Study of the Success and Survival of Dental Composite Restorations Being Repaired Instead of Being Replaced

NCT ID: NCT02046109

Last Updated: 2016-06-22

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2017-12-31

Brief Summary

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The objective of this trial is to compare the success (as assessed by a pre-defined set of outcome) of failing composite resin restorations that are repaired using diamond bur induced surface abrasion, to those that are completely replaced.

It is hypothesized that both treatment will have comparable success rate.

Detailed Description

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This study is a single-blind randomized non-inferiority trial using parallel groups.

Patients recruited into the study will be randomly assigned to one of two treatment groups. Subjects allocated to Group 1 will have their defective restoration completely replaced while subjects allocated to Group 2 will have their defective restoration repaired.

The success of the treatments will be assessed immediately following the intervention (baseline) and 12 months later.

Conditions

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Failing Dental Composite Restorations

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Repair

Subjects in the Repair group will be given a local anesthetic only if required (i.e. for restorations extending gingivally or on exposed dentin surface) as per usual clinical protocol. The existing restoration will not be removed. The surface of the existing restoration will be roughened with a Brasseler 8856 bur without extending to the surrounding enamel (except is the defect being repaired is adjacent to enamel). No accessory groves/pits for retention will be prepared. To repair the restoration, the surface will be etched using 35% phosphoric acid, and then 3M ESPE Scotchbond Universal Adhesive System followed by 3M ESPE Filtek Supreme Ultra Universal Restorative composite will be used as per the manufacturer's instructions.

Group Type EXPERIMENTAL

Repair

Intervention Type PROCEDURE

Replace

Subjects in the Replace group will be given local anesthetic (an injection of 2% lidocaine with 1:100 000 epinephrine). The type of injection and dosage of anesthetics will be dependent on the tooth being treated, and will follow the usual protocol used in the Dalhousie Dentistry undergraduate clinics. The existing composite restoration will then be removed and the peripheral enamel beveled if not already beveled. To restore the tooth, the surface will be etched using 35% phosphoric acid, and then 3M ESPE Scotchbond Universal Adhesive System followed by 3M ESPE Filtek Supreme Ultra Universal Restorative composite will be used as per the manufacturer's instructions.

Group Type ACTIVE_COMPARATOR

Replace

Intervention Type PROCEDURE

Interventions

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Repair

Intervention Type PROCEDURE

Replace

Intervention Type PROCEDURE

Other Intervention Names

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Scotchbond Universal Filtek Supreme Scotchbond Universal Filtek Supreme

Eligibility Criteria

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Inclusion Criteria

* Patients of the Dalhousie University Dental Clinic who are:
* Age 18 and over
* Capable of providing informed consent
* Asymptomatic permanent teeth with class III, IV, V or veneer composite restorations on the facial/buccal surface, requiring treatment (e.g. stain, chipping or color discrepancy).
* Restoration must present with a portion (mesial, distal, gingival or occlusal) that can be completely retained to allow repair.

Exclusion Criteria

* Patients with contra-indications for regular dental treatment based on their medical history
* Teeth with active caries
* Teeth with multiple overlapping composite restorations
* Patients with uncontrolled periodontal disease
* Restorations smaller than 3mm diameter
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dalhousie University

OTHER

Sponsor Role lead

Responsible Party

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Pierre-Luc Michaud

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Dalhousie University Faculty of Dentistry

Halifax, Nova Scotia, Canada

Site Status

Countries

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Canada

Related Links

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http://www.dal.ca/faculty/dentistry.html

Dalhousie University Faculty of Dentistry Web Site

Other Identifiers

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DalDent-2014-01

Identifier Type: -

Identifier Source: org_study_id

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