- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT05034705
A Randomised Controlled Clinical Trial on the Use of a Dental Aerosol Box to Prevent Microbial Transmission During Dental Procedure
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
A closed operation room, with the facility to fumigate the room is chosen for all treatment procedures. Patients would be treated with time separations that would be reasonable to prevent microbial detection of the previous patient.
Sample size calculated based on Sadun et al (2020) to compare two groups would require 15 subjects per group for a 90% power and 0.05 significance.
Inclusion criteria: BPE 2 on at least 2 quadrants. Exclusion criteria: Smoker and systemic disease.
Patients will be randomised using randomiser.org. The list will be placed in a sealed envelop by an individual not involved in subject recruitment. Patient grouping will be determined after recruitment and consent. The envelop will be opened and patient allocated to the group.
Interventional group:
- Conventional suction (control)
- Dental aerosol box with modified high-volume evacuation system (interventional)
The procedure will involve scaling of two quadrants, where data collection of the microbes will be taken.
Before each appointment, at the start of study all operatory surfaces were cleaned and disinfected with Ethyl alcohol (70%). Between each treatment and at start of treatment, ultrasonic scaler units will be flushed with water for 2 minutes. Use of 0.5% Sodium Hypochlorite will be done for flushing the tubing of dental chair waterline and the same solution would be allowed to stay in tubing for 10 minutes followed by water flushing to remove the unwanted biofilm from the tubing surfaces. This procedure would be done at the end of each treatment.
Then operatory will fumigated at the end of all procedures to allow the room to be free of aerosol before it is allowed for use for the subsequent subject. Dental unit would use distilled water in self-contained system, for the study.
i) Primary outcome: microbial colony forming unit Passive sampling will be conducted to assess the index of microbial air contamination as described in other studies (Pasquarella C, et al 2000, Napoli C, et al 2012, Saha R, et al 2017). The method quantifies the microbial flow directly related to the contamination of surfaces coming from microbes that reach critical points by falling on to them. The index of microbial air contamination is based on the count of the microbial fallout on to Petri dishes left open to the air according to the 1/1/1 scheme (for 1h, 1m from the floor, at least 1m away from walls or any obstacle). This index corresponds to the values of CFU calculated from the culture plates of 9 cm diameter. Sealed petri dishes will be transported to where the procedures will be done. Gravity settle plates using tryptic soy agar in 9cm Petri dishes will be used to assess the colony count for passive sampling. The index of microbial air contamination will be assessed at rest (in the early morning before the beginning of dental procedures) and in operational of procedures (during procedures) to determine changes in bacterial count due to dental treatment. Five resting and five in operational samples will be taken from each room. Plates will be incubated overnight at 37°C and colony counts will be documented.
ii) Secondary outcome: patient acceptance Patient will complete a self-administered questionnaire to determine their acceptance over the experience to undergo the scaling procedure.
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
Wilayah Persekutuan
-
Kuala Lumpur, Wilayah Persekutuan, Malaysia, 50603
- Faculty of Dentistry, University of Malaya
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- BPE score of 2
Exclusion Criteria:
- BPE score of 1, 3 or 4
- Smoker
- Systemic disease
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Förebyggande
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Aktiv komparator: Active comparator: Conventional suction system
This is the conventional method of using the dental high volume suction to contain the aerosol generated during dental procedure.
The saliva ejector will also be used.
|
This is the conventional method of using the dental high volume suction to contain the aerosol generated during dental procedure.
The saliva ejector will also be used.
|
Experimentell: Experimental: Dental aerosol box with modified high volume evacuation system
The dental aerosol box will be equipped with an exit for the high volume suction to be attached to contain the aerosol generated during dental procedure.
The saliva ejector will also be used.
|
The dental aerosol box will be equipped with an exit for the high volume suction to be attached to contain the aerosol generated during dental procedure.
The saliva ejector will also be used.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Total bacterial count
Tidsram: 30 mins
|
The index of microbial air contamination is based on the count of the microbial fallout on to Petri dishes left open to the air according to the 1/1/1 scheme (for 1h, 1m from the floor, at least 1m away from walls or any obstacle).
This index corresponds to the values of CFU calculated from the culture plates of 9 cm diameter.
The index of microbial air contamination will be assessed at rest (before the beginning of dental procedures) and in operational of procedures (during procedures) to determine changes in bacterial count due to dental treatment.
|
30 mins
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Patient acceptance of dental procedure
Tidsram: 1 treatment session, which is about 30 mins
|
The patient will be given a questionnaire after the treatment to assess their acceptance over the treatment procedure i.e. having scaling procedure by the method (control or interventional).
The perception will assessed using Likert scale.
|
1 treatment session, which is about 30 mins
|
Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- CSRG001-2020ST
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
Läkemedels- och apparatinformation, studiedokument
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