Clinical Evaluation of Remineralizing Potential of Remineralizing Agents on WSLs Managment

NCT ID: NCT07111403

Last Updated: 2025-08-13

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

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-10

Study Completion Date

2026-09-17

Brief Summary

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To evaluate and compare the clinical effect of four different remineralizing agents on initial enamel caries after a two years follow up.

Detailed Description

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The experimental design description adhered to the guidelines provided by the Consolidated Standards of Reporting Trials (CONSORT) statement. The present study is planned as a double-blinded randomized clinical trial, ensuring that both the patients and the examiner are unaware of the treatment allocation. The trial will follow a parallel-arm design.A young- age patients , who are seeking dental treatment, will be enrolled in the study. The participants will be recruited from the Operative Department clinic at the Facultyof Dentistry, University of Mansoura. The study will focus on initial enamel caries on buccal or labial surfaces of permenant teeth.rior to participating in the study, each patient will be required to provide informed consent by signing a consent form. The study is scheduled to be conducted from September 2024 to September 2026. The form and protocol of the study will be approved by Mansoura University's ethics committee before initiation.Sample size calculation was based on mean NYVAD scores between studied groups retrieved from previous research that most similar to our research using G power program version 3.1.9.7 to calculate sample size based on expected difference of 31% ,using 2-tailed test , α error =0.05 and power = 80.0% , the total calculated sample size will be at least 30 in each group with each patient having at least one active lesion.

Conditions

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Initial Dental Caries White Spot Lesion of Tooth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants in each group received one remineralizing material according to manufacture's instructions or previous studies' recommendations after tooth isolation.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Double (Participant, Investigator) Double (Participant, Investigator)

Study Groups

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SAP fluoride plus

Participants in this group received P11-4 (Curodont Repair™, Biomedical products for tooth preservation) only at baseline. First, the tooth was completely isolated using rubber dam followed by cleaning of the tooth surface with sodium hypochlorite 2% for 20 s, acid etching with phosphoric acid gel 35-37% for 20 s, rinsing and drying.

Group Type ACTIVE_COMPARATOR

SAP fluoride plus

Intervention Type PROCEDURE

The agent was applied by removing the safety clip, activating the applicator and squeezing out the sponge above the lesion and the solution was left to diffuse for 5 min.the patients were instructed to eat only soft foods and avoid hot liquids for two hours. Also, they were educated and motivated about the importance of oral hygiene.

10% n-HAp

A Low-speed handpiece was used to clean the tooth surface with fluoride-free pumice (Pumice powder extra fine, SSWhite, Rio de Janeiro, Brazil) after tooth isolation, rinsing, and drying. after that the material was applied

Group Type ACTIVE_COMPARATOR

10% n-HAp.

Intervention Type PROCEDURE

the pastes were applied using micro brushes. The excess was removed after four minutes with a cotton swab. The subjects were advised not to drink or eat for 30 minutes after the treatment. The treatment was applied once every week for a period of four weeks.they instructed to adhere to oral hygiene measures.

10% n-BAG.

A Low-speed handpiece was used to clean the tooth surface with fluoride-free pumice (Pumice powder extra fine, SSWhite, Rio de Janeiro, Brazil) after tooth isolation, rinsing, and drying. after that the material was applied

Group Type ACTIVE_COMPARATOR

10% n-BAG.

Intervention Type PROCEDURE

the pastes were applied using micro brushes. The excess was removed after four minutes with a cotton swab. The subjects were advised not to drink or eat for 30 minutes after the treatment. The treatment was applied once every week for a period of four weeks. patients instructed to adhere to oral hygiene measures.

Flour Protector S

The teeth were dried and a very thin coat of the varnish was applied and allowed to dry for 20 s.

Group Type ACTIVE_COMPARATOR

Flour Protector S

Intervention Type PROCEDURE

After application of varnish, the patient was instructed to avoid abrasive diet for the rest of the day and not brush or floss until the next morning. The treatment was done at baseline and after 6 months.

Interventions

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SAP fluoride plus

The agent was applied by removing the safety clip, activating the applicator and squeezing out the sponge above the lesion and the solution was left to diffuse for 5 min.the patients were instructed to eat only soft foods and avoid hot liquids for two hours. Also, they were educated and motivated about the importance of oral hygiene.

Intervention Type PROCEDURE

10% n-HAp.

the pastes were applied using micro brushes. The excess was removed after four minutes with a cotton swab. The subjects were advised not to drink or eat for 30 minutes after the treatment. The treatment was applied once every week for a period of four weeks.they instructed to adhere to oral hygiene measures.

Intervention Type PROCEDURE

10% n-BAG.

the pastes were applied using micro brushes. The excess was removed after four minutes with a cotton swab. The subjects were advised not to drink or eat for 30 minutes after the treatment. The treatment was applied once every week for a period of four weeks. patients instructed to adhere to oral hygiene measures.

Intervention Type PROCEDURE

Flour Protector S

After application of varnish, the patient was instructed to avoid abrasive diet for the rest of the day and not brush or floss until the next morning. The treatment was done at baseline and after 6 months.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Participants should have at least one visible initial enamel caries in the permanent teeth
* Only lesions with ICDAS II score of 1 or 2 could be included
* The patients must have good oral hygiene

Exclusion Criteria

* patients receiving tetracyclines, any other medication known to stain teeth - Patients had fluoride application less than 3 months before the study
* Teeth which have microcavities or dentinal involvement due to loss of enamel - Teeth that have discoloration, enamel hypoplasia or fluorosis.
Minimum Eligible Age

14 Years

Maximum Eligible Age

26 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mansoura University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tarek A Arisha, Ass Lecturer

Role: PRINCIPAL_INVESTIGATOR

Faculty of Dentistry, Mansoura University, Egypt

Locations

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Faculty of Dentistry, Mansoura University, Egypt

Al Mansurah, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Tarek A Arisha, Ass Lecturer

Role: CONTACT

01063912693

Facility Contacts

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Tarek A Arisha, Ass lecturer

Role: primary

01063912693

Other Identifiers

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A0108024CD

Identifier Type: -

Identifier Source: org_study_id

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