Enamel Caries in Orthodontic Patients
ECOP
1 other identifier
interventional
150
1 country
1
Brief Summary
This randomized double-blind two arm controlled clinical trials evaluates the hypothesis that the regular use of a tooth paste containing microcrystalline hydroxylapatite provides a caries preventive effect in caries-susceptible individuals undergoing orthodontic therapy with fixed appliances which is comparable to the caries preventive effect provided by the regular use of a fluoridated tooth paste.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2014
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2014
CompletedFirst Submitted
Initial submission to the registry
February 25, 2016
CompletedFirst Posted
Study publicly available on registry
March 10, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedMay 9, 2017
May 1, 2017
1.8 years
February 25, 2016
May 8, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of developing enamel caries lesions
Recording of newly developing enamel caries lesions according to the International Caries Detection and Assessment System (ICDAS)
168 days (24 weeks)
Secondary Outcomes (3)
Gingival Inflammation using the Gingival Index
168 days (24 weeks)
Plaque Coverage using the Plaque Index
168 days (24 weeks)
Mutans Streptococci Colonization
168 days (24 weeks)
Study Arms (2)
HA-Tooth Paste
EXPERIMENTALTooth Brushing HA Cleaning of all teeth using a standardized electric tooth brush and a non-fluoridated tooth paste containing microcrystalline hydroxylapatite twice daily over the duration of the study (24 weeks). Professional caries prevention by professional supragingival tooth cleaning and the subsequent application of a 1% chlorhexidine gel once every 4 weeks over the duration of the study (24 weeks).
FL-Tooth Paste
ACTIVE COMPARATORTooth Brushing FL Cleaning of all teeth using a standardized electric tooth brush and a fluoridated tooth paste twice daily over the duration of the study (24 weeks). Professional caries prevention by professional supragingival tooth cleaning and the subsequent application of a 1% chlorhexidine gel once every 4 weeks over the duration of the study (24 weeks).
Interventions
2x daily repeated cleaning of all teeth using a standardized electric tooth brush and a non-fluoridated tooth paste containing microcrystalline hydroxylapatite. Professional supragingival tooth cleaning once every 4 weeks with a rubber cup followed by the application of a 1% chlorhexidine gel over the duration of the study (24 weeks).
2x daily repeated cleaning of all teeth using a standardized electric tooth brush and a fluoridated tooth paste. Professional supragingival tooth cleaning once every 4 weeks with a rubber cup followed by the application of a 1% chlorhexidine gel over the duration of the study (24 weeks).
Eligibility Criteria
You may qualify if:
- Healthy juveniles and young adults with caries-promoting mutans streptococci colonization seeking orthodontic therapy with fixed orthodontic appliances
You may not qualify if:
- Oral ulcers
- Caries lesions on the buccal aspects of teeth 15-25
- Unrestored caries on any tooth
- Regular use of medications interfering with salivary flow and/or gingival inflammation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Wuerzburg University Hospitallead
- University Hospital Regensburgcollaborator
- University Hospital Munichcollaborator
- University Hospital Dresdencollaborator
- Goethe Universitycollaborator
Study Sites (1)
Dept. of Periodontology, University Hospital Wuerzburg
Würzburg, 97070, Germany
Related Publications (1)
Schlagenhauf U, Kunzelmann KH, Hannig C, May TW, Hosl H, Gratza M, Viergutz G, Nazet M, Schamberger S, Proff P. Impact of a non-fluoridated microcrystalline hydroxyapatite dentifrice on enamel caries progression in highly caries-susceptible orthodontic patients: A randomized, controlled 6-month trial. J Investig Clin Dent. 2019 May;10(2):e12399. doi: 10.1111/jicd.12399. Epub 2019 Jan 30.
PMID: 30701704DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ulrich Schlagenhauf, Prof. Dr.
Wuerzburg University Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chairman Dept. of Periodontology
Study Record Dates
First Submitted
February 25, 2016
First Posted
March 10, 2016
Study Start
October 1, 2014
Primary Completion
August 1, 2016
Study Completion
December 1, 2016
Last Updated
May 9, 2017
Record last verified: 2017-05