cotton pellet. The first layer of Prime \& Bond 2.1 adhesive will be applied with a microbrush. After 20 seconds a second layer will be applied and after a similar period a third layer will be applied over cavity walls. Again, after 20 seconds, the layers will be gently air-dried and photopolymerized by 10 seconds with a LED photoactivation unit.

Interventions

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Three adhesive coats

After caries removal, enamel margins will be conditioned with phosphoric acid gel 37% by 15 seconds and dentin walls by 8 seconds. The etchant will be removed with use of water spray by 30 seconds. The water excess will be removed with a cotton pellet. The first layer of Prime \& Bond 2.1 adhesive will be applied with a microbrush. After 20 seconds a second layer will be applied and after a similar period a third layer will be applied over cavity walls. Again, after 20 seconds, the layers will be gently air-dried and photopolymerized by 10 seconds with a LED photoactivation unit.

Intervention Type PROCEDURE

Two adhesive coats

After caries removal, enamel margins will be conditioned with phosphoric acid gel 37% by 15 seconds and dentin walls by 8 seconds. The etchant will be removed with use of water spray by 30 seconds. The water excess will be removed with a cotton pellet. The first layer of Prime \& Bond 2.1 adhesive will be applied with a microbrush. After 20 seconds a second layer will be applied and after 20 seconds, the layers will be gently air-dried by 5 seconds. The two layers will be photopolymerized by 10 seconds with a LED photoactivation unit.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Presence of two or more pairs of caries lesions in occlusal or occluso-approximal surfaces of primary molars

Exclusion Criteria

* Systemic diseases in which dental treatment is a risk to patient's life
* Bruxism
* Orthodontic appliance
* Absence of occlusal contact in eligible teeth
* Signs and symptoms of pulp infflamation or necrosis
Minimum Eligible Age

5 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universidade Federal do Rio de Janeiro

OTHER

Sponsor Role lead

Responsible Party

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Marlus Roberto Rodrigues Cajazeira

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marlus RR Cajazeira, MsD

Role: PRINCIPAL_INVESTIGATOR

Universidade Federal do Rio de Janeiro

Lucianne Cople Maia, PhD

Role: STUDY_CHAIR

Universidade Federal do Rio de Janeiro

Eduardo M da Silva, PhD

Role: STUDY_CHAIR

Universidade Federal Fluminense

Alessandro D Loguércio, PhD

Role: STUDY_CHAIR

Universidade Estadual de Ponta Grossa

Michelle M Amari, MsD

Role: STUDY_DIRECTOR

Universidade Federal Fluminense

Locations

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School of Dentistry of Federal University of Rio de Janeiro

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Marlus R Cajazeira, MsC

Role: CONTACT

55-21-8383-2492

Lucianne Cople Maia, PhD

Role: CONTACT

55-9994-3131

Facility Contacts

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Lucianne Cople Maia, PHD

Role: primary

55-21-9994-3131

Marlus Cajazeira, MSC

Role: backup

55-21-8383-2492

References

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Hashimoto M, Sano H, Yoshida E, Hori M, Kaga M, Oguchi H, Pashley DH. Effects of multiple adhesive coatings on dentin bonding. Oper Dent. 2004 Jul-Aug;29(4):416-23.

Reference Type BACKGROUND
PMID: 15279481 (View on PubMed)

Hashimoto M, De Munck J, Ito S, Sano H, Kaga M, Oguchi H, Van Meerbeek B, Pashley DH. In vitro effect of nanoleakage expression on resin-dentin bond strengths analyzed by microtensile bond test, SEM/EDX and TEM. Biomaterials. 2004 Nov;25(25):5565-74. doi: 10.1016/j.biomaterials.2004.01.009.

Reference Type BACKGROUND
PMID: 15159072 (View on PubMed)

Hashimoto M. A review--micromorphological evidence of degradation in resin-dentin bonds and potential preventional solutions. J Biomed Mater Res B Appl Biomater. 2010 Jan;92(1):268-80. doi: 10.1002/jbm.b.31535.

Reference Type BACKGROUND
PMID: 19904824 (View on PubMed)

Pashley DH, Tay FR, Yiu C, Hashimoto M, Breschi L, Carvalho RM, Ito S. Collagen degradation by host-derived enzymes during aging. J Dent Res. 2004 Mar;83(3):216-21. doi: 10.1177/154405910408300306.

Reference Type BACKGROUND
PMID: 14981122 (View on PubMed)

Hashimoto M, Ohno H, Kaga M, Sano H, Endo K, Oguchi H. The extent to which resin can infiltrate dentin by acetone-based adhesives. J Dent Res. 2002 Jan;81(1):74-8. doi: 10.1177/002203450208100116.

Reference Type BACKGROUND
PMID: 11820372 (View on PubMed)

Related Links

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http://www.odontologia.ufrj.br

School of Dentistry of Federal University of Rio de Janeiro web site

Other Identifiers

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PRIMEBOND21

Identifier Type: REGISTRY

Identifier Source: secondary_id

Adhesive1

Identifier Type: -

Identifier Source: org_study_id