NCT04685889

Brief Summary

The investigators aimed to evaluate changes in mineralisation degree, colour, and size of the lesion after Icon® in permanent teeth with MIH in 6 months.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
34

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started May 2018

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 23, 2018

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 23, 2018

Completed
1.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 20, 2019

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

December 13, 2020

Completed
15 days until next milestone

First Posted

Study publicly available on registry

December 28, 2020

Completed
Last Updated

December 28, 2020

Status Verified

December 1, 2020

Enrollment Period

1 month

First QC Date

December 13, 2020

Last Update Submit

December 24, 2020

Conditions

Keywords

molar incisor hypomineralisationresin infiltrationdiscolorationenamellesion

Outcome Measures

Primary Outcomes (3)

  • Changes in the Mineralisation degree

    MIH lesions was evaluated using DIAGNOdent Pen (laser fluorescence)

    Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later

  • Changes in the lesion colour

    Changes in the MIH lesions colour was evaluated using VITA EasyShade (Spectrophotometers are equipped with sensors that can measure in many wavelengths)

    Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later

  • Lesion size evaluated using cross polarization technique

    Changes in the MIH lesions size was evaluated using cross polarization technique

    Baseline (before resin infiltration), immediately after resin infiltration, 1 month later, 3 months later, 6 months later

Study Arms (2)

Icon Group

ACTIVE COMPARATOR

Icon® resin infiltration treatment was performed on 58 permanent central teeth with MIH and evaluated before; immediately after; and 1, 3, and 6 months after the procedure.

Procedure: Resin infiltration

Control Group

NO INTERVENTION

No treatment was performed on healthy teeth. However, similar to the treated teeth, 58 healthy permanent central teeth of the same individuals were evaluated before; immediately after; and 1, 3, and 6 months after the procedure.

Interventions

A sufficient amount of HCl was applied to the lesion using the icon etch syringe included in the set and was allowed to sit for 2 minutes. After washing with water for 30 seconds, the tooth was dried using an air spray. Once the enamel surface appeared chalky, Icon® dry application was initiated. Ethanol was applied to the lesion using the Icon® dry syringe included in the set, and after 30 seconds it was dried using an air spray. Sufficient amount of resin infiltrant was applied to the lesion using the Icon® infiltrant syringe. The resin infiltrant was applied to the lesion surface by massaging with the tip of the syringe in circular movements for 3 minutes such that it penetrates the surface thoroughly. The resin infiltrant was polymerized for 40 seconds with a light device.

Icon Group

Eligibility Criteria

Age8 Years - 14 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Molar incisor hypomineralisation on the labial surface of permanent central teeth Least one of the labial surface of the permanent anterior teeth were affected by MIH.

You may not qualify if:

  • Dental caries and filling on anterior teeth.
  • Dental anomaly on anterior teeth.
  • Undergoing orthodontic treatment.
  • Periodontal diseases.
  • Cognitive and behavioural problems.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Gaziosmanpaşa University

Tokat Province, 60100, Turkey (Türkiye)

Location

Related Publications (28)

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    PMID: 11641576BACKGROUND
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    PMID: 23351220BACKGROUND
  • Jalevik B, Noren JG. Enamel hypomineralization of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paediatr Dent. 2000 Dec;10(4):278-89. doi: 10.1046/j.1365-263x.2000.00210.x.

    PMID: 11310241BACKGROUND
  • Fearne J, Anderson P, Davis GR. 3D X-ray microscopic study of the extent of variations in enamel density in first permanent molars with idiopathic enamel hypomineralisation. Br Dent J. 2004 May 22;196(10):634-8; discussion 625. doi: 10.1038/sj.bdj.4811282.

    PMID: 15153976BACKGROUND
  • Dantas-Neta NB, Soares Figueiredo M, Lima CCB, Bendo CB, Matos de Andrade EM, Lima MDM, Pordeus IA, Paiva SM. Factors associated with molar-incisor hypomineralisation in schoolchildren aged 8-10 years: a case-control study. Int J Paediatr Dent. 2018 Nov;28(6):570-577. doi: 10.1111/ipd.12412. Epub 2018 Jul 17.

    PMID: 30019508BACKGROUND
  • Cho SY, Ki Y, Chu V. Molar incisor hypomineralization in Hong Kong Chinese children. Int J Paediatr Dent. 2008 Sep;18(5):348-52. doi: 10.1111/j.1365-263X.2008.00927.x. Epub 2008 Jul 10.

    PMID: 18637048BACKGROUND
  • Dietrich G, Sperling S, Hetzer G. Molar incisor hypomineralisation in a group of children and adolescents living in Dresden (Germany). Eur J Paediatr Dent. 2003 Sep;4(3):133-7.

    PMID: 14529334BACKGROUND
  • Heitmuller D, Thiering E, Hoffmann U, Heinrich J, Manton D, Kuhnisch J, Neumann C, Bauer CP, Heinrich-Weltzien R, Hickel R; GINIplus Study Group. Is there a positive relationship between molar incisor hypomineralisations and the presence of dental caries? Int J Paediatr Dent. 2013 Mar;23(2):116-24. doi: 10.1111/j.1365-263X.2012.01233.x. Epub 2012 Mar 2.

    PMID: 22384801BACKGROUND
  • Kuscu OO, Caglar E, Aslan S, Durmusoglu E, Karademir A, Sandalli N. The prevalence of molar incisor hypomineralization (MIH) in a group of children in a highly polluted urban region and a windfarm-green energy island. Int J Paediatr Dent. 2009 May;19(3):176-85. doi: 10.1111/j.1365-263X.2008.00945.x. Epub 2008 Nov 11.

    PMID: 19016928BACKGROUND
  • Soviero V, Haubek D, Trindade C, Da Matta T, Poulsen S. Prevalence and distribution of demarcated opacities and their sequelae in permanent 1st molars and incisors in 7 to 13-year-old Brazilian children. Acta Odontol Scand. 2009;67(3):170-5. doi: 10.1080/00016350902758607.

    PMID: 19253064BACKGROUND
  • Martos J, Gewehr A, Paim E. Aesthetic approach for anterior teeth with enamel hypoplasia. Contemp Clin Dent. 2012 Apr;3(Suppl 1):S82-5. doi: 10.4103/0976-237X.95112.

    PMID: 22629075BACKGROUND
  • Muniz RSC, Carvalho CN, Aranha ACC, Dias FMCS, Ferreira MC. Efficacy of low-level laser therapy associated with fluoride therapy for the desensitisation of molar-incisor hypomineralisation: Randomised clinical trial. Int J Paediatr Dent. 2020 May;30(3):323-333. doi: 10.1111/ipd.12602. Epub 2019 Dec 23.

    PMID: 31808584BACKGROUND
  • Meyer-Lueckel H, Paris S, Kielbassa AM. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res. 2007;41(3):223-30. doi: 10.1159/000099323.

    PMID: 17426404BACKGROUND
  • William V, Messer LB, Burrow MF. Molar incisor hypomineralization: review and recommendations for clinical management. Pediatr Dent. 2006 May-Jun;28(3):224-32.

    PMID: 16805354BACKGROUND
  • Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007 Jul;86(7):662-6. doi: 10.1177/154405910708600715.

    PMID: 17586715BACKGROUND
  • Zandona AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc. 2006 Dec;137(12):1675-84; quiz 1730. doi: 10.14219/jada.archive.2006.0113.

    PMID: 17138712BACKGROUND
  • Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. J Dent Res. 2004;83 Spec No C:C80-3. doi: 10.1177/154405910408301s16.

    PMID: 15286128BACKGROUND
  • Robertson AJ, Toumba KJ. Cross-polarized photography in the study of enamel defects in dental paediatrics. J Audiov Media Med. 1999 Jun;22(2):63-70. doi: 10.1080/014051199102179.

    PMID: 10628000BACKGROUND
  • Knosel M, Eckstein A, Helms HJ. Durability of esthetic improvement following Icon resin infiltration of multibracket-induced white spot lesions compared with no therapy over 6 months: a single-center, split-mouth, randomized clinical trial. Am J Orthod Dentofacial Orthop. 2013 Jul;144(1):86-96. doi: 10.1016/j.ajodo.2013.02.029.

    PMID: 23810050BACKGROUND
  • Farah RA, Drummond BK, Swain MV, Williams S. Relationship between laser fluorescence and enamel hypomineralisation. J Dent. 2008 Nov;36(11):915-21. doi: 10.1016/j.jdent.2008.07.012. Epub 2008 Sep 10.

    PMID: 18786755BACKGROUND
  • Johnston WM, Reisbick MH. Color and translucency changes during and after curing of esthetic restorative materials. Dent Mater. 1997 Mar;13(2):89-97. doi: 10.1016/s0109-5641(97)80017-6.

    PMID: 9467310BACKGROUND
  • Rocha Gomes Torres C, Borges AB, Torres LM, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. J Dent. 2011 Mar;39(3):202-7. doi: 10.1016/j.jdent.2010.12.004. Epub 2010 Dec 21.

    PMID: 21172402BACKGROUND
  • Yetkiner E, Wegehaupt F, Wiegand A, Attin R, Attin T. Colour improvement and stability of white spot lesions following infiltration, micro-abrasion, or fluoride treatments in vitro. Eur J Orthod. 2014 Oct;36(5):595-602. doi: 10.1093/ejo/cjt095. Epub 2014 Jan 2.

    PMID: 24385411BACKGROUND
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    PMID: 22144817BACKGROUND
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    PMID: 3479360BACKGROUND
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    PMID: 2715476BACKGROUND
  • Khanna R, Chandra A, Singh RK. Quantitative evaluation of masking effect of resin infiltration on developmental defects of enamel. Quintessence Int. 2020;51(6):448-455. doi: 10.3290/j.qi.a44493.

    PMID: 32368763BACKGROUND
  • Altan H, Yilmaz RE. Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces. BMC Oral Health. 2023 Jul 3;23(1):444. doi: 10.1186/s12903-023-03140-6.

MeSH Terms

Conditions

Molar HypomineralizationDental Enamel Hypoplasia

Condition Hierarchy (Ancestors)

Dental Enamel HypomineralizationDevelopmental Defects of EnamelTooth AbnormalitiesStomatognathic System AbnormalitiesStomatognathic DiseasesTooth DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

  • Halenur Altan, assoc. prof.

    Tokat Gaziosmanpaşa University, Faculty of Dentistry, Department of Pediatric Dentistry

    STUDY DIRECTOR
  • Rabia Erağca Yılmaz, Msc. Dt.

    Tokat Gaziosmanpaşa University, Faculty of Dentistry, Department of Pediatric Dentistry

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associated professor

Study Record Dates

First Submitted

December 13, 2020

First Posted

December 28, 2020

Study Start

May 23, 2018

Primary Completion

June 23, 2018

Study Completion

December 20, 2019

Last Updated

December 28, 2020

Record last verified: 2020-12

Data Sharing

IPD Sharing
Will not share

Locations