NCT06403371

Brief Summary

Fluoride varnish is being applied on the teeth surfaces of patients undergoing orthodontic treatment just before receiving their clear aligners. The effect of the varnish was investigated if it can reduce the incidence of enamel demineralization or not.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
44

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2023

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

June 1, 2023

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

April 16, 2024

Completed
21 days until next milestone

First Posted

Study publicly available on registry

May 7, 2024

Completed
25 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2024

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2024

Completed
Last Updated

May 7, 2024

Status Verified

May 1, 2024

Enrollment Period

1 year

First QC Date

April 16, 2024

Last Update Submit

May 3, 2024

Conditions

Keywords

Fluoride varnishClear alignersWhite spot lesionsQuantitative light induced fluorescence (QLF)

Outcome Measures

Primary Outcomes (3)

  • Average lesion fluorescence loss (∆F%)

    It reflects amount of mineral loss

    4 months

  • Maximum lesion fluorescence loss (∆F-max%)

    It measures the deepest point of the lesion (in relation to sound enamel) using QLF system in percent

    4 months

  • Lesion area

    It measures white spot lesion area in pixels

    4 months

Secondary Outcomes (1)

  • Plaque measurement

    4 months

Study Arms (2)

Fluoride varnish group

EXPERIMENTAL

Patients received a layer of fluoride varnish on their teeth before the start of orthodontic clear aligner therapy

Other: Fluoride varnsh

Control group

PLACEBO COMPARATOR

Patients received a layer of normal saline on their teeth before the start of orthodontic clear aligner therapy

Other: Normal saline

Interventions

Fluoride varnish was applied to the teeth surfaces before aligner therapy

Fluoride varnish group

Normal saline was applied to the teeth surfaces before aligner therapy

Control group

Eligibility Criteria

Age16 Years - 30 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Healthy subjects form both sexes
  • Mild to moderate crowding
  • Optimum oral hygiene
  • Maximum of three restored teeth

You may not qualify if:

  • Presence of enamel hypoplasia or hypocalcification,
  • Any salivary gland disease or medication use that affect the salivary flow
  • Subjects using fluoride other than 1450 ppm fluoride toothpaste.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Postgraduate Teaching Clinics/JUST

Irbid, 22110, Jordan

Location

Related Publications (39)

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    PMID: 1590288BACKGROUND
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    PMID: 32354432BACKGROUND
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    PMID: 10434089BACKGROUND
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    PMID: 11029829BACKGROUND
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    PMID: 15356496BACKGROUND
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    PMID: 21208070BACKGROUND
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    PMID: 28503724BACKGROUND
  • Bisht S, Khera AK, Raghav P. White spot lesions during orthodontic clear aligner therapy: A scoping review. J Orthod Sci. 2022 May 4;11:9. doi: 10.4103/jos.jos_170_21. eCollection 2022.

    PMID: 35754408BACKGROUND
  • Sudjalim TR, Woods MG, Manton DJ. Prevention of white spot lesions in orthodontic practice: a contemporary review. Aust Dent J. 2006 Dec;51(4):284-9; quiz 347. doi: 10.1111/j.1834-7819.2006.tb00445.x.

    PMID: 17256301BACKGROUND
  • Horst JA, Tanzer JM, Milgrom PM. Fluorides and Other Preventive Strategies for Tooth Decay. Dent Clin North Am. 2018 Apr;62(2):207-234. doi: 10.1016/j.cden.2017.11.003.

    PMID: 29478454BACKGROUND
  • Benson PE, Parkin N, Dyer F, Millett DT, Germain P. Fluorides for preventing early tooth decay (demineralised lesions) during fixed brace treatment. Cochrane Database Syst Rev. 2019 Nov 17;2019(11):CD003809. doi: 10.1002/14651858.CD003809.pub4.

    PMID: 31742669BACKGROUND
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    PMID: 17827963BACKGROUND
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    PMID: 23721577BACKGROUND
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    PMID: 14076341BACKGROUND
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    PMID: 6573846BACKGROUND
  • Sonesson M, Brechter A, Abdulraheem S, Lindman R, Twetman S. Fluoride varnish for the prevention of white spot lesions during orthodontic treatment with fixed appliances: a randomized controlled trial. Eur J Orthod. 2020 Jun 23;42(3):326-330. doi: 10.1093/ejo/cjz045.

    PMID: 31197364BACKGROUND
  • Restrepo M, Bussaneli DG, Jeremias F, Cordeiro RC, Magalhaes AC, Palomari Spolidorio DM, Santos-Pinto L. Control of white spot lesion adjacent to orthodontic bracket with use of fluoride varnish or chlorhexidine gel. ScientificWorldJournal. 2015;2015:218452. doi: 10.1155/2015/218452. Epub 2015 Apr 20.

    PMID: 25973442BACKGROUND
  • Paula AB, Fernandes AR, Coelho AS, Marto CM, Ferreira MM, Caramelo F, do Vale F, Carrilho E. Therapies for White Spot Lesions-A Systematic Review. J Evid Based Dent Pract. 2017 Mar;17(1):23-38. doi: 10.1016/j.jebdp.2016.10.003. Epub 2016 Nov 1.

    PMID: 28259311BACKGROUND
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    PMID: 18594077BACKGROUND
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    PMID: 14685020BACKGROUND
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    PMID: 37264364BACKGROUND
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    PMID: 34993617BACKGROUND
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    PMID: 37635207BACKGROUND
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    PMID: 37719595BACKGROUND
  • Al-Khateeb S, Forsberg CM, de Josselin de Jong E, Angmar-Mansson B. A longitudinal laser fluorescence study of white spot lesions in orthodontic patients. Am J Orthod Dentofacial Orthop. 1998 Jun;113(6):595-602. doi: 10.1016/s0889-5406(98)70218-5.

    PMID: 9637561BACKGROUND
  • Lucchese A, Gherlone E. Prevalence of white-spot lesions before and during orthodontic treatment with fixed appliances. Eur J Orthod. 2013 Oct;35(5):664-8. doi: 10.1093/ejo/cjs070. Epub 2012 Oct 8.

    PMID: 23045306BACKGROUND
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    PMID: 35737872BACKGROUND
  • Benson PE, Parkin N, Dyer F, Millett DT, Furness S, Germain P. Fluorides for the prevention of early tooth decay (demineralised white lesions) during fixed brace treatment. Cochrane Database Syst Rev. 2013 Dec 12;(12):CD003809. doi: 10.1002/14651858.CD003809.pub3.

    PMID: 24338792BACKGROUND
  • Baik A, Alamoudi N, El-Housseiny A, Altuwirqi A. Fluoride Varnishes for Preventing Occlusal Dental Caries: A Review. Dent J (Basel). 2021 Jun 3;9(6):64. doi: 10.3390/dj9060064.

    PMID: 34204978BACKGROUND
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    PMID: 20945734BACKGROUND
  • Sonesson M, Twetman S. Prevention of white spot lesions with fluoride varnish during orthodontic treatment with fixed appliances: a systematic review. Eur J Orthod. 2023 Sep 18;45(5):485-490. doi: 10.1093/ejo/cjad013.

    PMID: 37032523BACKGROUND
  • Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982 Feb;81(2):93-8. doi: 10.1016/0002-9416(82)90032-x.

    PMID: 6758594BACKGROUND
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    PMID: 24121400BACKGROUND

MeSH Terms

Interventions

Saline Solution

Intervention Hierarchy (Ancestors)

Crystalloid SolutionsIsotonic SolutionsSolutionsPharmaceutical Preparations

Study Officials

  • Susan Al-Khateeb

    Jordan University of Science and Technology

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Nor the subjects neither the investigator knew the type of varnish they received. Additionally, the outcome assessor was blinded before making the analysis
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Double blinded randomized controlled clinical trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor in Orthodontics

Study Record Dates

First Submitted

April 16, 2024

First Posted

May 7, 2024

Study Start

June 1, 2023

Primary Completion

June 1, 2024

Study Completion

October 1, 2024

Last Updated

May 7, 2024

Record last verified: 2024-05

Data Sharing

IPD Sharing
Will not share

Locations