In Situ Remineralisation Response of Different Artificial Caries-like Enamel Lesions to Home-care and Professional Fluoride Treatments

NCT ID: NCT02637830

Last Updated: 2015-12-24

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

COMPLETED

Clinical Phase

NA

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2012-12-31

Brief Summary

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This study mainly compared the response of the artificial carious enamel lesions to remineralisation in situ. The tested in vitro demineralising protocols were: MC gel, PA gel, MHDP and Buffer solutions.

The lesions were then remineralised in an in situ model, with crossover and double blind design. Fifteen volunteers wore intra-oral appliances containing 2 bovine enamel samples of each demineralising protocol during 3 experimental phases (3 days each). The experimental phases/treatments were: Control (Placebo dentifrice, saliva effect only), Home-care (fluoride dentifrice, 1,100 ppm F, NaF), and Professional/Home-care (varnish- 22,600 ppm F and dentifrice- 1,100 ppm F, NaF).

During the 3-day phase, the appliance was only removed during the main meals (four times a day, maximum 1 h duration each, interval between meals 2-3 h). Immediately after the meals, before replacing the appliance in the mouth, the subjects were advised to perform oral hygiene using a soft end-rounded toothbrush (Colgate® 360º Sensitive Pro-Relief TM) and dentifrice (non-fluoridated from IceFresh, Bauru, SP, Brazil or fluoridated dentifrice from Crest Procter \& Gamble, Cincinnati, OH, USA) according to the phase and dental floss (Sanifill, São Paulo, Brazil).

The remineralising treatment with dentifrices was done ex vivo, 1 min twice a day (after the first and last oral hygiene of the day) using slurry of the dentifrice (1:3 water, 1 drop of solution/specimen). Thereafter, the appliance was replaced in the mouth and the subjects were advised to rinse with 10 ml of water for 5 s and to expectorate. In respect to Professional/Home-care phase, the varnish (Duraphat, Colgate, SP, Brazil) was applied before the in situ study for 6h and then removed.

The enamel remineralization was quantified using transverse microradiography (% mineral recovery and lesion depth, TMR), surface and cross-sectional hardness. The data were submitted to statistical analysis (p\<0.05).

Detailed Description

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Conditions

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Dental Caries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Fluoride varnish and fluoride toothpaste

Application of fluoride varnish (Duraphat) at the begining of the study. Application of fluoride toothpaste (Crest) twice a day for 3 days.

Group Type EXPERIMENTAL

Application of fluoride varnish (22600 ppm F, Duraphat) at the begining of the study

Intervention Type OTHER

Application of fluoride toothpaste (1500 ppm F, Crest) twice a day for 3 days of the study

Intervention Type OTHER

placebo toothpaste

Application of placebo toothpaste twice a day for 3 days

Group Type PLACEBO_COMPARATOR

Application of placebo toothpaste (0 ppm F, Ice Fresh) twice a day for 3 days of the study

Intervention Type OTHER

Fluoride toothpaste

Application of fluoride toothpaste (Crest) twice a day for 3 days

Group Type ACTIVE_COMPARATOR

Application of fluoride toothpaste (1500 ppm F, Crest) twice a day for 3 days of the study

Intervention Type OTHER

Interventions

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Application of placebo toothpaste (0 ppm F, Ice Fresh) twice a day for 3 days of the study

Intervention Type OTHER

Application of fluoride varnish (22600 ppm F, Duraphat) at the begining of the study

Intervention Type OTHER

Application of fluoride toothpaste (1500 ppm F, Crest) twice a day for 3 days of the study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* a stimulated physiological salivary flow rate of \>1 ml.min-1
* a non-stimulated physiological salivary flow rate of \>0.25 ml.min-1
* good oral health (i.e. no cavities or significant gingivitis/periodontitis)

Exclusion Criteria

* systemic illness
* pregnancy or breastfeeding
* use of fixed or removable orthodontic appliances
* use of fluoride mouthrinse or professional fluoride application in the last 2 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Ana Carolina Magalhães

Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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036/2011

Identifier Type: -

Identifier Source: org_study_id