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Reminerlization Potential of GSE Gel versusCPP-ACP in Carious White Spot Lesions in Post Orthodontic Patients

Primary Purpose

Dental Caries

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Grape seeds extract
Casein-phosphopeptide/amorphous-calcium phosphate
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dental Caries

Eligibility Criteria

13 Years - 35 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Presence of at least two WSLs on the labial surfaces of six maxillary anterior teeth that were not present before orthodontic therapy.

Exclusion Criteria:

  • Severe or active periodontal disease.
  • Patients had received therapeutic irradiation to the head and neck region.
  • Patients had participated in a clinical trial within 6 months before commencement of this trial.
  • Patients unable to return for recall appointments
  • Presence of abnormal oral, medical, or mental condition (including any milk-related allergies or any medical condition involving kidneys or salivary glands).
  • Presence of restorations or cavities in any anterior teeth or enamel hypoplasia, dental fluorosis, or intrinsic and extrinsic pigmentation.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Grape seeds extract

    Casein-phosphopeptide/amorphous-calcium phosphate

    Arm Description

    Every week the grape seeds extract (gel) put into the tray and apply it to the upper teeth of the participant.

    CPP-ACP paste apply to the teeth twice daily.

    Outcomes

    Primary Outcome Measures

    Quantitative changes of white spot lesions
    changes in fluorescence of white spot lesions will be evaluated after reminerlization by using diagnodent device by score (0-20).

    Secondary Outcome Measures

    Full Information

    First Posted
    May 22, 2019
    Last Updated
    May 25, 2019
    Sponsor
    Cairo University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03966378
    Brief Title
    Reminerlization Potential of GSE Gel versusCPP-ACP in Carious White Spot Lesions in Post Orthodontic Patients
    Official Title
    Reminerlization Potential of Grape Seeds Extract Gel Versus Casein Phosphopeptide-amorphous Calcium Phosphate in Carious White Spot Lesions in Post Orthodontic Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2019
    Overall Recruitment Status
    Unknown status
    Study Start Date
    October 3, 2019 (Anticipated)
    Primary Completion Date
    April 6, 2020 (Anticipated)
    Study Completion Date
    May 10, 2020 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Cairo University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Assess the effectiveness of applying grape seed extract (GSE) gel versus casein phosphopeptide-amorphous calcium phosphate (MI) paste on remineralization of white spot lesion (WSLs) in post orthodontic patients.
    Detailed Description
    The development of WSLs is a challenging problem in the track of orthodontic treatment. Especially in patients wearing fixed orthodontic appliances, plaque accumulation increases around brackets and bands and the pH on dental surfaces becomes acidic. These early lesions are willing to remineralization, arrest, reharden and revert to healthy enamel condition through a remineralization process involving the diffusion of minerals into the defective tooth structure. For this purpose various remineralizing agents such as casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and grape seed extract (GSE) have been used. This research is conducted for early intervention and treatment of the white spot lesions by non-invasive method.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Dental Caries

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Outcomes Assessor
    Allocation
    Randomized
    Enrollment
    24 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Grape seeds extract
    Arm Type
    Experimental
    Arm Description
    Every week the grape seeds extract (gel) put into the tray and apply it to the upper teeth of the participant.
    Arm Title
    Casein-phosphopeptide/amorphous-calcium phosphate
    Arm Type
    Active Comparator
    Arm Description
    CPP-ACP paste apply to the teeth twice daily.
    Intervention Type
    Other
    Intervention Name(s)
    Grape seeds extract
    Intervention Description
    Grape seeds extract powder
    Intervention Type
    Other
    Intervention Name(s)
    Casein-phosphopeptide/amorphous-calcium phosphate
    Intervention Description
    CPP-ACP paste
    Primary Outcome Measure Information:
    Title
    Quantitative changes of white spot lesions
    Description
    changes in fluorescence of white spot lesions will be evaluated after reminerlization by using diagnodent device by score (0-20).
    Time Frame
    evaluation of tooth surface changes at baseline and at 4, 12, and 24 weeks after starting treatment .

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    13 Years
    Maximum Age & Unit of Time
    35 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Presence of at least two WSLs on the labial surfaces of six maxillary anterior teeth that were not present before orthodontic therapy. Exclusion Criteria: Severe or active periodontal disease. Patients had received therapeutic irradiation to the head and neck region. Patients had participated in a clinical trial within 6 months before commencement of this trial. Patients unable to return for recall appointments Presence of abnormal oral, medical, or mental condition (including any milk-related allergies or any medical condition involving kidneys or salivary glands). Presence of restorations or cavities in any anterior teeth or enamel hypoplasia, dental fluorosis, or intrinsic and extrinsic pigmentation.

    12. IPD Sharing Statement

    Learn more about this trial

    Reminerlization Potential of GSE Gel versusCPP-ACP in Carious White Spot Lesions in Post Orthodontic Patients

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