Prevention of White Spot Lesions Using Bioactive Gel

NCT ID: NCT05948228

Last Updated: 2023-07-17

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

PHASE1

Total Enrollment

330 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-31

Study Completion Date

2025-01-31

Brief Summary

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white spot lesions are a common problem and are reported in up to 96% of orthodontic patients. In this study, the preventive effect of bioactive gel is evaluated in comparison to fluoride.

Detailed Description

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Dental caries is a chronic infectious disease present worldwide and is among one of the most common oral diseases. It is a multifactorial disease resulting from imbalance between demineralization and remineralization initiated by acid producing bacteria in the microenvironment.

The incipient form of caries, white spot lesions (WSL), is characterized by primitive enamel surface and subsurface demineralization and could be identified clinically by their chalky white appearance . Orthodontic treatment is a major risk factor for the development of WSL. They are reported in up to 96% of orthodontic patients.

Many materials are being used to prevent white spot lesions with fluoride being the most commonly used . New materials have been emerged such as giomer based bioactive gel with the ability to release six ions Fluoride inhibits demineralization and promotes deposition of fluoroapatite. Aluminum helps to decrease demineralization as well by forming Alumino fluoro complexes. Borate reduces biofilm formation beside its antibacterial effect.

Silica promotes remineralization by inducing apatite nucleation on the tooth surface. Strontium converts hydroxyapatite into strontium apatite thus increasing acid resistance and has an inhibitory effect on bacterial growth. Other ions such as Na act as strong base and have acid buffer capacity.

Conditions

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White Spot Lesions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors
double

Study Groups

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Application of bioactive gel on teeth in patients assigned for orthodontic treatment

Application of bioactive gel on labial/buccal surfaces of teeth is done according to manufacturer instructions using microbrush followed by light curing

Group Type EXPERIMENTAL

giomer based bioactive gel

Intervention Type DRUG

Application of bioactive gel to prevent white spot lesions in orthodontic patients

Application of Fluoride on teeth in patients assigned for orthodontic treatment

Application of fluoride gel will be done using a gel loaded tray held in the mouth for 4 minutes .After removal of tray ,patients must spit out the residual gel. The use of suction is a must to avoid the problem of over ingestion

Group Type ACTIVE_COMPARATOR

Fluoride gel

Intervention Type DRUG

Application of fluoride gel to prevent white spot lesions in orthodontic patients

Interventions

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giomer based bioactive gel

Application of bioactive gel to prevent white spot lesions in orthodontic patients

Intervention Type DRUG

Fluoride gel

Application of fluoride gel to prevent white spot lesions in orthodontic patients

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients assigned for orthodontic treatment with fixed appliances
* Sound teeth with fixed orthodontic appliances
* Either maxillary or mandibular teeth or both

Exclusion Criteria

* Patients with poor oral hygiene
* Allergic reaction to the materials used.
* Lack of compliance.
* xerostomia
* Evidence of parafunctional habits.
* Active carious lesions
* Dental fluorosis
* Hypocalcified teeth
* Systemic diseases affecting teeth such as Amelogenesis imperfecta
* Severe periodontal affection
Minimum Eligible Age

15 Years

Maximum Eligible Age

28 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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Farah Khaled El Hindawy

Prevention of white spot lesions in patients undergoing orthodontic treatment using bioactive gel versus fluoride gel

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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Giomer based bioactive gel

Identifier Type: -

Identifier Source: org_study_id

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