NCT04701294

Brief Summary

Objective: Determine which of the two sealants has better retention during the periods of 6, 9 and 12 months, one based on flowable resin with sprg or the other only based on flowable resin and we have the following hypothesis: the retention of the sealant based on a flowable resin with sprg is greater than a sealant based on a flowable resin in permanent first molars at different periods ". Materials and methods: 60 children from the school in the district of Pichanaki, Peru and aged 6 to 8 years were included in this study. The Split mouth design will be adopted, and 120 permanent first molars are designated.It will be applied on the upper / lower first molars with sealant material being the order assigned according to the previous randomization, for the intervention group they will be sealed based on flowable resin with sprg (giomer F03 beautifil-Shofu) in association with a bottle of adhesive (single bond) and on the contralateral side the upper / lower first molars will be sealed, the control group will be sealed with a flowable resin-based resin compound (Tetric N-Flow ivoclar vivadent) in association with a bottle of adhesive (Single Bond). Placement of materials on the right / left side of the mouth will be randomly assigned following block randomization procedures with a 1:1 allocation using the random block sizes of 4 and 8 (35).A computerized random number generator will be used. A total of 120 upper / lower molar teeth will be sealed with both materials (60 teeth for each material). The materials will be placed by the same operator according to the protocol of UNMSM for the sealing of pits and deep fissures; then, the interventional group will be compared after a 12-month follow-up with controls at 6, 9 and 12 months. The statistical analysis will be with SPSS software 20.0. Since all the data in this study will be categorical, nonparametric statistics will be used. Expected result: After the evaluation period it is expected to find significant differences in the retention of the sealant to flowable resin base with sprg (giomer F03 beautifil -Shofu) and sealant based on flowable resin (Tetric N- Flow ivoclar vivadent) using an adhesive system . Conclusion: Identify and quantify the retention of a sealant based on flowable resin with sprg (giomer F03 Beautifil -Shofu) and a sealant based on flowable resin (Tetric N-Flow ivoclar vivadent) using an adhesive system on 12 months.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2021

Geographic Reach
1 country

1 active site

Status
unknown

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

First Submitted

Initial submission to the registry

January 4, 2021

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 8, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

March 1, 2021

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2022

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2022

Completed
Last Updated

January 8, 2021

Status Verified

January 1, 2021

Enrollment Period

1.1 years

First QC Date

January 4, 2021

Last Update Submit

January 6, 2021

Conditions

Keywords

pit and fissure sealantglass ionomerresin

Outcome Measures

Primary Outcomes (1)

  • Retention of sealants

    Determine which of the two sealants has better retention during the period of 12 months, one based on flowable resin with sprg the other only based on flowable resin

    12 months

Secondary Outcomes (3)

  • Clinical preservation

    12 months

  • Survival curve

    12 months

  • Survival of the sealant

    12 months

Study Arms (2)

Giomer Beautifil flow plusF03 Shofu-Japan

EXPERIMENTAL

Giomer beautifil flow plusF03 shofu-Japan an application of flowable resin with sprg as a sealant for pits and fissures on the occlusal surface of permanent first molars until the end of the experiment.

Device: Giomer Beautifil flow plusF03 Shofu-Japan

Tetric N flow ivoclar vivadent-Germany

ACTIVE COMPARATOR

Tetric N flow ivoclar vivadent-Germany an application of flowable resin a sealant for pits and fissures on the occlusal surface of permanent first molars until the end of the comparator.

Device: Tetric N flow ivoclar vivadent-Germany

Interventions

A pair of permanent first molars will be used for each participant homologs The operator will apply in the upper / lower first molars the sealant material in the order assigned according to the previous randomization. For the intervention group, they will be sealed based on a fluid resin with s-prg glass ionomer filling (Giomer F03 Beautiful -Shofu) in association with a bottle of adhesive (Single Bond) . The evaluation and monitoring process; another operator will record the retention of the sealant in a period of 6, 9 and 12 months.

Also known as: Experimental
Giomer Beautifil flow plusF03 Shofu-Japan

And on the contralateral side (control) the first upper / lower molars will be sealed will be sealed with a fluid resin compound (Tetric N-Flow ivoclar vivadent) in association with a bottle of adhesive (Single Bond). Both materials have a similar color. The operator and the child will not be informed about the brand of the material used. The assistant will collect the data in the file. The evaluation and monitoring process; another operator will record the retention of the sealant in a period of 6, 9 and 12 months.

Also known as: Control
Tetric N flow ivoclar vivadent-Germany

Eligibility Criteria

Age6 Years - 8 Years
Sexmale
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Children whose parents accepted their participation in the study and who signed the Informed Consent (Annex 1)
  • Children enrolled in the school of the district of Pichanaki, province of Chanchamayo and department of Junín
  • Children between 6 and 8 years, with permanent upper and / or lower molars with the following characteristics:
  • Deep cavities and cavities free of cavities, rated 0 and 1 according to ICDAS II Non-cavitated caries in enamel C1 according to ICDAS II Green and Vermillion Simplified Oral Hygiene Index (OHS) of 1 Have a pair of non-cavitated caries-free counterparts.
  • Collaborative and receptive children.

You may not qualify if:

  • Children with the presence of a deep dental caries lesion, with pulp exposure, history of pain and presence of fistula or abscess adjacent to decayed tooth.
  • Medically compromised children
  • Children with developmental enamel defects.
  • Children with a known allergy to any of the resins used
  • Children with previously placed sealants or restorations
  • Children with bruxism or malocclusion
  • Children residing outside the city.
  • Children with poor hygiene
  • Criteria for withdrawal of research subjects
  • When they did not attend the evaluations
  • If the participant has partial retention and total loss of the sealant, he will be withdrawn from the study after placing a new sealant.
  • If a patient moves to another region, it will be grounds for withdrawal from the study.
  • If the patient wishes to leave the study, they are considered outside the study
  • Criteria for termination or interruption of the clinical trial.
  • When the 12-month follow-up of all the recruited patients, excluding the withdrawn ones, is completed, the study will be terminated.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Manuel Gonzales Prada School

Alto Pichanaki, Chanchamayo, Peru

Location

Related Publications (41)

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    BACKGROUND
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    PMID: 10101704BACKGROUND
  • de França TRT, Sedycias M, da Silva RJ, de Souza Beatrice LC, Vicente Da Silva CH. Use of Glass Ionomer Cement: A Systematic Review. Pesqui Bras Odontopediatria Clin Integr. 2010; 10 (2): 301-7.

    RESULT
  • Provenzano, M. G. A., Rios, D., from Lourdes Calvo Fracasso, M., Marchesi, A., & Honório, H. M. Clinical Evaluation of Sealants Made with Resin Modified Glass Ionomer Cement (Vitremer®) in Primary Molars. Brazilian Research in Pediatric Dentistry and Integrated Clinic. 2010; 10 (2), 233-240.

    RESULT
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  • Topal BG, Kirzioglu Z. Evaluation of the fissure sealants applied to erupting permanent molars in accordance to eruption stages: A prospective study. Niger J Clin Pract. 2019 Nov;22(11):1495-1502. doi: 10.4103/njcp.njcp_534_18.

  • Minsa. Clinical practice guide for the prevention, diagnosis and treatment of dental caries in boys and girls.Resolution Minist N ° 422-2017 / MINSA [Internet]. 2017; 41.

    RESULT
  • Alirezaei M, Bagherian A, Sarraf Shirazi A. Glass ionomer cements as fissure sealing materials: yes or no?: A systematic review and meta-analysis. J Am Dent Assoc. 2018 Jul;149(7):640-649.e9. doi: 10.1016/j.adaj.2018.02.001. Epub 2018 May 4.

  • Bagherian A, Shirazi AS. Flowable composite as fissure sealing material? A systematic review and meta-analysis. Br Dent J. 2018 Jan 26;224(2):92-97. doi: 10.1038/sj.bdj.2018.40.

  • Ministry of Health. National Center for Epidemiology, Disease Prevention and Control. Burden of disease in Peru: Estimation of healthy years of life lost 2016 part I. 2018; part I. Available from: https://www.gob.pe/institucion/minsa/informes-publicaciones/276778-carga-de -sickness-in-peru-estimate-of-healthy-years-of-life-lost-2016

    RESULT
  • Ministry of Health: National Center for Epidemiology, Prevention and Control of Diseases. Estimation of healthy years of life lost 2016. Enferm Burden in Peru [Internet].2018; Part II: 22-44.

    RESULT
  • Shimazu K, Ogata K, Karibe H. Evaluation of the ion-releasing and recharging abilities of a resin-based fissure sealant containing S-PRG filler. Dent Mater J. 2011;30(6):923-7. doi: 10.4012/dmj.2011-124. Epub 2011 Nov 25.

  • Abdel-karim UM, El-Eraky M, Etman WM. Three-year clinical evaluation of two nano-hybrid giomer restorative composites. Tanta Dent J [Internet]. 2014; 11 (3): 213-22.

    RESULT
  • Kucukyilmaz E, Savas S. Evaluation of Different Fissure Sealant Materials and Flowable Composites Used as Pit-and-fissure Sealants: A 24-Month Clinical Trial. Pediatr Dent. 2015 Sep-Oct;37(5):468-73.

  • Ntaoutidou S, Arhakis A, Tolidis K, Kotsanos N. Clinical evaluation of a surface pre-reacted glass (S-PRG) filler-containing dental sealant placed with a self-etching primer/adhesive. Eur Arch Paediatr Dent. 2018 Dec;19(6):431-437. doi: 10.1007/s40368-018-0379-z. Epub 2018 Oct 16.

  • Wadhwa S, A Nayak U, Kappadi D, Prajapati D, Sharma R, Pawar A. Comparative Clinical Evaluation of Resin-based Pit and Fissure Sealant and Self-adhering Flowable Composite: An In Vivo Study. Int J Clin Pediatr Dent. 2018 Sep-Oct;11(5):430-434. doi: 10.5005/jp-journals-10005-1552. Epub 2018 Oct 1.

  • Yazici AR, Bayazit EO, Kutuk ZB, Ozgunaltay G, Ergin E, Berber A. Clinical Follow-up of a Fissure Sealant Placed Using Different Adhesive Protocols: A 24-month Split-mouth Study. Oper Dent. 2018 Jul/Aug;43(4):362-371. doi: 10.2341/17-055-C. Epub 2018 Apr 9.

  • Rishika, Garg N, Mayall SS, Pathivada L, Yeluri R. Combined Effect of Enamel Deproteinization and Intermediate Bonding in the Retention of Pit and Fissure Sealants in Children: A Randomized Clinical Trial. J Clin Pediatr Dent. 2018;42(6):427-433. doi: 10.17796/1053-4625-42.6.4. Epub 2018 Aug 7.

  • Papageorgiou SN, Dimitraki D, Kotsanos N, Bekes K, van Waes H. Performance of pit and fissure sealants according to tooth characteristics: A systematic review and meta-analysis. J Dent. 2017 Nov;66:8-17. doi: 10.1016/j.jdent.2017.08.004. Epub 2017 Aug 8.

  • Erdemir U, Sancakli HS, Yaman BC, Ozel S, Yucel T, Yildiz E. Clinical comparison of a flowable composite and fissure sealant: a 24-month split-mouth, randomized, and controlled study. J Dent. 2014 Feb;42(2):149-57. doi: 10.1016/j.jdent.2013.11.015. Epub 2013 Dec 1.

  • Jafarzadeh M, Malekafzali B, Tadayon N, Fallahi S. Retention of a Flowable Composite Resin in Comparison to a Conventional Resin-Based Sealant: One-year Follow-up. J Dent (Tehran). 2010 Winter;7(1):1-5. Epub 2010 Mar 31.

  • Cogo E, Calura G. Clinical evaluation of two materials Ußed As P I T and Fissure Sealants :2-year follow-up. International Journal of Clinical Dentistry Volume 2, Issue 4

    RESULT
  • Khanna R, Pandey RK, Singh N . Morphology of Pits and Fissures Reviewed through Scanning Electron Microscope. Dentistry. 2015,5: 4. doi:10.4172/2161-1122.1000287

    RESULT
  • Kimura M, Maki K, Nishida I, Braham RL. Clinical evaluation of a light-cured glass ionomer lining cement. Int J Paediatr Dent. 1994 Sep;4(3):147-50. doi: 10.1111/j.1365-263x.1994.tb00123.x.

  • Vaillard-Jiménez, E & Huitzil-Muñoz, E & Ortega, Ai & García-Damián S. Dimensional Characteristics of Fissures and Enamel Fissures of Temporary Molars. Rev Colomb Investig en Odontol [Internet]. 2013; 12 (2): 102-109. .

    RESULT
  • Rechmann P, Charland D, Rechmann BM, Featherstone JD. Performance of laser fluorescence devices and visual examination for the detection of occlusal caries in permanent molars. J Biomed Opt. 2012 Mar;17(3):036006. doi: 10.1117/1.JBO.17.3.036006.

  • Diniz MB, Rodrigues JA, Hug I, Cordeiro Rde C, Lussi A. Reproducibility and accuracy of the ICDAS-II for occlusal caries detection. Community Dent Oral Epidemiol. 2009 Oct;37(5):399-404. doi: 10.1111/j.1600-0528.2009.00487.x. Epub 2009 Jul 22.

  • Van Meerbeek B, Yoshihara K, Van Landuyt K, Yoshida Y, Peumans M. From Buonocore's Pioneering Acid-Etch Technique to Self-Adhering Restoratives. A Status Perspective of Rapidly Advancing Dental Adhesive Technology. J Adhes Dent. 2020;22(1):7-34. doi: 10.3290/j.jad.a43994.

  • Muller-Bolla M, Lupi-Pegurier L, Tardieu C, Velly AM, Antomarchi C. Retention of resin-based pit and fissure sealants: A systematic review. Community Dent Oral Epidemiol. 2006 Oct;34(5):321-36. doi: 10.1111/j.1600-0528.2006.00319.x.

  • Espinosa R, Valencia R, Uribe M, Ceja I, Saadia M. Enamel deproteinization and its effect on acid etching: an in vitro study. J Clin Pediatr Dent. 2008 Fall;33(1):13-9. doi: 10.17796/jcpd.33.1.ng5462w5746j766p.

  • Duggal MS, Tahmassebi JF, Toumba KJ, Mavromati C. The effect of different etching times on the retention of fissure sealants in second primary and first permanent molars. Int J Paediatr Dent. 1997 Jun;7(2):81-6. doi: 10.1111/j.1365-263x.1997.tb00283.x.

  • Cobos-Carbo A, Augustovski F. [CONSORT 2010 Declaration: updated guideline for reporting parallel group randomised trials]. Med Clin (Barc). 2011 Jul 23;137(5):213-5. doi: 10.1016/j.medcli.2010.09.034. Epub 2011 Jan 15. No abstract available. Spanish.

  • National Institute of Health. (2017). Regulations for Clinical Trials are approved. El Peruano, pp. 38-67. Retrieved from https://ensayosclinicos-repec.ins.gob.pe/images/REC-021-2017-sa-1538902-2.pdf

    RESULT
  • World medical association. Wma declaration of helsinki - ethical principles for medical investigations in human beings. 2017

    RESULT
  • Pozos-Guillen A, Chavarria-Bolanos D, Garrocho-Rangel A. Split-mouth design in Paediatric Dentistry clinical trials. Eur J Paediatr Dent. 2017 Mar;18(1):61-65. doi: 10.23804/ejpd.2017.18.01.13.

  • Latin American Association of Pediatric Dentistry. Care Route for Pediatric Dental Procedures During the Confinement or Quarantine of the COVID-19 Pandemic: Dental EMERGENCY-URGENCY Consultation.2020; 10: 2-4.

    RESULT
  • Mallineni SK, Innes NP, Raggio DP, Araujo MP, Robertson MD, Jayaraman J. Coronavirus disease (COVID-19): Characteristics in children and considerations for dentists providing their care. Int J Paediatr Dent. 2020 May;30(3):245-250. doi: 10.1111/ipd.12653. Epub 2020 Apr 16.

  • Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020 Mar 3;12(1):9. doi: 10.1038/s41368-020-0075-9.

  • National cancer institute. NHI INFORMED CONSENT [Internet]. 2020 p. 163-6.

    RESULT
  • Fejerskov O. Changing paradigms in concepts on dental caries: consequences for oral health care. Caries Res. 2004 May-Jun;38(3):182-91. doi: 10.1159/000077753.

  • Martignon S, Pitts NB, Goffin G, Mazevet M, Douglas GVA, Newton JT, Twetman S, Deery C, Domejean S, Jablonski-Momeni A, Banerjee A, Kolker J, Ricketts D, Santamaria RM. CariesCare practice guide: consensus on evidence into practice. Br Dent J. 2019 Sep;227(5):353-362. doi: 10.1038/s41415-019-0678-8.

Related Links

MeSH Terms

Conditions

Van der Woude syndrome

Study Officials

  • Catherine Ruiz Yasuda, Doctor

    Faculty of dentistry UNMSM.

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Catherine Ruiz Yasuda, Doctor

CONTACT

Gilmer Torres Ramos, Doctor

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Regarding the patient data, it will only be handled by the programmer who will be in charge of coding, randomizing the first permanent molars, randomizing the materials to be used so that it is placed in the first permanent molars and this information will be given to the coordinator so that the put in sealed envelopes and then these sealed envelopes will be given to an outside assistant so that such data is not disclosed or published. Assistant 3 (in charge of labeling with kraft paper and listing the intervention material(giomer F03 beautifil-shofu and Tetric N-Flow ivoclar vivadent) with the research coordinator. The evaluators did not do the intervention.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: A split mouth (120 teeth) study design will be adopted (19.20), which consists of a simple division of the mouth into two parts (right and left) for the first four permanent molars of each patient, where the placement of the materials will be on the right / left side of the mouth and contralateral.
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Doctor Catherine Christie Ruiz Yasuda

Study Record Dates

First Submitted

January 4, 2021

First Posted

January 8, 2021

Study Start

March 1, 2021

Primary Completion

April 1, 2022

Study Completion

August 1, 2022

Last Updated

January 8, 2021

Record last verified: 2021-01

Data Sharing

IPD Sharing
Will not share

Locations