Evaluation of a New Bioactive Material Versus a Fluoride-Releasing Hybrid Restorative Material in Cervical Lesions

NCT ID: NCT05149209

Last Updated: 2021-12-08

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-15

Study Completion Date

2022-12-30

Brief Summary

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* This study will be conducted to evaluate and compare the clinical performance of fluoride, calcium, and phosphate-releasing new bioactive material versus a fluoride-releasing hybrid restorative material in cervical lesions for one-year follow-up.
* The clinical evaluation will be done using modified USPHS criteria at baseline,3,6,9 and 12 months.

Detailed Description

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two groups of 30 patients will receive cervical restorations by using calcium and phosphate releasing hybrid restorative material (Activa™ Presto, Pulpdent®, USA), or a fluoride-releasing hybrid restorative material (Giomer, Shofu, Japan). Then these restorations will be evaluated at baseline, 3 months, 6 months, 9 months, and 12 months according to modified USPHS criteria in terms of marginal adaptation, Marginal discoloration, recurrent caries, retention, surface texture, and Post-operative sensitivity.

* Examination and selection of all patients will be done according to inclusion and exclusion criteria.
* A class v cavity will be prepared after local anesthesia has been given as required. Rubber dam isolation followed by the placement of restorative material according to the randomization sequence.
* For the intervention: selective etching to enamel and universal bond agent to all the cavity will be applied first, followed by filling of the cavity with fluoride, calcium, and phosphate-releasing new bioactive material (Activa™ Presto, Pulpdent®, USA) using a 19-gauge applicator tip on the syringe and light-curing for 20 seconds between each 2mm layer.
* For the control group: selective etching to enamel and universal bond agent to all the cavity will be applied first, followed by filling of the cavity with fluoride-releasing hybrid restorative material (Giomer, Shofu, Japan) and will be light polymerized using a light-emitting diode (LED) light-curing unit for 10 seconds between each 2mm layer.

Conditions

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Dental Caries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Parallel Controlled Trial. Trial type: Two, Parallel arm design. Trial framework: Equivalence frame Allocation ratio: 1:1.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
The participants will be blinded to the technique used since the patient will attend the same number of visits and he can not differentiate between different restorative materials.

The operator cannot be blinded because of the difference in the application procedures of each restorative material.

The outcome assessor will be blinded to the material used. This will be performed by M.S. and Y.H. Therefore the assessors mustn't be included in the preclinical assessment.

Study Groups

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Fluoride, calcium and phosphate-releasing new bioactive material (Activa™ Presto, Pulpdent®, USA).

ACTIVA Presto is a novel bioactive material with a mineral-enriched hydrophilic resin base and a patented rubberized component that resists abrasion and wear with high release and recharge of not only fluoride but also calcium and phosphate ions. It doesn't contain BIS-GMA, Bisphenol A, or BPA derivatives.

Group Type EXPERIMENTAL

cervical restoration

Intervention Type PROCEDURE

A class v cavity will be prepared after local anesthesia has been given as required. Rubber dam isolation will be done. Selective enamel etching and a universal adhesive agent (Beautibond, Shofu, Japan) will be applied over all the cavity surfaces. Followed by, placement of restorative material according to the randomization sequence. Finally, restoration finishing and polishing will be done.

Fluoride-releasing hybrid restorative material (Giomer, Shofu, Japan).

Giomer is a hybrid restorative material that contains a resin base and pre-reacted glass ionomer. S-PRG (surface reaction type) technology provides some properties of GI such as fluoride release and recharge which helps prevent recurrent caries.

Group Type ACTIVE_COMPARATOR

cervical restoration

Intervention Type PROCEDURE

A class v cavity will be prepared after local anesthesia has been given as required. Rubber dam isolation will be done. Selective enamel etching and a universal adhesive agent (Beautibond, Shofu, Japan) will be applied over all the cavity surfaces. Followed by, placement of restorative material according to the randomization sequence. Finally, restoration finishing and polishing will be done.

Interventions

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cervical restoration

A class v cavity will be prepared after local anesthesia has been given as required. Rubber dam isolation will be done. Selective enamel etching and a universal adhesive agent (Beautibond, Shofu, Japan) will be applied over all the cavity surfaces. Followed by, placement of restorative material according to the randomization sequence. Finally, restoration finishing and polishing will be done.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Male or female gender.
* Only co-operative patients will be approved to participate in the trial.
* Medically free adult patients.
* Small to moderate cervical lesion.
* Vital upper or lower teeth with no signs of irreversible pulpitis.
* Caries extension shouldn't exceed mesiodistal width and inciso(occluso)-gingival length not exceed incisal (occlusal) one third.

Exclusion Criteria

* Allergic history concerning methacrylates
* Pregnancy
* Heavy smoking; xerostomia
* Lack of compliance
* Patients with disabilities.
* Patients having systemic diseases or severe medically compromised.
* Patients with severe bruxism, clenching, or temporomandibular joint disorders.

* Deep defects (close to the pulp, less than 1 mm distance).
* Periapical pathology or signs of pulpal pathology.
* Possible prosthodontic restoration of teeth.
* Heavy occlusion and occlusal contacts or history of bruxism.
* Pulpitis, non-vital or endodontically treated teeth.
* Sever periodontal affection.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Nourhan Khaled Mohamed Samir

Resident at Conservative department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Nourhan Khaled Mohamed Samir

Cairo, Maadi, Egypt

Site Status

Countries

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Egypt

Central Contacts

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Nourhan K Mohamed, B.D.S

Role: CONTACT

Phone: 01003787886

Email: [email protected]

Facility Contacts

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Nourhan K Mohamed, B.D.S.

Role: primary

Other Identifiers

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cons2021

Identifier Type: -

Identifier Source: org_study_id