Dental Isolation Methods in Pediatric Patients

NCT ID: NCT04430387

Last Updated: 2021-10-29

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WITHDRAWN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

2021-11-01

Study Completion Date

2022-11-30

Brief Summary

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The purpose of this study is to collect, measure, and assess the environmental spatter produced during dental appointments under different isolation methods used in pediatric dentistry, to compare the effectiveness of aerosol reduction between these methods, to identify the most effective way to manage aerosol during dental prophylaxis for pediatric patients and to provide clinical evidence to facilitate practice guidelines in dentistry related to COVID-19.

Detailed Description

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Conditions

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Dental Plaque Calculus, Dental Aerosol Disease

Keywords

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infection control dental hygiene spatter aerosol

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Recruited subjects will be randomly assigned to one of the three study groups for isolation during their dental cleaning, which are: Group 1- The saliva ejector; Group 2- The high-volume evacuator (HVE); Group 3- The DryShield.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors
The assessor will be blind to group assignment of the patients

Study Groups

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Group 1- The saliva ejector

Group Type ACTIVE_COMPARATOR

The saliva ejector

Intervention Type DEVICE

A thin suction tube that draws water, saliva, blood, and debris from the mouth to provide patient comfort, preventing patient from constantly having to sit up and spit while maintain a clear operative field. It is connected through the low-volume suction hose in the dental chair. It can be held by the dental assistant, the dental provider or by the patient. In practice, it can be also contoured and hang by the cheek of the patient due to its light weight.

Group 2- The high-volume evacuator

Group Type ACTIVE_COMPARATOR

The high-volume evacuator

Intervention Type DEVICE

The high-velocity air evacuation device. It is connected through the high-volume suction hose in the dental chair. It is operated by a dental assistant during the dental treatment, owing to the challenge posed by the rigid disposable attachment and bulky high-volume suction hose.

Group 3- The DryShield

Group Type ACTIVE_COMPARATOR

The DryShield

Intervention Type DEVICE

The device is attached to the high-volume suction hose to provide continuous suction of intraoral fluid and debris, and also simultaneous isolation to both maxillary and mandibular quadrants on the same side. Other advantages of these devices include retracting the tongue and cheek, and prevention of aspiration.

Interventions

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The saliva ejector

A thin suction tube that draws water, saliva, blood, and debris from the mouth to provide patient comfort, preventing patient from constantly having to sit up and spit while maintain a clear operative field. It is connected through the low-volume suction hose in the dental chair. It can be held by the dental assistant, the dental provider or by the patient. In practice, it can be also contoured and hang by the cheek of the patient due to its light weight.

Intervention Type DEVICE

The high-volume evacuator

The high-velocity air evacuation device. It is connected through the high-volume suction hose in the dental chair. It is operated by a dental assistant during the dental treatment, owing to the challenge posed by the rigid disposable attachment and bulky high-volume suction hose.

Intervention Type DEVICE

The DryShield

The device is attached to the high-volume suction hose to provide continuous suction of intraoral fluid and debris, and also simultaneous isolation to both maxillary and mandibular quadrants on the same side. Other advantages of these devices include retracting the tongue and cheek, and prevention of aspiration.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* ASA 1 patients
* Receiving dental prophylaxis or restorative procedure not requiring sedation or nitrous oxide
* Ability to cooperate in the dental chair
* Parents speak/read either English or Spanish and consent to study
* Child, when age appropriate, can assent to study

Exclusion Criteria

* Patients that do not meet the above criteria (including inability to cooperate or special health care need)
* Parents that do not speak/read either English or Spanish
* Children that do not assent (when age appropriate) to the study
Minimum Eligible Age

4 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Di Wu, DDS MS PhD

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Di I Wu, DDS,MS,PhD

Role: PRINCIPAL_INVESTIGATOR

UTHealth Science Center at Houston

Countries

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United States

References

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Kumbargere Nagraj S, Eachempati P, Paisi M, Nasser M, Sivaramakrishnan G, Verbeek JH. Interventions to reduce contaminated aerosols produced during dental procedures for preventing infectious diseases. Cochrane Database Syst Rev. 2020 Oct 12;10(10):CD013686. doi: 10.1002/14651858.CD013686.pub2.

Reference Type DERIVED
PMID: 33047816 (View on PubMed)

Other Identifiers

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HSC-DB-20-0381

Identifier Type: -

Identifier Source: org_study_id