36-Month Clinical Performance of Different Restorative Materials in the Treatment of Root Caries Lesions
Primary Purpose
Root Caries
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Spectrum TPH3
Riva LC
Sponsored by
About this trial
This is an interventional treatment trial for Root Caries focused on measuring micro hybrid resin composite, resin-modified glass ionomer, split-mouth randomized clinical trial
Eligibility Criteria
Inclusion Criteria:
- Root caries lesions (at least 1mm depth)
Exclusion Criteria:
- Complex medical history
- Poor dental hygiene/infrequent practise of oral hygiene habits
- Severe or chronic periodontitis
- Extreme carious activity
- Heavy bruxism
- Very deep (closer than 0.5 mm to the pulp) or superficial lesions (shallower than 1mm)
- Previously restored and abutment teeth for bridge or removable dental prostheses
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
Spectrum TPH3, tooth restoration
Riva LC, restorative material
Arm Description
Restoration with micro hybrid resin composite
Restoration with resin-modified glass ionomer cement
Outcomes
Primary Outcome Measures
Marginal adaptation 0 for at least 90% restorations (marginal adaption score)
The primary factor for determining the clinical performance of a restorative material is the marginal adaption score. It represents the survival rates of the restorations after a period of time. According to ADA guidelines, a restorative material should show at least 90% survival rate after 18. The retention scored as 0 (restoration appears to adapt closely to the surface of the tooth with no crevice formation), 1 (an explorer caught lightly when run in both directions, and there was visible evidence of early crevice formation), 2 (an explorer got caught in both directions and penetrated a marginal crevice), 3 (the crevice had sufficient depth to expose the dentin, required replacement) or 4 (The restoration was fractured or lost).
Clinical evaluation is performed to examine if the restorations are in place or fallen.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03722758
Brief Title
36-Month Clinical Performance of Different Restorative Materials in the Treatment of Root Caries Lesions
Official Title
Clinical Performance of a Micro-hybride Resin Based Composite in the Treatment of Cervical Caries Lesions: 36-month, Split-mouth, Randomized Clinical Trial
Study Type
Interventional
2. Study Status
Record Verification Date
July 2019
Overall Recruitment Status
Unknown status
Study Start Date
July 15, 2016 (Actual)
Primary Completion Date
July 15, 2018 (Actual)
Study Completion Date
November 15, 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hacettepe University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a split-mouth, randomized clinical study that evaluating the 36-month performance of different restorative materials in the treatment of root caries lesions. A total of 110 restorations were randomly placed, half using resin composite (Spectrum TPH3) and the other half using the resin-modified glass ionomer cement (Riva Light Cure). Restorations were evaluated at the baseline, 6, 12, 18,24 and 36 months according to the USPHS criteria.
Detailed Description
The aim of the study was to comparatively assess the 36-month clinical performance of a micro hybrid resin composite and resin-modified glass ionomer cement in root caries lesions.
Thirty-three patients with at least two root caries lesions participated in this study. A total of 110 restorations were randomly placed, half using resin composite (Spectrum TPH3) and the other half using the resin-modified glass ionomer cement (Riva Light Cure). Restorations were evaluated at the baseline, 6, 12, 18, 24 and 36 months. The data were analyzed with Pearson's Chi-square, Cochran's Q, Friedman tests and Logistic Regression Analysis (p=0.05).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Root Caries
Keywords
micro hybrid resin composite, resin-modified glass ionomer, split-mouth randomized clinical trial
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
33 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Spectrum TPH3, tooth restoration
Arm Type
Active Comparator
Arm Description
Restoration with micro hybrid resin composite
Arm Title
Riva LC, restorative material
Arm Type
Active Comparator
Arm Description
Restoration with resin-modified glass ionomer cement
Intervention Type
Device
Intervention Name(s)
Spectrum TPH3
Other Intervention Name(s)
resin composite
Intervention Description
tooth restoration with two different restorative materials
Intervention Type
Device
Intervention Name(s)
Riva LC
Other Intervention Name(s)
RMGİC
Intervention Description
tooth restoration with two different restorative materials
Primary Outcome Measure Information:
Title
Marginal adaptation 0 for at least 90% restorations (marginal adaption score)
Description
The primary factor for determining the clinical performance of a restorative material is the marginal adaption score. It represents the survival rates of the restorations after a period of time. According to ADA guidelines, a restorative material should show at least 90% survival rate after 18. The retention scored as 0 (restoration appears to adapt closely to the surface of the tooth with no crevice formation), 1 (an explorer caught lightly when run in both directions, and there was visible evidence of early crevice formation), 2 (an explorer got caught in both directions and penetrated a marginal crevice), 3 (the crevice had sufficient depth to expose the dentin, required replacement) or 4 (The restoration was fractured or lost).
Clinical evaluation is performed to examine if the restorations are in place or fallen.
Time Frame
24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Root caries lesions (at least 1mm depth)
Exclusion Criteria:
Complex medical history
Poor dental hygiene/infrequent practise of oral hygiene habits
Severe or chronic periodontitis
Extreme carious activity
Heavy bruxism
Very deep (closer than 0.5 mm to the pulp) or superficial lesions (shallower than 1mm)
Previously restored and abutment teeth for bridge or removable dental prostheses
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Uzay Koc-Vural
Organizational Affiliation
Hacettepe University
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
36-Month Clinical Performance of Different Restorative Materials in the Treatment of Root Caries Lesions
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