Trial Outcomes & Findings for An Evaluation of Protective Effects of OpalSeal™ Against Early Dental Decay in Orthodontic Patients (NCT NCT03722264)

NCT ID: NCT03722264

Last Updated: 2020-03-04

Results Overview

Teeth will be subjected to microCT to assess the extent of demineralization. Loss of mineral density will be measured as depth of lesions

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

Time from initial bonding to extraction (max 90 days)

Results posted on

2020-03-04

Participant Flow

12 participants were enrolled with all participants receiving each treatment

Participant milestones

Participant milestones
Measure
Bilateral Treatment With OpalSeal and Transbond XT
Experimental: OpalSeal OpalSeal will be applied to the buccal surfaces of to-be-extracted teeth on one side of the mouth which will be determined randomly for each participant during bonding of orthodontic brackets, or to the proximal surfaces following IPR in accordance to manufacturer instructions. Since OpalSeal has fluoride releasing capability, this would be experimental arm. Placebo Comparator: Transbond XT TransbondXT will be applied to the buccal surfaces of to-be-extracted teeth on the other side of the mouth which will be determined based on which side received OpalSeal for each participant during bonding of orthodontic brackets, or to the proximal surfaces following IPR in accordance to manufacturer instructions. Transbond XT does not have fluoride and hence would be considered as a placebo.
Overall Study
STARTED
12
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Bilateral Treatment With OpalSeal and Transbond XT
Experimental: OpalSeal OpalSeal will be applied to the buccal surfaces of to-be-extracted teeth on one side of the mouth which will be determined randomly for each participant during bonding of orthodontic brackets, or to the proximal surfaces following IPR in accordance to manufacturer instructions. Since OpalSeal has fluoride releasing capability, this would be experimental arm. Placebo Comparator: Transbond XT TransbondXT will be applied to the buccal surfaces of to-be-extracted teeth on the other side of the mouth which will be determined based on which side received OpalSeal for each participant during bonding of orthodontic brackets, or to the proximal surfaces following IPR in accordance to manufacturer instructions. Transbond XT does not have fluoride and hence would be considered as a placebo.
Overall Study
Physician Decision
3

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bilateral Treatment With OpalSeal and Transbond XT
n=9 Participants
Experimental: OpalSeal OpalSeal will be applied to the buccal surfaces of to-be-extracted teeth on one side of the mouth which will be determined randomly for each participant during bonding of orthodontic brackets, or to the proximal surfaces following IPR in accordance to manufacturer instructions. Since OpalSeal has fluoride releasing capability, this would be experimental arm. Placebo Comparator: Transbond XT TransbondXT will be applied to the buccal surfaces of to-be-extracted teeth on the other side of the mouth which will be determined based on which side received OpalSeal for each participant during bonding of orthodontic brackets, or to the proximal surfaces following IPR in accordance to manufacturer instructions. Transbond XT does not have fluoride and hence would be considered as a placebo.
Age, Customized
NA Participants
n=9 Participants
Sex/Gender, Customized
Sex not measured
9 Participants
n=9 Participants
Region of Enrollment
United States
9 participants
n=9 Participants

PRIMARY outcome

Timeframe: Time from initial bonding to extraction (max 90 days)

Population: 9 teeth in each group were available for analysis

Teeth will be subjected to microCT to assess the extent of demineralization. Loss of mineral density will be measured as depth of lesions

Outcome measures

Outcome measures
Measure
OpalSeal
n=9 teeth
OpalSeal will be applied 1. to the buccal surfaces of to-be-extracted teeth during bonding of orthodontic brackets, or 2. to the proximal surfaces following IPR in accordance to manufacturer instructions. Since OpalSeal has fluoride releasing capability, this would be experimental arm, OpalSeal: OpalSeal is a fluoride releasing orthodontic primer that is FDA approved for use during bonding of orthodontic brackets
Transbond XT
n=9 teeth
TransbondXT will be applied 1. to the buccal surfaces of to-be-extracted teeth during bonding of orthodontic brackets, or 2. to the proximal surfaces following IPR in accordance to manufacturer instructions. Transbond XT does not have fluoride and hence would be considered as a placebo. TransbondXT: Transbond is a primer used to bond orthodontic brackets that does not contain fluoride
Loss of Mineral Density in the Enamel
70.8 microns
Interval 0.0 to 130.5
77.4 microns
Interval 0.0 to 245.3

SECONDARY outcome

Timeframe: Time from initial bonding to extraction (max 90 days)

Population: Data could not be collected for this variable.

Scanning electron microscopy and atomic force microscopy will be used to evaluate the protective effect of OpalSeal

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Time from initial bonding to extraction (max 90 days)

Population: TransbondXT retention cannot be assessed so no control teeth were analyzed. Only 5 teeth on which OpalSeal was applied were analyzed

The protective effects of OpalSeal is subject to its retention at the site of application. Since OpalSeal fluoresces under black light, its retention will be evaluated

Outcome measures

Outcome measures
Measure
OpalSeal
n=5 Participants
OpalSeal will be applied 1. to the buccal surfaces of to-be-extracted teeth during bonding of orthodontic brackets, or 2. to the proximal surfaces following IPR in accordance to manufacturer instructions. Since OpalSeal has fluoride releasing capability, this would be experimental arm, OpalSeal: OpalSeal is a fluoride releasing orthodontic primer that is FDA approved for use during bonding of orthodontic brackets
Transbond XT
TransbondXT will be applied 1. to the buccal surfaces of to-be-extracted teeth during bonding of orthodontic brackets, or 2. to the proximal surfaces following IPR in accordance to manufacturer instructions. Transbond XT does not have fluoride and hence would be considered as a placebo. TransbondXT: Transbond is a primer used to bond orthodontic brackets that does not contain fluoride
Retention of OpalSeal
28.1 percent coverage
Interval 0.0 to 37.5

Adverse Events

OpalSeal

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

Transbond XT

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

Eser Tufekci, DDS, PhD

Virginia Commonwealth University

Phone: 804-828-9326

Results disclosure agreements

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