Diagnostic Performance and Children's Acceptance of Near-Infrared Light Transillumination and Bitewing Radiographs for Detecting Proximal Cavitation in Primary Molars of Patients Aged 4 to 10 Years

NCT ID: NCT07041164

Last Updated: 2025-09-29

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Total Enrollment

174 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-08-01

Study Completion Date

2026-04-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The goal of this observational study is to compare the diagnostic performance of three detection methods for approximal carious lesions in primary molars among pediatric patients aged 4-10 years. The study focuses on children in three age groups: 4-6 years, 6-8 years, and 8-10 years. The main questions it aims to answer are:

* Are the sensitivity, specificity, accuracy, and area under the curve (AUC) different across the three diagnostic techniques (bitewing radiography, near-infrared light transillumination, and their combination)?
* Are these diagnostic parameters influenced by patient age?
* Which technique yields the highest level of patient acceptance?

Researchers will compare the three diagnostic approaches to determine whether age influences diagnostic performance and patient acceptance.

Participants will:

* Be examined using bitewing radiography and near-infrared light transillumination
* Undergo tooth separation for 7 days using orthodontic elastic separators
* Receive clinical examination of the target approximal surface
* Be asked to rate their experience using the Simplified Facial Pain Scale (S-FPS)

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

* 58 carious lesions classified as RA2 and RA3 according to the ICDAS II criteria from three groups of 4-6 years, 6-8 years, and 8-10 years pediatric patients will be examined by near-infrared light transillumination
* The patient acceptance towards bitewing radiograph and near-infrared light transillumination will be evulated by Simplified Facial Pain Scale (S-FPS)
* Diagnostic performance will be assessed by calculating sensitivity, specificity, accuracy, and the area under the curve (AUC)
* The diagnostic efficacy of the caries detection methods will be analyzed using repeated measures ANOVA, and patient acceptance will be assessed using the Chi-square test, with statistical significance set at p \< 0.05 and a 95% confidence level.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Dental Caries (Diagnosis) Diagnostic Imaging Optical Imaging Radiographic Image Interpretation, Computer-Assisted Proximal Dental Caries Tooth, Deciduous

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

4-6 years old

Bitewing radiograph

Intervention Type DIAGNOSTIC_TEST

Digital radiograph, proximal caries, initial caries

Near-infrared light transillumination

Intervention Type DIAGNOSTIC_TEST

DIAGNOcam, proximal caries, initial caries

6-8 years old

Bitewing radiograph

Intervention Type DIAGNOSTIC_TEST

Digital radiograph, proximal caries, initial caries

Near-infrared light transillumination

Intervention Type DIAGNOSTIC_TEST

DIAGNOcam, proximal caries, initial caries

8-10 years old

Bitewing radiograph

Intervention Type DIAGNOSTIC_TEST

Digital radiograph, proximal caries, initial caries

Near-infrared light transillumination

Intervention Type DIAGNOSTIC_TEST

DIAGNOcam, proximal caries, initial caries

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Bitewing radiograph

Digital radiograph, proximal caries, initial caries

Intervention Type DIAGNOSTIC_TEST

Near-infrared light transillumination

DIAGNOcam, proximal caries, initial caries

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Healthy Children aged 4-10 years
* Low risk for periodontal disease
* At least one quadrant contains fully erupted, well-aligned adjacent primary molars that are free of restorations, exhibit no clinically visible cavitated caries, demonstrate tooth mobility of grade 2 or less, show no developmental dental anomalies
* Bitewing radiographs show at least one radiolucent lesion in the proximal surface of a primary molar classified as RA2 or RA3 according to the ICDAS II radiographic criteria

Exclusion Criteria

* Root resorption exceeding two-thirds of the root length
* Demonstrate Frankl's behavior rating scale of 1 during either near-infrared light transillumination examination or tooth separation
Minimum Eligible Age

4 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Mahidol University

OTHER

Sponsor Role collaborator

Sawanya Prutthithaworn

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Sawanya Prutthithaworn

Dr

Responsibility Role SPONSOR_INVESTIGATOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Dental Hospital, Faculty of Dentistry, Mahidol University (Phayathai Campus)

Bangkok, , Thailand

Site Status NOT_YET_RECRUITING

Dental Hospital, Faculty of Dentistry, Mahidol University (Phayathai Campus)

Bangkok, , Thailand

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Thailand

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Sawanya Prutthithaworn, Ph.D. (Dental biomaterials)

Role: CONTACT

+6622007821 ext. 25

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Yuwadee Asavanund, Cert. in Pediatric Dentistry

Role: primary

+6622007821

Apiwan Smutkeeree, M.Clin.Dent

Role: backup

Yuwadee Asavanund, Cert. in Pediatric Dentistry

Role: primary

+6622007821

Apiwan Smutkeeree, M.Clin.Dent

Role: backup

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

MU-DT/PY-IRB 2025/025.0304

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.