Impact of Dietary Advice on the Progression of Tooth Wear (DAI)
Studieöversikt
Detaljerad beskrivning
A sample size of 60 patients will be recruited separately from an epidemiology study and written informed consent will be obtained. Patients presenting with moderate to severe tooth wear will be recruited. Those with a Basic Erosive Wear Examination (BEWE) cumulative score greater than or equal to 8 but with at least one score of 3 on the occlusal surfaces of the lower molars or the incisal edge of the upper central incisor. After randomisation, an impression will be taken of the upper and lower teeth using a silicone material. One group will receive one-to-one dietary advice (with dietary information sheets) as the intervention and the other group will not receive any intervention. The silicone impressions will be repeated 6 months later. Impressions will be cast in stone and the occlusal surfaces of the upper or lower molars and the buccal surface of the upper central and lateral incisors will be scanned to monitor tooth wear progression. The two scans of the involved teeth will be superimposed and the level of tooth wear over that time will be calculated.
The investigators aim to see if giving detailed dietary advice will result in less erosive tooth wear.
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
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London, Storbritannien, SE1 9RT
- Dental Institute, Guy's Hospital
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Severe tooth wear with a BEWE score of 3 on the occlusal surface of the first lower molars or incisal/buccal surface of the upper central incisor.
- This wear will be as a result of a high acid diet i.e. as at least two dietary acidic challenges a day.
- Adult 25-70 years old.
- Minimum of at least 10 occluding tooth pairs (i.e. at least 10 upper teeth which bite against 10 lower teeth) - including the opposing upper molars and lower incisors
- No anterior crowns/ bridges or implants opposing the lower molars or upper incisors
- Written consent to the study
Exclusion Criteria:
- Pregnancy or breast feeding
- Medical history likely to impact on attendance or mobility
- Presence of periodontal disease or caries on more than one tooth. BPE score of 2 or above.
- Unable to speak or understand English
- Saliva diagnoses (xerostomia- dry mouth)
- Orthodontic appliances
- Severe dentine hypersensitivity
- Restoration of the occlusal or incisal surfaces of upper anterior teeth and first molars.
- Have factors which could contraindicate their participation, such as any condition requiring the need for antibiotic premedication prior to a dental treatment, a condition requiring the need for long-term antibiotic use, blood thinning medications that prohibit the safe conduct of a dental cleaning or previous use of the weight loss medications.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Förebyggande
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: Receive detailed dietary advice
Half of the participants will be randomly allocated to receive detailed dietary advice
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Detailed dietary advice and planning, complete with dietary information sheets which were developed with a dietitian and a dental psychologist
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Inget ingripande: Receive standard of care dietary advice
These patients will receive dietary advice which is the current standard of care
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Loss of tooth height
Tidsram: 6 months
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Models of the teeth taken at 6 month epochs will be scanned using a laser profilometer and superimposed to detect accurately the loss of tooth height that has occurred during the study
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6 months
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Samarbetspartners och utredare
Sponsor
Samarbetspartners
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- RJ114/N306
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