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Restoration Repairs Using Composite Resin Versus Glass Ionomer in Primary Molars: a Randomized Clinical Trial

Primary Purpose

Dental Caries, Dental Caries in Children

Status
Unknown status
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
Encapsulated Glass Ionomer Cement
Composite resin
Sponsored by
University of Sao Paulo
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dental Caries

Eligibility Criteria

3 Years - 10 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Children who have sought treatment in the School of Dentistry, University of Sao Paulo
  • Children between 3 and 10 years old
  • Children presenting at least one restoration (of any material, any surface and any integrity status) in primary teeth

Exclusion Criteria:

  • Children whose parents did not agree to participate in the study
  • Children with behavioural issues at the initial exam or who did not assent to participate in the study

Sites / Locations

  • University of São Paulo - School of Dentistry

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Encapsulated Glass Ionomer Cement

Composite resin

Arm Description

Repair of restorations in primary molars using a high viscosity glass ionomer cement (RIVA Self Cure - SDI)

Repair of restorations in primary molars using a composite resin (Filtek Bulk Fill- 3M ESPE)

Outcomes

Primary Outcome Measures

Clinical success of restorations after repair
Visual assessment using Frencken criteria for occlusal restoration and Roeleveld et al. criteria for occlusoproximal restorations

Secondary Outcome Measures

Cost- effectiveness of restorations repairs
To assess this outcome measure we will consider the percentage of patients needing new operatory interventions and costs will be assessed in monetary units (US dollars)
Patient's discomfort
Wong-Baker facial scale - from 0 to 5 (immediately after treatment)

Full Information

First Posted
June 15, 2020
Last Updated
April 12, 2021
Sponsor
University of Sao Paulo
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1. Study Identification

Unique Protocol Identification Number
NCT04491981
Brief Title
Restoration Repairs Using Composite Resin Versus Glass Ionomer in Primary Molars: a Randomized Clinical Trial
Official Title
Longevity of Restoration Repairs Using Composite Resin Versus High Viscosity Glass Ionomer in Primary Molars: Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Unknown status
Study Start Date
July 1, 2021 (Anticipated)
Primary Completion Date
August 1, 2022 (Anticipated)
Study Completion Date
August 1, 2023 (Anticipated)

3. Sponsor/Collaborators

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

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
The objective of this randomized clinical study is to evaluate the survival of repairs in restorations using composite resin (CR) or high viscosity glass ionomer cement (GIC) in primary molars. This trial is nested to another study (NCT03520309), so patients will be enrolled from CARDEC 3. 312 restorations will be included and randomized into two groups: glass ionomer cement (Riva Self Cure, SDI, Australia) and composite resin (Filtek Bulk Fill and Filtek Bulk Fill Flow, 3M ESPE, USA). After the end of treatments, patients will be followed for 24 months to assess the success of the restorations, which will be considered as the absence of the need for reintervention. The Kaplan-Meier survival curves and the log-rank tests will be performed to assess survival between groups and Cox regression analysis will be used to compare the outcome with the variables (α = 5%).
Detailed Description
Failed restorations in primary teeth will be repaired using GIC or composite resin.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
312 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Encapsulated Glass Ionomer Cement
Arm Type
Experimental
Arm Description
Repair of restorations in primary molars using a high viscosity glass ionomer cement (RIVA Self Cure - SDI)
Arm Title
Composite resin
Arm Type
Experimental
Arm Description
Repair of restorations in primary molars using a composite resin (Filtek Bulk Fill- 3M ESPE)
Intervention Type
Procedure
Intervention Name(s)
Encapsulated Glass Ionomer Cement
Intervention Description
Repair of restorations in primary molars using Encapsulated High Viscosity Glass Ionomer (RIVA Self Cure - SDI). No local anesthesia will be used. A portion of the former restoration and infected carious tissue can be removed if necessary, and then the restoration will be repaired with GIC (Glass Ionomer Cement).
Intervention Type
Procedure
Intervention Name(s)
Composite resin
Intervention Description
Repair of restorations in primary molars using composite resin (Filtek Bulk Fill- 3M ESPE.) No local anesthesia will be used.A portion of the former restoration and infected carious tissue can be removed if necessary, and then the restoration will be repaired with CR (composite resin).
Primary Outcome Measure Information:
Title
Clinical success of restorations after repair
Description
Visual assessment using Frencken criteria for occlusal restoration and Roeleveld et al. criteria for occlusoproximal restorations
Time Frame
24 months
Secondary Outcome Measure Information:
Title
Cost- effectiveness of restorations repairs
Description
To assess this outcome measure we will consider the percentage of patients needing new operatory interventions and costs will be assessed in monetary units (US dollars)
Time Frame
24 months
Title
Patient's discomfort
Description
Wong-Baker facial scale - from 0 to 5 (immediately after treatment)
Time Frame
baseline

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
10 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Children who have sought treatment in the School of Dentistry, University of Sao Paulo Children between 3 and 10 years old Children presenting at least one restoration (of any material, any surface and any integrity status) in primary teeth Exclusion Criteria: Children whose parents did not agree to participate in the study Children with behavioural issues at the initial exam or who did not assent to participate in the study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Daniela P Raggio
Phone
+5511976922202
Email
danielar@usp.br
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniela P Raggio
Organizational Affiliation
University of Sao Paulo
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of São Paulo - School of Dentistry
City
São Paulo
ZIP/Postal Code
05508-000
Country
Brazil
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Daniela P Raggio, Professor
Phone
+ 55 11 976922202
Email
danielar@usp.br

12. IPD Sharing Statement

Citations:
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Links:
URL
https://www.sealedenvelope.com/simple-randomiser/v1/
Description
Randomization website

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Restoration Repairs Using Composite Resin Versus Glass Ionomer in Primary Molars: a Randomized Clinical Trial

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