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Efficacy of Proximal Caries Infiltration

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ClinicalTrials.gov Identifier: NCT01726179
Recruitment Status : Active, not recruiting
First Posted : November 14, 2012
Last Update Posted : September 29, 2016
Sponsor:
Collaborators:
Information provided by (Responsible Party):

Study Description
Brief Summary:
the goal of the project is to investigate the clinical efficacy of management of early caries lesions by resin infiltration and to further scrutinize the patient stress experiences.

Condition or disease Intervention/treatment
Dental Health Caries Device: Icon infiltration Device: control

Detailed Description:
The aim of this study is to test the clinical efficacy of caries infiltration to arrest proximal caries lesions in primary molars. It was hypothesized that infiltrated lesions (test lesions) will progress significantly less than non infiltrated lesions (control lesions). Additionally, it was hypothesized that dental anxiety and stress related to caries infiltration will be significantly less than dental anxiety related to a conventional restorative procedure. The study will be a controlled clinical trial with a split mouth design and blind evaluation of the outcome (caries progression). Caries progression will be evaluated annually, 12, 24, and 36 months after treatment.

Study Design

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 66 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Efficacy of Resin Infiltration of Proximal Caries Lesions in Primary Molars: Randomized Clinical Trial
Study Start Date : December 2012
Estimated Primary Completion Date : December 2016
Estimated Study Completion Date : August 2019
Arms and Interventions

Arm Intervention/treatment
Experimental: Icon infiltration
Icon infiltration regarding instructions for use
Device: Icon infiltration

Patients and their guardians will be instructed to use dental floss to remove dental biofilm in both proximal sites once a day and to brush teeth with fluorated toothpaste twice a day. Besides that, test lesion will be infiltrated with a low viscosity resin (Icon, DMG, Hamburg, Germany). The test lesions will be treated using Icon (DMG, Hamburg, Germany) following the instruction for use.

A sub-sample with children with indication for a composite restoration in at least one proximal surface will be selected for the analysis of dental anxiety and stress.

Active Comparator: control
conventional non invasive treatment
Device: control

Patients and their guardians will be instructed to use dental floss to remove dental biofilm in both proximal sites once a day and to brush teeth with fluoridated toothpaste twice a day.

A sub-sample with children with indication for a composite restoration in at least one proximal surface will be selected for the analysis of dental anxiety and stress.



Outcome Measures

Primary Outcome Measures :
  1. caries progression after infiltration [ Time Frame: 1 yr, 2 yrs, 3 yrs ]
    To test the efficacy of caries infiltration with a low viscosity resin (Infiltrant; DMG, Hamburg, Germany) in controlling the progression of non-cavitated proximal lesions in primary molars in comparison to conventional non invasive treatment (daily plaque control brushing with fluoride dentifrice and flossing).


Secondary Outcome Measures :
  1. stress reaction during treatment [ Time Frame: baseline ]
    To evaluate dental anxiety and stress reactions in relation to the caries infiltration procedure in comparison with a dental examination appointment and conventional resin restoration appointment.


Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   5 Years to 7 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • children with one tooth surface with active caries lesions
  • two primary molars with proximal lesion detected on the x-ray (scores 2 (E2) or 3 (D1) in Mejàre et al. scoring system with less depth
  • asigned informed consent.

Exclusion Criteria:

  • children who do not cooperate during dental appointments
  • primary molars supposed to exfoliate in less than two years
  • lesions showing obvious cavitation or clear sings of inactivity
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01726179


Locations
Brazil
Universidade do Estado do Rio de Janeiro, Faculdade de Odontologia.
Rio de Janeiro, Brazil, 20551-031
Sponsors and Collaborators
DMG Dental Material Gesellschaft mbH
Universidade Federal do Rio de Janeiro
Brazilian agency (FAPERJ); grant: FAPERJ-APQ1 E-26/110.273/2012
Investigators
Principal Investigator: Vera Mendes Soviero, Prof., Dr. Universidade do Estado do Rio de Janeiro, Faculdade de Odontologia. Boulevard 28 de Setembro, 157 Vila Isabel 20551-031 - Rio de Janeiro, RJ Brasil
More Information

Responsible Party: DMG Dental Material Gesellschaft mbH
ClinicalTrials.gov Identifier: NCT01726179     History of Changes
Other Study ID Numbers: ECIPRJ13
First Posted: November 14, 2012    Key Record Dates
Last Update Posted: September 29, 2016
Last Verified: September 2016

Keywords provided by DMG Dental Material Gesellschaft mbH:
caries infiltration
caries arrest
dental anxiety
dental stress