- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05542667
Comparative Evaluation of Giomer Varnish vs Fluoride Varnish as Desensitizing Agents in Teeth With MIH
Comparative Evaluation of Giomer Varnish vs Fluoride Varnish as Desensitizing Agents Among a Group of Children With Molar Incisor Hypomineralization : A Controlled Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Interventions
The principal investigator will carry out all treatment procedures, and the patients will be assigned.
For both interventions:
- Informed consent from participating parents.
- Baseline records photographs and personal data collection .
- Allocation (concealed by withdrawing a sealed opaque envelope containing eight times folded paper containing the type of desensitizing agent that will be used then writing the patient name and I.D. on it and will be opened in the first visit of treatment).
- Diagnostic chart with personal, medical, and dental history will be filled.
- Evaluation of oral health-related quality of life as a baseline, using the Arabic version of the child perception questionnaire-8-10m indicated for children from age 8 to 10 years old, it consists of 25 questions related to oral symptoms (5 questions), functional limitations ( 5 questions), emotional wellbeing (5 questions) and social wellbeing ( 10 questions), responses are made on an ordinal scale ( 0 = never, 1 = once/twice, 2= sometimes, 3= often, 4= every day/ almost every day).
- Teeth will be cleaned with prophylaxis paste using a low-speed contra brush then teeth will be inspected using a dental mirror and reflected light of the dental unit and the teeth must be moist during the clinical examination to assess the clinical inclusion criteria according to European Academy of Pediatric Dentistry diagnostic criteria.
- Preoperative, intraoperative, and Postoperative photographs will be taken.
- Prior to initiation of the treatment, all included teeth will be evaluated for pain in response to an evaporative stimulus using the triple syringe, the air is directed perpendicular to teeth and held at approximately 2 mm for 3 seconds and children are informed to raise their hands or fingers when any discomfort is felt and then the pain is evaluated using the Wong-Baker faces rating scale and Schiff scale.
- Teeth also are evaluated to thermal stimulus, using an anesthetic carpule refrigerated at 4c for at least 24 hours and the carpule is to be placed in contact with the tooth for 1 to 5 seconds according to child response and pain is to be evaluated as with evaporative stimulus.
- Application of rubber dam for isolation.
- Prior to treatment, teeth received prophylaxis using pumice paste, cleaned using the triple water syringe, and dried.
Children will then be allocated into either one of the groups alternatively depending on the desensitizing agent used as follows:
Group I (Experimental group) Giomer varnish. Group II (Control group) Fluoride varnish.
Study Type
Enrollment (Estimated)
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Children :
- Patients aged between 8 and 10 years old with MIH affected teeth according to European Academy of Pediatric Dentistry diagnostic criteria (Lygidakis et al., 2022)
- Systemically healthy.
- Cooperative patients who will comply with follow-up visits.
Teeth:
- At least one first molar or one incisor erupted in the oral cavity exhibiting molar incisor hypomineralization.
Teeth representing molar incisor hypomineralization are sensitive.
-
Exclusion Criteria:
- • Children:
- Undergoing desensitizing treatments in the last 3 months
- Occlusal problems such as bruxism.
- Cognition problems.
- Who used any type of analgesics before treatment.
- Undergoing orthodontic treatment.
Teeth:
- Enamel defects as enamel hypoplasia, amelogenesis imperfecta, and dental fluorosis.
- Carious teeth.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Giomer varnish
PRG coat barrier by SHOFU is varnish based on a new technology named Giomer by incorporating pre-reacted glass ionomer particles, so varnish contains GI particles embedded in a resin matrix, it should be applied once per year since it is the only varnish in the market that is light cured so it is more durable than others.
|
|
Active Comparator: Fluoroide varnish
Bifluorid 10 by VOCO is a varnish containing 5% sodium fluoride and 5 % calcium fluoride, it should be applied once each 6 months by a professional dentist and it tends to decrease the hypersensitivity of the teeth as well as decrease the risk of caries.
|
After dryness and isolation are accomplished, fluoride varnish (Biflourid 10, by Voco ) single-use type, the foil in the single-use Bifluorid 10 will be pierced using Micro-Tim brush, then a thin layer of the varnish is to be applied using a micro brush for four sessions at a frequency of one session each week, the varnish will be left undisturbed for 10-20 seconds then air-dried according to manufacturer instructions.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Absence of pain to the evaporative stimulus
Time Frame: 1 month
|
will be measured using wong baker faces rating scale from 0 to 5 , 0 being the better outcome
|
1 month
|
Absence of pain to the evaporative stimulus
Time Frame: 1 month
|
will be measured using schiff scale from 0 to 3 , 0 being the better outcome
|
1 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Absence of pain to thermal stimulus
Time Frame: 1 month
|
will be measured using wong baker faces rating scale from 0 to 5 , 0 being the better outcome
|
1 month
|
Evaluation of oral health-related quality of life (OHRQoL)
Time Frame: 1 month
|
measured using the Arabic child perception questionnaire from age 8-10 years old , contains 25 questions and each answer is rating from 0 to 4 , 0 being the better outcome
|
1 month
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
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
Additional Relevant MeSH Terms
- Congenital Abnormalities
- Stomatognathic Diseases
- Tooth Diseases
- Stomatognathic System Abnormalities
- Tooth Abnormalities
- Dental Enamel Hypomineralization
- Developmental Defects of Enamel
- Dental Enamel Hypoplasia
- Molar Hypomineralization
- Physiological Effects of Drugs
- Protective Agents
- Cariostatic Agents
- Fluorides
- Fluorides, Topical
Other Study ID Numbers
- 8484 (Other Identifier: CTEP)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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