- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06348953
Bioactive Versus Non-Bioactive Restorative System in Deep Carious Molars
April 5, 2024 updated by: Ahmed Mahmoud Ahmed Mohammed, Cairo University
Outcome of Bioactive Versus Non-Bioactive System for Restoration of Deep Carious Molars Using Selective Caries Removal Technique: 18 Months Randomized Clinical Trial
This research study delves into the effectiveness of bioactive and non-bioactive restorative systems in deep carious permanent molars treated with selective caries removal.
Selective caries removal techniques aim to preserve as much healthy tooth structure as possible while effectively eliminating carious tissue.
The study investigates how the choice of restorative material influences the outcomes of selective caries removal procedures in deep carious lesions.
By assessing factors such as restoration integrity, pulpal response, and long-term success rates, the research seeks to provide evidence-based insights into the comparative performance of bioactive and non-bioactive restorative systems in this clinical context.
Study Overview
Status
Not yet recruiting
Conditions
Detailed Description
Deep carious lesions in permanent molars present a significant challenge in restorative dentistry.
Traditional approaches to caries removal often involve the removal of excessive healthy tooth structure, leading to weakened teeth and potential pulp exposure.
Selective caries removal techniques aim to preserve as much healthy tooth structure as possible while effectively eliminating carious tissue, offering a conservative alternative to traditional methods.
In recent years, bioactive restorative materials have emerged as promising alternatives to conventional non-bioactive materials.
Bioactive materials are designed to interact with the biological environment, promoting remineralization and potentially enhancing the longevity of restorations.
However, limited evidence exists comparing the efficacy of bioactive and non-bioactive restorative systems in deep carious lesions treated with selective caries removal.
This study is designed as a prospective, randomized controlled trial.
Patients presenting with deep carious lesions in permanent molars will be randomly allocated to receive either a bioactive or non-bioactive restorative system following selective caries removal.
Baseline demographic and clinical data will be recorded for each participant.
Clinical evaluations will be conducted at regular intervals over a follow-up period of months.
Outcome measures will include restoration integrity (e.g retention, marginal adaptation), pulpal response (e.g., sensitivity, vitality).
Study Type
Interventional
Enrollment (Estimated)
60
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- young adult patients (age: 18-40 years) of both genders.
- Able to tolerate necessary restorative procedures.
- Willing to sign the informed consent.
- Accepts the follow-up period.
- Posterior permanent tooth with occlusal proximal deep carious lesion.
- Radiographically (bitewing radiograph) extending to the inner 1/3 of dentine (D3) with a radiopaque layer between the carious lesion and the pulp chamber.
- Sensible teeth according to cold pulp test.
Exclusion criteria:
- Allergy to any restorative materials.
- Patients undergoing orthodontic treatment with fixed appliances.
- Pregnant women.
- Patients with debilitating systemic diseases
- Teeth with previous restorations.
- Spontaneous pain or prolonged pain (more than 15 s) after sensitivity test (cold test), which would indicate irreversible pulpitis.
- Negative sensibility tests, periapical radiolucencies and sensitivity to axial or lateral percussion.
- Mobile teeth, indicating periodontal disease or trauma.
- External or internal resorption.
- Cervical carious lesions.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Conventional non-bioactive restorative system (Comparator)
deep carious molars restored with conventional resin based restorative system
|
conventional dental restorative adhesive and resin based composite
|
Active Comparator: Bioactive system (Intervention)
deep carious molars restored with bioactive resin based restorative system
|
bioactive dental restorative resin based system
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Biological properties - Post Operative Hypersensitivity and Vitality-Success rate%-Scoring system:Ordinal1-5
Time Frame: 18 months
|
|
18 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Success or Failure
Time Frame: 18 months
|
Binary Outcome Success (Score 1,2&3) Failure (Score 4 &5)
|
18 months
|
Functional properties - fracture&retention-marginal adaptation-Radiographic Examination"when applicable"-Scoring system Ordinal 1-5
Time Frame: 18 months
|
|
18 months
|
Biological properties (Recurrence of caries (CAR), erosion, abfraction- Scoring system Ordinal 1-5)
Time Frame: 18 months
|
|
18 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
April 1, 2024
Primary Completion (Estimated)
November 1, 2025
Study Completion (Estimated)
November 1, 2025
Study Registration Dates
First Submitted
March 20, 2024
First Submitted That Met QC Criteria
March 29, 2024
First Posted (Actual)
April 5, 2024
Study Record Updates
Last Update Posted (Actual)
April 9, 2024
Last Update Submitted That Met QC Criteria
April 5, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Bioactive restorative system
Drug and device information, study documents
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.
Yes
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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