Trial Outcomes & Findings for Comparative Study of Experimental Dental Adhesive With and Without Phosphoric Acid Pretreatment (NCT NCT02071953)

NCT ID: NCT02071953

Last Updated: 2022-11-28

Results Overview

The color match will be assessed clinically according to Ryge (1973)\* for matching with adjacent teeth and stability of color matching over time. Assessments will be done to the following criteria: Alpha= Restoration matches adjacent tooth structure in shade and/or translucency. Bravo= Mismatch in shade and/or translucency is within normal range of tooth shades. Charlie= Mismatch in shade and/or translucency is outside normal range of tooth shades. \*As per the Investigation Protocol, United States Public Health Service (USPHS) direct evaluation procedures were conducted using modified methods reported by Ryge in 1973. As described by Ryge in 1973, the term "clinical assessment" means a visual examination by a dentist, using a mouth mirror, an explorer, and supplementary lighting as needed.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

37 participants

Primary outcome timeframe

Baseline, 6 months, 18 months; Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Results posted on

2022-11-28

Participant Flow

Unit of analysis: teeth

Participant milestones

Participant milestones
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration
Experimental adhesive without phosphoric acid in posterior restoration
Experimental Adhesive w/ Phosphoric Acid in Post Restoration
Experimental adhesive with phosphoric acid in post restoration
Overall Study
STARTED
35 53
35 54
Overall Study
COMPLETED
18 30
21 34
Overall Study
NOT COMPLETED
17 23
14 20

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparative Study of Experimental Dental Adhesive With and Without Phosphoric Acid Pretreatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental: Adhesive With and Without Acid Pretreatment
n=107 teeth
Experimental adhesive with and without phosphoric acid in posterior restoration
Age, Categorical
<=18 years
0 teeth
n=60 teeth
Age, Categorical
Between 18 and 65 years
107 teeth
n=60 teeth
Age, Categorical
>=65 years
0 teeth
n=60 teeth
Sex/Gender, Customized
Female
20 participants
n=5 Participants
Sex/Gender, Customized
Male
17 participants
n=5 Participants
Region of Enrollment
United States
37 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 6 months, 18 months; Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Population: This is the total number of participants remaining at the end of the study who completed the 18 month follow-up. 22 participants presented for the 18 month evaluation. Most participants had subject teeth in both arms of the study. The reporting below is on the number of teeth, not subjects.

The color match will be assessed clinically according to Ryge (1973)\* for matching with adjacent teeth and stability of color matching over time. Assessments will be done to the following criteria: Alpha= Restoration matches adjacent tooth structure in shade and/or translucency. Bravo= Mismatch in shade and/or translucency is within normal range of tooth shades. Charlie= Mismatch in shade and/or translucency is outside normal range of tooth shades. \*As per the Investigation Protocol, United States Public Health Service (USPHS) direct evaluation procedures were conducted using modified methods reported by Ryge in 1973. As described by Ryge in 1973, the term "clinical assessment" means a visual examination by a dentist, using a mouth mirror, an explorer, and supplementary lighting as needed.

Outcome measures

Outcome measures
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (Baseline)
n=53 teeth
Experimental adhesive without phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (Baseline)
n=54 teeth
Experimental adhesive with phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (6-month)
n=50 teeth
Experimental adhesive without phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (6-month)
n=52 teeth
Experimental adhesive with phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (18-month)
n=30 teeth
Experimental adhesive without phosphoric acid in posterior restoration (18-month)
Experimental Adhesive w Phosphoric Acid in Posterior Restoration (18-month)
n=34 teeth
Experimental adhesive with phosphoric acid in posterior restoration (18-month)
Color Match
Charlie
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
Color Match
Alpha
53 teeth
54 teeth
50 teeth
52 teeth
30 teeth
34 teeth
Color Match
Bravo
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth

PRIMARY outcome

Timeframe: Baseline, 6 months, 18 months. Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Population: This is the total number of participants remaining at the end of the study who completed the 18 month follow-up. 22 participants presented for the 18 month evaluation. Most participants had subject teeth in both arms of the study. The reporting below is on the number of teeth, not subjects.

Marginal discoloration will be assessed clinically according to Ryge (1973)\* over time. Assessments will be done to the following criteria: Alpha= No visual evidence of marginal discoloration. Bravo= Marginal discoloration present but has not penetrated in a pulpal direction. Charlie= Marginal discoloration has penetrated in a pulpal direction. \*As per the Investigation Protocol, United States Public Health Service (USPHS) direct evaluation procedures were conducted using modified methods reported by Ryge in 1973. As described by Ryge in 1973, the term "clinical assessment" means a visual examination by a dentist, using a mouth mirror, an explorer, and supplementary lighting as needed.

Outcome measures

Outcome measures
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (Baseline)
n=53 teeth
Experimental adhesive without phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (Baseline)
n=54 teeth
Experimental adhesive with phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (6-month)
n=50 teeth
Experimental adhesive without phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (6-month)
n=52 teeth
Experimental adhesive with phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (18-month)
n=30 teeth
Experimental adhesive without phosphoric acid in posterior restoration (18-month)
Experimental Adhesive w Phosphoric Acid in Posterior Restoration (18-month)
n=34 teeth
Experimental adhesive with phosphoric acid in posterior restoration (18-month)
Marginal Discoloration
Alpha
53 teeth
54 teeth
50 teeth
52 teeth
27 teeth
34 teeth
Marginal Discoloration
Bravo
0 teeth
0 teeth
0 teeth
0 teeth
3 teeth
0 teeth
Marginal Discoloration
Charlie
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth

PRIMARY outcome

Timeframe: Baseline, 6 months, 18 months. Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Population: This is the total number of participants remaining at the end of the study who completed the 18 month follow-up. 22 participants presented for the 18 month evaluation. Most participants had subject teeth in both arms of the study. The reporting below is on the number of teeth, not subjects.

Change in marginal integrity will be assessed clinically according to Ryge (1973)\* over time. Assessments will be done to the following criteria: A= Explorer does not catch or slight catch with no visible crevice. B= Explorer catches and crevice is visible but no exposure of dentin or base. C= Explorer penetrates crevice and defect extended to amelo-dentinal junction. D= Restoration is fractured, mobile, or missing in part or in toto. \*As per the Investigation Protocol, United States Public Health Service (USPHS) direct evaluation procedures were conducted using modified methods reported by Ryge in 1973. As described by Ryge in 1973, the term "clinical assessment" means a visual examination by a dentist, using a mouth mirror, an explorer, and supplementary lighting as needed.

Outcome measures

Outcome measures
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (Baseline)
n=53 teeth
Experimental adhesive without phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (Baseline)
n=54 teeth
Experimental adhesive with phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (6-month)
n=50 teeth
Experimental adhesive without phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (6-month)
n=52 teeth
Experimental adhesive with phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (18-month)
n=30 teeth
Experimental adhesive without phosphoric acid in posterior restoration (18-month)
Experimental Adhesive w Phosphoric Acid in Posterior Restoration (18-month)
n=34 teeth
Experimental adhesive with phosphoric acid in posterior restoration (18-month)
Marginal Integrity
Alpha
53 teeth
53 teeth
49 teeth
52 teeth
26 teeth
34 teeth
Marginal Integrity
Bravo
0 teeth
0 teeth
0 teeth
0 teeth
3 teeth
0 teeth
Marginal Integrity
Charlie
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
Marginal Integrity
Delta
0 teeth
1 teeth
1 teeth
0 teeth
1 teeth
0 teeth

PRIMARY outcome

Timeframe: Baseline, 6 months, 18 months; Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Population: This is the total number of participants remaining at the end of the study who completed the 18 month follow-up. 22 participants presented for the 18 month evaluation. Most participants had subject teeth in both arms of the study. The reporting below is on the number of teeth, not subjects.

Change in presence of secondary dental caries will be assessed clinically according to Ryge (1973)\* over time. Assessments will be done to the following criteria: A= No caries present. D= Caries present associated with the restoration. \*As per the Investigation Protocol, United States Public Health Service (USPHS) direct evaluation procedures were conducted using modified methods reported by Ryge in 1973. As described by Ryge in 1973, the term "clinical assessment" means a visual examination by a dentist, using a mouth mirror, an explorer, and supplementary lighting as needed. Note: Secondary caries is a categorical, dichotomous variable, i.e. there is caries or not. This was assessed clinically and radiographically by a trained professional (dentist).

Outcome measures

Outcome measures
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (Baseline)
n=53 teeth
Experimental adhesive without phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (Baseline)
n=54 teeth
Experimental adhesive with phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (6-month)
n=50 teeth
Experimental adhesive without phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (6-month)
n=52 teeth
Experimental adhesive with phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (18-month)
n=30 teeth
Experimental adhesive without phosphoric acid in posterior restoration (18-month)
Experimental Adhesive w Phosphoric Acid in Posterior Restoration (18-month)
n=34 teeth
Experimental adhesive with phosphoric acid in posterior restoration (18-month)
Presence of Secondary Dental Caries (Cavities)
Alpha
53 teeth
54 teeth
50 teeth
52 teeth
30 teeth
34 teeth
Presence of Secondary Dental Caries (Cavities)
Delta
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth

PRIMARY outcome

Timeframe: Baseline, 6 months, 18 months; Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Population: This is the total number of participants remaining at the end of the study who completed the 18 month follow-up. 22 participants presented for the 18 month evaluation. Most participants had subject teeth in both arms of the study. The reporting below is on the number of teeth, not subjects.

The restoration will be assessed clinically according to Ryge (1973)\* for presence of fractures over time. Assessments will be done to the following criteria: A= Smooth restoration surface with no irregularities. B= Slightly rough or pitted restoration surface. Can be refinished. C= Deeply pitted or grooved (not related to anatomy) restoration finish. Can not be refinished. D= Restoration surface is fractured or flaking. \*As per the Investigation Protocol, United States Public Health Service (USPHS) direct evaluation procedures were conducted using modified methods reported by Ryge in 1973. As described by Ryge in 1973, the term "clinical assessment" means a visual examination by a dentist, using a mouth mirror, an explorer, and supplementary lighting as needed.

Outcome measures

Outcome measures
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (Baseline)
n=53 teeth
Experimental adhesive without phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (Baseline)
n=54 teeth
Experimental adhesive with phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (6-month)
n=50 teeth
Experimental adhesive without phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (6-month)
n=52 teeth
Experimental adhesive with phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (18-month)
n=30 teeth
Experimental adhesive without phosphoric acid in posterior restoration (18-month)
Experimental Adhesive w Phosphoric Acid in Posterior Restoration (18-month)
n=34 teeth
Experimental adhesive with phosphoric acid in posterior restoration (18-month)
Presence of Restoration Fractures (Localized or Bulk)
Alpha
52 teeth
53 teeth
47 teeth
52 teeth
27 teeth
34 teeth
Presence of Restoration Fractures (Localized or Bulk)
Bravo
0 teeth
0 teeth
2 teeth
0 teeth
2 teeth
0 teeth
Presence of Restoration Fractures (Localized or Bulk)
Charlie
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
Presence of Restoration Fractures (Localized or Bulk)
Delta
1 teeth
1 teeth
1 teeth
0 teeth
1 teeth
0 teeth

PRIMARY outcome

Timeframe: Baseline, 6 months, 18 months; Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Population: This is the total number of participants remaining at the end of the study who completed the 18 month follow-up. 22 participants presented for the 18 month evaluation. Most participants had subject teeth in both arms of the study. The reporting below is on the number of teeth, not subjects.

Patient will be interviewed to assess post-operative sensitivity according to the following criteria: A= No sensitivity. B= Mild sensitivity. C= Moderate sensitivity with no restoration replacement required. D= Sever sensitivity. Replacement of restoration is required. Tooth sensitivity will be assessed at baseline and each follow-up appointment using cold thermal test (Endo-Ice, Hygienic) and Electric Pulp Test (EPT) when indicated.

Outcome measures

Outcome measures
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (Baseline)
n=53 teeth
Experimental adhesive without phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (Baseline)
n=54 teeth
Experimental adhesive with phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (6-month)
n=50 teeth
Experimental adhesive without phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (6-month)
n=52 teeth
Experimental adhesive with phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (18-month)
n=30 teeth
Experimental adhesive without phosphoric acid in posterior restoration (18-month)
Experimental Adhesive w Phosphoric Acid in Posterior Restoration (18-month)
n=34 teeth
Experimental adhesive with phosphoric acid in posterior restoration (18-month)
Post-operative Sensitivity
Alpha
51 teeth
53 teeth
50 teeth
52 teeth
30 teeth
34 teeth
Post-operative Sensitivity
Bravo
2 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
Post-operative Sensitivity
Charlie
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
Post-operative Sensitivity
Delta
0 teeth
1 teeth
0 teeth
0 teeth
0 teeth
0 teeth

PRIMARY outcome

Timeframe: Baseline, 6 months, 18 months; Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Population: This is the total number of participants remaining at the end of the study who completed the 18 month follow-up. 22 participants presented for the 18 month evaluation. Most participants had subject teeth in both arms of the study. The reporting below is on the number of teeth, not subjects.

The change in surface condition of restoration will be assessed clinically according to Ryge (1973)\* over time. Assessments will be done to the following criteria: A= Restoration is continuous with existing anatomic form. B= Restoration is discontinuous with existing anatomic form but missing material is not sufficient to expose dentin or lining. C= Sufficient restorative material is lost to expose dentin. \*As per the Investigation Protocol, United States Public Health Service (USPHS) direct evaluation procedures were conducted using modified methods reported by Ryge in 1973. As described by Ryge in 1973, the term "clinical assessment" means a visual examination by a dentist, using a mouth mirror, an explorer, and supplementary lighting as needed.

Outcome measures

Outcome measures
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (Baseline)
n=53 teeth
Experimental adhesive without phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (Baseline)
n=54 teeth
Experimental adhesive with phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (6-month)
n=50 teeth
Experimental adhesive without phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (6-month)
n=52 teeth
Experimental adhesive with phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (18-month)
n=30 teeth
Experimental adhesive without phosphoric acid in posterior restoration (18-month)
Experimental Adhesive w Phosphoric Acid in Posterior Restoration (18-month)
n=34 teeth
Experimental adhesive with phosphoric acid in posterior restoration (18-month)
Surface Condition of Restoration
Charlie
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
0 teeth
Surface Condition of Restoration
AlphaB
53 teeth
54 teeth
47 teeth
52 teeth
29 teeth
34 teeth
Surface Condition of Restoration
Bravo
0 teeth
0 teeth
3 teeth
0 teeth
1 teeth
0 teeth

PRIMARY outcome

Timeframe: 18 months; Note: The 36 month evaluation was an option in the protocol at the time of investigation initiation. The study was concluded at 18 months. Thus 36 month data does not exist.

Population: This is the total number of participants remaining at the end of the study who completed the 18 month follow-up. 22 participants presented for the 18 month evaluation. Most participants had subject teeth in both arms of the study. The reporting below is on the number of teeth, not subjects. Twenty-two (22) of the restorations were Class I and have no interaction with the gingival tissue and therefore were not scored. Scores below are for the remaining 42 Class II restorations.

Patient's gingiva will be assessed clinically according to Ryge (1973)\* over time. Assessments will be done to the following criteria: 0 = Normal gingiva. 1. = Mild inflammation, slight change in color, slight edema, no bleeding upon probing. 2. = Moderate inflammation, redness; edema and glazing; bleeding upon palpation. 3. = Severe inflammation, marked redness and edema, ulceration, tendency to spontaneous bleeding. * As described by Ryge in 1973, the term "clinical assessment" means a visual examination by a dentist, using a mouth mirror, an explorer, and supplementary lighting as needed. Note: At 6 months data was not reported. At Baseline, all patients presented a score of 0. Any patient with a score greater than zero would have been excluded at baseline. Patients who received Class I restorations were not assessed as these restorations are limited to the chewing surface and not related to the health of gums.

Outcome measures

Outcome measures
Measure
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (Baseline)
n=22 teeth
Experimental adhesive without phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (Baseline)
n=20 teeth
Experimental adhesive with phosphoric acid in posterior restoration (Baseline)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (6-month)
Experimental adhesive without phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/ Phosphoric Acid in Posterior Restoration (6-month)
Experimental adhesive with phosphoric acid in posterior restoration (6-month)
Experimental Adhesive w/Out Phosphoric Acid in Posterior Restoration (18-month)
Experimental adhesive without phosphoric acid in posterior restoration (18-month)
Experimental Adhesive w Phosphoric Acid in Posterior Restoration (18-month)
Experimental adhesive with phosphoric acid in posterior restoration (18-month)
Gingival Inflammation Index
0
12 teeth
9 teeth
Gingival Inflammation Index
1
9 teeth
11 teeth
Gingival Inflammation Index
2
1 teeth
0 teeth
Gingival Inflammation Index
3
0 teeth
0 teeth

Adverse Events

Adverse Events

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ricardo Walter

University of Pennslyvania

Phone: 215-898-9164

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place