Early Treatments for Preventing Occlusal Caries Lesions

NCT ID: NCT05969756

Last Updated: 2024-09-20

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-31

Study Completion Date

2024-10-15

Brief Summary

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Sealants effectively arrest non-cavitated caries lesions on the fully erupted occlusal surface of permanent teeth. However, the clinical effectiveness of sealants is uncertain in preventing occlusal caries lesions in partially erupted permanent molars. This study aims to evaluate the progression of caries, the degree of retention, survival rate, and quality of the remnant after applying conventional total-etch resinous sealant and self-etch sealant in erupting molars.

Detailed Description

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Conditions

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Caries; Initial Occlusal Caries Caries,Dental

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a 3 arm clinical trial. All selected permanent molars will be randomly equally allocated into three groups according to material used.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Blinding of examiners is impossible to be done during intervention and follow up due to different natures of the materials. However, participants and outcome assessors could be blinded (double blinding).

Study Groups

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Fluoride varnish group

5% sodium fluoride varnish, 3M, USA

Group Type EXPERIMENTAL

Fluoride varnish

Intervention Type DRUG

Thirty-eight permanent molars will receive 5% sodium fluoride varnish application every three months

Conventional etch and rinse sealant group

Resin-based composite sealant, 3M, USA

Group Type EXPERIMENTAL

Conventional etch and rinse sealant

Intervention Type DRUG

Thirty-eight permanent molars will receive conventional etch and rinse sealant

Self-etch sealant group

Self-etch primed sealant, Shofu, Japan

Group Type ACTIVE_COMPARATOR

Self-etch sealant

Intervention Type DRUG

Thirty-eight permanent molars will receive self-etch sealant

Interventions

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Fluoride varnish

Thirty-eight permanent molars will receive 5% sodium fluoride varnish application every three months

Intervention Type DRUG

Conventional etch and rinse sealant

Thirty-eight permanent molars will receive conventional etch and rinse sealant

Intervention Type DRUG

Self-etch sealant

Thirty-eight permanent molars will receive self-etch sealant

Intervention Type DRUG

Other Intervention Names

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3M™ Clinpro™ White Varnish 3M™ Clinpro™ Sealant S-PRG filler-containing resin sealant Beautisealant

Eligibility Criteria

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Inclusion Criteria

For children:

1. Children presenting with good general health and cooperative behavior.
2. Children having early caries lesions in a permanent molar (first or second).
3. Parents signed informed consent.

For permanent molars:

1. Early caries lesions on the occlusal surface corresponding to International Caries Detection and Assessment System (ICDAS) scores 1 and 2. \[Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007 Jun;35(3):170-8\].
2. Erupting molars: eruption stages 2 (fully erupted occlusal surface with less than half of the crown exposed) and 3 (fully erupted occlusal surface with more than half of the crown exposed). \[Carvalho JC, Ekstrand KR, Thylstrup A. Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res. 1989 May;68(5):773-9\].

Exclusion Criteria

For children:

1. Any allergy reported by the parents.
2. Children unable to return for recall visits.

For permanent molars:

1. Teeth with occlusal surfaces completely covered by the gingival tissue.
2. Teeth with hypoplastic defects, restorations, or sealants.
Minimum Eligible Age

5 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hue University of Medicine and Pharmacy

OTHER

Sponsor Role lead

Responsible Party

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Le Van Nhat Thang

DDS, PhD, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Van Nhat Thang Le, DDS, PhD

Role: PRINCIPAL_INVESTIGATOR

Hue University of Medicine and Pharmacy

Locations

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Hue University of Medicine and Pharmacy

Huế, Thừa Thiên Huế Province, Vietnam

Site Status

Phu Vang Hospital

Phú Vang, Thừa Thiên Huế Province, Vietnam

Site Status

Countries

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Vietnam

Other Identifiers

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H2023/012

Identifier Type: -

Identifier Source: org_study_id

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