Effects of Different Remineralization Agents on Molar Incisor Hypomineralization Defects: a Randomized Clinical Study

NCT ID: NCT06362681

Last Updated: 2024-04-12

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

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-01

Study Completion Date

2026-03-30

Brief Summary

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The aim of this study was to present a comparative evaluation of the long-term efficacy of fluoride varnish( Flúor protector), Clinpro™ White Varnish and pastes containing CPP-ACP in the remineralization of creamy-white and yellow brown defects in incisors and permanent first molars with Molar Incisor Hypomineralization (MIH) in schoolchildren 6-12 years-old in Mexico.

Detailed Description

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The study included 208 teeth with yellow-brown or creamy-white defects in children aged 6-12 years who were newly diagnosed with MIH with no substance loss or caries or prior restorative treatment. The children will be randomly divided into the experiment groups: control (oral hygiene motivation only), fluoride varnish, clinpro white Varnish and pastes containing CPP-ACP and followed up for 24 months. The evaluations will be made based on the ICDAS criteria and the measurements which were performed using the laser fluorescence method (DIAGNOdent, KaVo, Biberach, Germany) in the follow-ups.

Conditions

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Molar Incisor Hypomineralization

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

The children will be randomly divided into the experiment groups: control (oral hygiene motivation only), fluoride varnish, clinpro white Varnish and pastes containing CPP-ACP and followed up for 24 months.
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
using a block randomization technique in which a computer-generated sequence would be used to assign each participant to a particular group in the allocation ratio of 1:1.

Study Groups

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Group I: control (oral hygiene motivation only),

Participants will be advised to brush their teeth and enamel surfaces three times a day with a 1000 ppm fluoride toothpaste (stabilized Tin Fluoride), for which a 75ml/102g tube will be provided to each participant each time. months to ensure compliance and uniformity.

Group Type NO_INTERVENTION

No interventions assigned to this group

Group II: fluoride varnish (Flúor Protector Ivoclar Vivadent)

The selected participants will have the fluoride varnish applied once a month for the 24 months of the study. The varnish will only be applied to the teeth and molars with HIM.

Group Type EXPERIMENTAL

Fluoride

Intervention Type OTHER

Application of remineralizing agents on teeth and molars with MIH during 24 months of follow-up.

Group III: fluoride varnish (Clinpro White Varnish 3M ESPE)

The selected participants will have the fluoride varnish applied once a month for the 24 months of the study. The varnish will only be applied to the teeth and molars with HIM.

Group Type EXPERIMENTAL

Fluoride

Intervention Type OTHER

Application of remineralizing agents on teeth and molars with MIH during 24 months of follow-up.

Group IV: CPP-ACP

Participants will make a single daily application of 0.3 g of CPP-ACP cream (GC America, MI Paste™ Recaldent®) on the enamel surface. This will be done for 24 months, at night, to maintain prolonged contact of this agent with the surface of the tooth. The night time schedule is chosen because the longer the time in which both CPP-ACP and saliva are kept in the mouth, the more effective the result will be. A measuring spoon will be given to each participant to ensure standardized delivery of 0.3 g of CPP-ACP to each participant's enamel surface.

Group Type EXPERIMENTAL

Fluoride

Intervention Type OTHER

Application of remineralizing agents on teeth and molars with MIH during 24 months of follow-up.

Interventions

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Fluoride

Application of remineralizing agents on teeth and molars with MIH during 24 months of follow-up.

Intervention Type OTHER

Other Intervention Names

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Casein phosphopeptide-amorphous calcium phosphate Fluor protector Clinpro White Varnish

Eligibility Criteria

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Inclusion Criteria

* Children between 6 to 12 years
* They live in the selected study area
* Have at least one permanent incisor or molar with mild or moderate MIH (creamy white and/or yellow or brown opacities)
* That their parents authorize participation in the study through informed consent.
* No proven or suspected allergy and/or sensitivity to milk protein, as it is a component of the CPP-ACP product.

Exclusion Criteria

* Defects in enamel development related to syndromes, dental fluorosis, amelogenesis imperfecta, dentinogenesis imperfecta.
* Presence of orthodontic appliances.
* Teeth with MIH with restorations, or severe MIH (affected enamel develops post-eruptive enamel breakdown), or carious lesions classified as score \>0 according to the ICDAS.
* Children who do not show cooperation in the use of remineralizing agents.
Minimum Eligible Age

6 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad Nacional Autonoma de Mexico

OTHER

Sponsor Role lead

Responsible Party

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Alvaro García Perez

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alvaro Garcia Pérez, PhD

Role: PRINCIPAL_INVESTIGATOR

Universidad Nacional Autonoma de Mexico

Locations

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Alvaro Garcia Pérez

San Pedro Apatlaco, Morelos, Mexico

Site Status RECRUITING

Countries

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Mexico

Central Contacts

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Alvaro Garcia Pérez, PhD

Role: CONTACT

+525525351374

Other Identifiers

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CF-2023-I-13

Identifier Type: -

Identifier Source: org_study_id

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