- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04757753
Root Canal Obturation With a Ready-to-use Root Canal Sealer (PA1704) Versus BioRoot™ RCS: a Randomized Controlled Trial (OPTIFILL)
Evaluation of the Efficacy Rate of Endodontic Treatment at 2 Years After Root Canal Filling With a Ready-to-use Root Canal Sealer PA1704 Versus BioRoot™ RCS: a Randomized Controlled Trial
The study design is a multicentric randomized controlled non-inferiority trial. 160 subjects (teeth) requiring a primary or a secondary root canal treatment will be enrolled in 2 groups (80 in each group). The aim of the study is to assess the efficacy rate and the safety 2 years after root canal obturation undertaken using a ready-to-use calcium silicate sealer (PA1704) compared to the control calcium silicate sealer BioRoot™ RCS.
Procedures of root canal treatment will be conventional and standardized for all investigational centers. The canals will be cleaned, shaped and then obturated using a calcium silicate sealer (the ready to use sealer PA1704 or BioRoot™ RCS) with a single cone technique or cold lateral condensation of gutta-percha. Follow-up assessments will be conducted at 6, 12 and 24 months in both groups. The performance and safety of the sealer PA1704 will also be evaluated at 3.5 and 5 years after surgery. Retroalveolar radiographs will be taken at each study visit. The preoperative, postoperative and follow-up clinical and radiographic data will be analyzed.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Bruxelles, Belgium, 1200
- Cliniques Universitaires Saint-Luc, Département de Médecine Dentaire et de Stomatologie
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Paris, France, 75019
- Centre de santé dentaire Flandre
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Rennes, France, 35000
- Cabinet dentaire
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Rouen, France, 76000
- Cabinet dentaire Jeanne d'Arc
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Saint-Grégoire, France, 35760
- Cabinet dentaire
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult male or female (age ≥ 18 years)
- Patient requiring a primary or a secondary root canal obturation on a single or multi-rooted tooth,
- Patient geographically stable who can be followed by the same investigator site for 2 years,
- Informed consent signed,
- Patient with social protection
Exclusion Criteria:
- Patient with one or more documented contraindication to endodontic treatment,
- Contraindication to the use of calcium silicate root canal sealer, such as an immature tooth or a known hypersensitivity to one component of the sealer formula,
- Endodontic treatment on tooth with calcified root canal assessed radiographically,
- Endodontic treatment on tooth with suspected perforation,
- Patient with an uncontrolled systemic disease such as diabetes or thyroid disorders, or with an immunocompromised condition or who has undergone radiation therapy to the jaw.
- Patient suffering from uncontrolled active periodontitis, not supported
- Participation to another interventional clinical study at the same time,
- Vulnerable subjects referred to in articles L.1121-5 to 8 and L.1122-1-2 of the Public Health Code and article 66 of Regulation (EU) 2017/745 on medical devices are excluded from the investigation (such as known pregnancy or lactation, patients with legal protection).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: ready-to-use root canal sealer: PA1704
PA1704 is used in combination with gutta percha points for the permanent obturation of root canals.
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The participant will be treated with the ready-to-use root canal sealer (PA1704) in combination with gutta percha.
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Other: root canal sealer: BioRoot™ RCS
BioRoot™ RCS is used in combination with gutta percha points for the permanent obturation of root canals.
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The participant will be treated with BioRoot™ RCS sealer in combination with gutta percha.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy rate of root canal obturation
Time Frame: 24 months post-treatment
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Efficacy rate of root canal obturation using clinical and radiological criteria.
The radiographic criterion will be assessed by blinded evaluators.
The efficacy rates will be compared between the 2 groups.
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24 months post-treatment
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Use of oral pain treatment
Time Frame: from the end of the root canal treatment (Day 0) to Day 7
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Patients reported the consumption of analgesic treatment in a diary.
The proportion of patients who took oral pain medication and the treatment categories will be compared between the 2 groups.
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from the end of the root canal treatment (Day 0) to Day 7
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Postoperative pain
Time Frame: from the end of the root canal treatment (Day 0) to Day 7.
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The pain is assessed by patients in a diary using a Visual Analogue Scale (VAS: 0-100 mm) at different times after endodontic treatment (at the end of the root canal obturation, 12h postoperative, 24h, Day 2, Day 3, Day 7).
The maximum pain felt will be compared between the 2 groups.
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from the end of the root canal treatment (Day 0) to Day 7.
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Efficacy rate of root canal obturation
Time Frame: 6-, 12-months, 3.5 and 5 years post-treatment
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Efficacy rate of root canal obturation using clinical and radiological criteria. The radiographic criterion will be assessed by blinded evaluators. The efficacy rates will be compared between the 2 groups at 6 and 12-months post-treatment. The efficacy rate after 3.5 and 5 years will measured only in the PA1704 group. |
6-, 12-months, 3.5 and 5 years post-treatment
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Radiological evaluation of the canal obturation
Time Frame: baseline, 6-, 12-, 24-months, 3.5 and 5 years post-treatment
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Radiological evaluation of the level of apical obturation and density
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baseline, 6-, 12-, 24-months, 3.5 and 5 years post-treatment
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Adverse events
Time Frame: from the end of the root canal treatment (Day 0) to 5 years
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Adverse events reported by patients on a diary from Day 0 to Day 7 and adverse events clinically observed by the dental surgeon at each follow-up visit will be used to assess the safety of root canal sealers and endodontic procedures
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from the end of the root canal treatment (Day 0) to 5 years
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Stéphane Simon, Pr, DDS, Cabinet dentaire Jeanne d'Arc - ROUEN (76000) - France
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
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
Other Study ID Numbers
- 20/001
- 2020-A01790-39-PP (Other Identifier: French National Agency of Medicines and Health products)
- CIV-BE-20-10-034945 (Other Identifier: Belgium Federal Agency for Medicines and Health products)
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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