Effectiveness of Sealants on Molars

NCT ID: NCT02896088

Last Updated: 2022-08-11

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-01

Study Completion Date

2018-06-30

Brief Summary

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Currently, the real scope of sealants (AS) is poorly documented in temporary dentition and its effectiveness has not been demonstrated. Yet it seems reasonable that the AS in temporary dentition could slow the specific development of carious lesions in early childhood. In addition, this non-invasive approach could delay the conventional food and thus save financial costs for more complex treatments. Finally, the installation of AS could afford, as demonstrated in adult teeth, lowering the cariogenic bacteria prevalence engaged in the caries process.

Detailed Description

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Currently, the real scope of sealants (AS) is poorly documented in temporary dentition and its effectiveness has not been demonstrated. Yet it seems reasonable that the AS in temporary dentition could slow the specific development of carious lesions in early childhood. In addition, this non-invasive approach could delay the conventional food and thus save financial costs for more complex treatments. Finally, the installation of AS could afford, as demonstrated in adult teeth, lowering the cariogenic bacteria prevalence engaged in the caries process.

Main objective: To evaluate the effect of AS on caries incidence in the deciduous dentition obtained over a period of three years, taking into account the risk of caries established initially.

Secondary objectives:

1. To assess the prevalence and caries attack sites at the end of each year
2. Estimate the retention rate (partial or complete) of the AS during the study
3. Determine the cost savings of treatment during the trial period

Conditions

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Tooth Decay

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

test and control tooth groups. Each patient is therefore his own witness
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
test and control tooth groups. Each patient is therefore his own witness

Study Groups

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test tooth groups

test tooth groups

Group Type OTHER

decayed tooth surfaces

Intervention Type OTHER

The main variable is the number of new decayed tooth surfaces between the end and the beginning of the research. The caries experience will also be evaluated and expressed by the index 'dmfs' (accumulation of decayed tooth surfaces over those missing or filled due to caries). The secondary variable will be the expression of the retention of AS. The comparison of caries incidence between the two groups of teeth (with and without AS) will take into account the membership of the teeth to the same subject by means of the statistical test Chi-McNemar two. Regression models logistics and Poisson regression will be used to test the effect of independent variables on the appearance of new cavities. The Stata statistical software will be used.

control tooth groups

control tooth groups

Group Type OTHER

decayed tooth surfaces

Intervention Type OTHER

The main variable is the number of new decayed tooth surfaces between the end and the beginning of the research. The caries experience will also be evaluated and expressed by the index 'dmfs' (accumulation of decayed tooth surfaces over those missing or filled due to caries). The secondary variable will be the expression of the retention of AS. The comparison of caries incidence between the two groups of teeth (with and without AS) will take into account the membership of the teeth to the same subject by means of the statistical test Chi-McNemar two. Regression models logistics and Poisson regression will be used to test the effect of independent variables on the appearance of new cavities. The Stata statistical software will be used.

Interventions

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decayed tooth surfaces

The main variable is the number of new decayed tooth surfaces between the end and the beginning of the research. The caries experience will also be evaluated and expressed by the index 'dmfs' (accumulation of decayed tooth surfaces over those missing or filled due to caries). The secondary variable will be the expression of the retention of AS. The comparison of caries incidence between the two groups of teeth (with and without AS) will take into account the membership of the teeth to the same subject by means of the statistical test Chi-McNemar two. Regression models logistics and Poisson regression will be used to test the effect of independent variables on the appearance of new cavities. The Stata statistical software will be used.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Children who have at least two pairs (test / control) of healthy molars with occlusal surface or non cavitary initial injury.
* Children available for a follow-up 3 years
* Children being affiliated or beneficiary in a health insurance plan

Exclusion Criteria

* Children involved in other research in the same field
* Child is exclusion period determined by previous research
* Children participating in research in the last three months its inclusion
* Parents do not understand French.
* Children deprived of liberty.
* Child participation Refusal
* Refusal to participate in either of the parents or legal representative
Minimum Eligible Age

3 Years

Maximum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Estellle MOULIS, MCU-PH

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Montpellier

olivier CHABADEL, MCU-PH

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Montpellier

Locations

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MOULIS

Montpellier, , France

Site Status

Countries

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France

References

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Chabadel O, Veronneau J, Montal S, Tramini P, Moulis E. Effectiveness of pit and fissure sealants on primary molars: A 2-yr split-mouth randomized clinical trial. Eur J Oral Sci. 2021 Feb;129(1):e12758. doi: 10.1111/eos.12758. Epub 2020 Dec 30.

Reference Type DERIVED
PMID: 33377533 (View on PubMed)

Other Identifiers

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9500

Identifier Type: -

Identifier Source: org_study_id

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