- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04685889
Resin Infiltration Treatment for MIH
Clinical Evaluation of the Effect of Resin Infiltration Treatment on Hypomineralised Enamel Surfaces
Study Overview
Status
Intervention / Treatment
Detailed Description
A total of 116 permanent central teeth of 37 patients were included in the study. Icon® was applied to teeth with MIH, while the healthy teeth received no treatment (control).
Group I : Icon® resin infiltration treatment was performed on 58 permanent central teeth with MIH and evaluated before; immediately after; and 1, 3, and 6 months after the procedure.
Group II (Control Group): No treatment was performed on healthy teeth. However, similar to the treated teeth, 58 healthy permanent central teeth of the same individuals were evaluated before; immediately after; and 1, 3, and 6 months after the procedure.
Lesions were evaluated before, immediately after, and 1, 3, and 6 months after treatment. Mineralisation degree of MIH lesions was evaluated using DIAGNOdent Pen, changes in the lesion colour and lesion size were evaluated using VITA EasyShade and the cross polarization technique, respectively.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Tokat, Turkey, 60100
- Gaziosmanpasa University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Molar incisor hypomineralisation on the labial surface of permanent central teeth Least one of the labial surface of the permanent anterior teeth were affected by MIH.
Exclusion Criteria:
- Dental caries and filling on anterior teeth.
- Dental anomaly on anterior teeth.
- Undergoing orthodontic treatment.
- Periodontal diseases.
- Cognitive and behavioural problems.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Active Comparator: Icon Group
Icon® resin infiltration treatment was performed on 58 permanent central teeth with MIH and evaluated before; immediately after; and 1, 3, and 6 months after the procedure.
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A sufficient amount of HCl was applied to the lesion using the icon etch syringe included in the set and was allowed to sit for 2 minutes. After washing with water for 30 seconds, the tooth was dried using an air spray. Once the enamel surface appeared chalky, Icon® dry application was initiated. Ethanol was applied to the lesion using the Icon® dry syringe included in the set, and after 30 seconds it was dried using an air spray. Sufficient amount of resin infiltrant was applied to the lesion using the Icon® infiltrant syringe. The resin infiltrant was applied to the lesion surface by massaging with the tip of the syringe in circular movements for 3 minutes such that it penetrates the surface thoroughly. The resin infiltrant was polymerized for 40 seconds with a light device. |
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No Intervention: Control Group
No treatment was performed on healthy teeth.
However, similar to the treated teeth, 58 healthy permanent central teeth of the same individuals were evaluated before; immediately after; and 1, 3, and 6 months after the procedure.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Changes in the Mineralisation degree
Time Frame: Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later
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MIH lesions was evaluated using DIAGNOdent Pen (laser fluorescence)
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Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later
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Changes in the lesion colour
Time Frame: Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later
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Changes in the MIH lesions colour was evaluated using VITA EasyShade (Spectrophotometers are equipped with sensors that can measure in many wavelengths)
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Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later
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Lesion size evaluated using cross polarization technique
Time Frame: Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later
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Changes in the MIH lesions size was evaluated using cross polarization technique
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Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Halenur Altan, assoc. prof., Tokat Gaziosmanpasa University, Faculty of Dentistry, Department of Pediatric Dentistry
- Principal Investigator: Rabia Erağca Yılmaz, Msc. Dt., Tokat Gaziosmanpasa University, Faculty of Dentistry, Department of Pediatric Dentistry
Publications and helpful links
General Publications
- Weerheijm KL, Jalevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001 Sep-Oct;35(5):390-1. doi: 10.1159/000047479. No abstract available.
- Jeremias F, de Souza JF, Silva CM, Cordeiro Rde C, Zuanon AC, Santos-Pinto L. Dental caries experience and Molar-Incisor Hypomineralization. Acta Odontol Scand. 2013 May-Jul;71(3-4):870-6. doi: 10.3109/00016357.2012.734412. Epub 2013 Jan 28.
- Jalevik B, Noren JG. Enamel hypomineralization of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paediatr Dent. 2000 Dec;10(4):278-89. doi: 10.1046/j.1365-263x.2000.00210.x.
- Fearne J, Anderson P, Davis GR. 3D X-ray microscopic study of the extent of variations in enamel density in first permanent molars with idiopathic enamel hypomineralisation. Br Dent J. 2004 May 22;196(10):634-8; discussion 625. doi: 10.1038/sj.bdj.4811282.
- Dantas-Neta NB, Soares Figueiredo M, Lima CCB, Bendo CB, Matos de Andrade EM, Lima MDM, Pordeus IA, Paiva SM. Factors associated with molar-incisor hypomineralisation in schoolchildren aged 8-10 years: a case-control study. Int J Paediatr Dent. 2018 Nov;28(6):570-577. doi: 10.1111/ipd.12412. Epub 2018 Jul 17.
- Cho SY, Ki Y, Chu V. Molar incisor hypomineralization in Hong Kong Chinese children. Int J Paediatr Dent. 2008 Sep;18(5):348-52. doi: 10.1111/j.1365-263X.2008.00927.x. Epub 2008 Jul 10.
- Dietrich G, Sperling S, Hetzer G. Molar incisor hypomineralisation in a group of children and adolescents living in Dresden (Germany). Eur J Paediatr Dent. 2003 Sep;4(3):133-7.
- Heitmuller D, Thiering E, Hoffmann U, Heinrich J, Manton D, Kuhnisch J, Neumann C, Bauer CP, Heinrich-Weltzien R, Hickel R; GINIplus Study Group. Is there a positive relationship between molar incisor hypomineralisations and the presence of dental caries? Int J Paediatr Dent. 2013 Mar;23(2):116-24. doi: 10.1111/j.1365-263X.2012.01233.x. Epub 2012 Mar 2.
- Kuscu OO, Caglar E, Aslan S, Durmusoglu E, Karademir A, Sandalli N. The prevalence of molar incisor hypomineralization (MIH) in a group of children in a highly polluted urban region and a windfarm-green energy island. Int J Paediatr Dent. 2009 May;19(3):176-85. doi: 10.1111/j.1365-263X.2008.00945.x. Epub 2008 Nov 11.
- Soviero V, Haubek D, Trindade C, Da Matta T, Poulsen S. Prevalence and distribution of demarcated opacities and their sequelae in permanent 1st molars and incisors in 7 to 13-year-old Brazilian children. Acta Odontol Scand. 2009;67(3):170-5. doi: 10.1080/00016350902758607.
- Martos J, Gewehr A, Paim E. Aesthetic approach for anterior teeth with enamel hypoplasia. Contemp Clin Dent. 2012 Apr;3(Suppl 1):S82-5. doi: 10.4103/0976-237X.95112.
- Muniz RSC, Carvalho CN, Aranha ACC, Dias FMCS, Ferreira MC. Efficacy of low-level laser therapy associated with fluoride therapy for the desensitisation of molar-incisor hypomineralisation: Randomised clinical trial. Int J Paediatr Dent. 2020 May;30(3):323-333. doi: 10.1111/ipd.12602. Epub 2019 Dec 23.
- Meyer-Lueckel H, Paris S, Kielbassa AM. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res. 2007;41(3):223-30. doi: 10.1159/000099323.
- William V, Messer LB, Burrow MF. Molar incisor hypomineralization: review and recommendations for clinical management. Pediatr Dent. 2006 May-Jun;28(3):224-32.
- Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007 Jul;86(7):662-6. doi: 10.1177/154405910708600715.
- Zandona AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc. 2006 Dec;137(12):1675-84; quiz 1730. doi: 10.14219/jada.archive.2006.0113. Erratum In: J Am Dent Assoc. 2007 Mar;138(3):298.
- Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. J Dent Res. 2004;83 Spec No C:C80-3. doi: 10.1177/154405910408301s16.
- Robertson AJ, Toumba KJ. Cross-polarized photography in the study of enamel defects in dental paediatrics. J Audiov Media Med. 1999 Jun;22(2):63-70.
- Knosel M, Eckstein A, Helms HJ. Durability of esthetic improvement following Icon resin infiltration of multibracket-induced white spot lesions compared with no therapy over 6 months: a single-center, split-mouth, randomized clinical trial. Am J Orthod Dentofacial Orthop. 2013 Jul;144(1):86-96. doi: 10.1016/j.ajodo.2013.02.029.
- Farah RA, Drummond BK, Swain MV, Williams S. Relationship between laser fluorescence and enamel hypomineralisation. J Dent. 2008 Nov;36(11):915-21. doi: 10.1016/j.jdent.2008.07.012. Epub 2008 Sep 10.
- Johnston WM, Reisbick MH. Color and translucency changes during and after curing of esthetic restorative materials. Dent Mater. 1997 Mar;13(2):89-97. doi: 10.1016/s0109-5641(97)80017-6.
- Rocha Gomes Torres C, Borges AB, Torres LM, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. J Dent. 2011 Mar;39(3):202-7. doi: 10.1016/j.jdent.2010.12.004. Epub 2010 Dec 21.
- Yetkiner E, Wegehaupt F, Wiegand A, Attin R, Attin T. Colour improvement and stability of white spot lesions following infiltration, micro-abrasion, or fluoride treatments in vitro. Eur J Orthod. 2014 Oct;36(5):595-602. doi: 10.1093/ejo/cjt095. Epub 2014 Jan 2.
- Shivanna V, Shivakumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent. 2011 Oct;14(4):423-6. doi: 10.4103/0972-0707.87217.
- Ruyter IE, Nilner K, Moller B. Color stability of dental composite resin materials for crown and bridge veneers. Dent Mater. 1987 Oct;3(5):246-51. doi: 10.1016/S0109-5641(87)80081-7. No abstract available.
- Johnston WM, Kao EC. Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res. 1989 May;68(5):819-22. doi: 10.1177/00220345890680051301.
- Khanna R, Chandra A, Singh RK. Quantitative evaluation of masking effect of resin infiltration on developmental defects of enamel. Quintessence Int. 2020;51(6):448-455. doi: 10.3290/j.qi.a44493.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018/35
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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