Remineralizing Potential of Biomimetic Scaffolds on Enamel White Spot Lesions
Clinical and Topographic Evaluation of the Remineralizing Potential of Biomimetic Scaffolds on Enamel White Spot Lesions (a Randomized Controlled Clinical Trial and In-vitro Study)
1 other identifier
interventional
63
1 country
1
Brief Summary
The modern concept in caries treatment focuses on the non-invasive approach and on the biomimetic remineralization of early non-cavitated white spot carious lesions. Recently developed biomimetic scaffolds attempt to remineralize the dental tissues and are more regenerative than reparative.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2023
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
First Submitted
Initial submission to the registry
October 14, 2022
CompletedFirst Posted
Study publicly available on registry
October 18, 2022
CompletedStudy Start
First participant enrolled
January 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
January 30, 2024
CompletedOctober 18, 2022
October 1, 2022
1.1 years
October 14, 2022
October 14, 2022
Conditions
Outcome Measures
Primary Outcomes (2)
Change in DIAGNOdent values
The DIAGNOdent uses laser fluorescence to aid in the detection of caries within the tooth structure.
Baseline, 1 month, 3 months , 6 months, 9 months, 12 months
change in ICDAS scores
Code Description 0: Sound tooth surface: No evidence of caries after 5 sec air drying 1. First visual change in enamel: Opacity or discoloration (white or brown) is visible at the entrance to the pit or fissure seen after prolonged air drying 2. Distinct visual change in enamel visible when wet, lesion must be visible when dry 3. Localized enamel breakdown (without clinical visual signs of dentinal involvement) seen when wet and after prolonged drying 4. Underlying dark shadow from dentine 5. Distinct cavity with visible dentine 6. Extensive (more than half the surface) distinct cavity with visible dentine
Baseline, 1 month, 3 months , 6 months, 9 months, 12 months
Study Arms (3)
Group I
EXPERIMENTALGroup II
EXPERIMENTALGroup III
ACTIVE COMPARATORInterventions
The labial surface of each tooth in both arches from central to the first premolar on both sides will be treated by Curodont
The labial surface of each tooth in both arches from central to the first premolar on both sides will be treated by Ph-chi phosphorylated - nano-chitosan
The labial surface of each tooth in both arches from central to the first premolar on both sides will be treated by CCP-ACP
Eligibility Criteria
You may qualify if:
- Patients who at least have 1 white spot lesion.
- No systemic diseases or taking any medication affecting salivary flow.
- Patients with good oral hygiene measures.
- Patients with moderate caries risk assessment.
- Post orthodontic WSLs with International Caries Detection and Assessment System (ICDAS II) scoring criteria (1-2).
You may not qualify if:
- Participant in another trial.
- Developmental non carious lesion (enamel hypoplasia and dental fluorosis).
- Presence of abnormal oral disease, or medically compromised patients.
- Participants who had evidence of reduced salivary flow or significant tooth wear.
- Allergy to milk products or other drug allergies.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Alexandria Faculty of Dentistry
Alexandria, Egypt
Related Publications (1)
Soliman EM, Abdelfattah WM, Mohamed DR, Nagui DA, Holiel AA. Clinical evaluation of the remineralizing potential of biomimetic scaffolds on enamel white spot lesions: A 12-month randomized controlled trial. J Dent. 2025 Dec 16;166:106303. doi: 10.1016/j.jdent.2025.106303. Online ahead of print.
PMID: 41412271DERIVED
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant lecturer of DPH and Clinical statistician
Study Record Dates
First Submitted
October 14, 2022
First Posted
October 18, 2022
Study Start
January 1, 2023
Primary Completion
January 30, 2024
Study Completion
January 30, 2024
Last Updated
October 18, 2022
Record last verified: 2022-10