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Clinical Trial NuSmile Crowns

12 april 2022 uppdaterad av: Mariella Garcia, University of Washington

A Clinical Trial of NuSmile's Pre-Veneered Stainless Steel Crowns and NuSmile ZR Crowns Compared With Strip Composite Crowns in Anterior Primary Teeth -- Pilot Study

A clinical trial comparing two types of NuSmile anterior crowns to composite strip crowns on anterior dental restorations.

Studieöversikt

Detaljerad beskrivning

Stainless steel crowns have been the most common treatment for large cavities in baby teeth until recently. These crowns are silver in color, and aesthetically are not a good option for restoring front teeth. Several tooth colored options have been developed to meet the growing demand for more aesthetics on front teeth. With the variety of new options for restoring anterior primary teeth, the investigators would like to evaluate the long-term success of three tooth-colored restoration options: NuSmile Signature crowns, NuSmile ZR crowns, and composite crowns. The investigators are interested in looking at the outcomes of these three restoration types, in terms of durability, aesthetics and cost effectiveness for the treatment of front baby teeth. The purpose of this pilot study is to evaluate the clinical performance of two types of NuSmile crowns compared to composite crowns in treating large multi-surfaced cavities on front baby teeth.

Studietyp

Interventionell

Inskrivning (Faktisk)

97

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Washington
      • Seattle, Washington, Förenta staterna, 98115
        • University of Washington-The Center for Pediatric Dentistry

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

Inte äldre än 5 år (Barn)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Patients of record at the University of Washington's Center for Pediatric Dentistry
  • Patients in general good health (ASA I)
  • Patients aged 5 years old or younger
  • Patients in need of at least one preformed crowns, on anterior primary teeth
  • Patients undergoing general anesthesia for dental treatment
  • Parent or guardian of patient able and willing to provide informed consent

Exclusion Criteria:

  • Medically compromising condition
  • Teeth with proximal space closures of sufficient magnitude to preclude placement of crown
  • Teeth with complete absence of facial or lingual walls following tooth preparation
  • Teeth that are expected to be exfoliated/extracted within one year will not participate in the study
  • Anterior crowding
  • Occlusion class III

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Aktiv komparator: Nu Smile Zirconia crown
Anterior primary teeth which received a NuSmile zirconia crown as a final restoration
Placement of an anterior primary crown restoration
Aktiv komparator: Nu Smile pre veneered crown
Anterior primary teeth which received a NuSmile pre veneered crown as a final restoration
Placement of an anterior primary crown restoration
Aktiv komparator: Composite strip crown
Anterior primary teeth which received a composite strip crown as a final restoration
Placement of an anterior primary crown restoration

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Fitting
Tidsram: 12 months

The number of teeth scored in the crown fitting categories described below

Fitting 0 = Good natural retention

  1. Moderate natural retention
  2. Little or no natural retention

A higher score means a worse outcome

12 months
Positioning
Tidsram: 12 months

Change in the following clinical assessment measure between baseline and 12 months using the categories below

Positioning

0= Proper position

  1. Rotated - in occlusion
  2. Not in occlusion with or without rotation

A higher score means a worse outcome

12 months
Proximal Contact
Tidsram: 12 months

The number of teeth scored in the proximal contact categories as described below

Proximal contact 0= Open spaces

  1. Floss meets little or no resistance when passes through contact
  2. Floss meets significant when passes through contact

A higher score means a worse outcome

12 months
Marginal Adaptation
Tidsram: 12 months

The number of teeth scored in the marginal adaptation categories as described below

Marginal adaptation 0= No discrepancies detected with explorer

  1. Detectable discrepancies but clinically acceptable
  2. Detectable discrepancies, not acceptable -replacement required

A higher score means a worse outcome

12 months
Color
Tidsram: 12 months

The number of teeth scored in the color categories described below

Color matching

0= Matches completely or within range of shade and translucency

  1. Outside range for yellow, yellow/brown discoloration or gray discoloration
  2. Outside range for reason other than yellowing or graying

A higher score means a worse outcome

12 months
Gingival Status
Tidsram: 12 months

The number of teeth scored in the gingival status categories described below

Gingival status 0=Pink, firm, free of inflammation

  1. Red and/or inflamed - no bleeding on probing
  2. Spontaneous and excessive bleeding on probing

A higher score means a worse outcome

12 months
Retention of the Crown
Tidsram: 12 months

The number of teeth scored in the retention of the crown categories described below

Retention of the crown 0= Intact

1= Partially missing 2 = Missing - some cement remaining on both tooth and crown interior

A higher score means a worse outcome

12 months
Integrity of the Veneer/Composite
Tidsram: 12 months

The number of teeth scored in the integrity of the veneer/composite categories described below

Integrity of veneer/ composite 0= Intact

  1. Partially missing - one third missing
  2. Completely missing

A higher score means a worse outcome

12 months
Secondary Caries
Tidsram: 12 months

The number of teeth scored in the secondary caries categories described below

Secondary caries 0= Absent

1= Present

A higher score means a worse outcome

12 months
History of Trauma
Tidsram: 12 months

The number of teeth scored in the history of trauma categories described below

History of trauma 0= Absent

1= Present

A higher score means a worse outcome

12 months
Clinical Pulp Pathology
Tidsram: 12 months

The number of teeth scored in the clinical pulp pathology categories described below

Clinical pulp pathology 0= Absent

1= Present

A higher score means a worse outcome

12 months
Radiographical Pulp Pathology
Tidsram: 12 months

The number of teeth scored in the radiographical pulp pathology categories described below Radiographical pulp pathology 0= Absent

1= Present A higher score means a worse outcome A higher score means a worse outcome

12 months
Parent's Esthetic Satisfaction
Tidsram: 12 months

The number of teeth scored in the parent's esthetic satisfaction categories described below

Parents esthetic satisfaction via a survey 0=Satisfied

1= Dissatisfied

A higher score means a worse outcome

12 months

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Huvudutredare: Mariella Garcia, DDS, University of Washington

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

6 juni 2015

Primärt slutförande (Faktisk)

16 oktober 2018

Avslutad studie (Faktisk)

19 juli 2019

Studieregistreringsdatum

Först inskickad

1 juni 2021

Först inskickad som uppfyllde QC-kriterierna

13 juli 2021

Första postat (Faktisk)

23 juli 2021

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

9 maj 2022

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

12 april 2022

Senast verifierad

1 april 2022

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • STUDY00003980

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Ja

produkt tillverkad i och exporterad från U.S.A.

Nej

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