Selective Versus Stepwise Removal of Deep Carious Lesions in Permanent Teeth Using Different Medicaments
1 other identifier
interventional
54
1 country
1
Brief Summary
The study involved 54 adult patients between the ages of 18 and 50 years who had a posterior permanent tooth with a deep occlusal (Class I) carious lesion that extended to the inner third of the dentin (D3) and divided them into two equal groups randomly (N=27) according to the caries removal technique: group 1 (SE), and group 2 (SW). Then each main group was equally subdivided into three equal subgroups (n=9) according to the applied dentin dressing material as follows: Subgroup 1: Nano-silver compound (NSC), Subgroup 2: Chitosan-loaded nano hydroxy apatite (CS/N-HAp), Subgroup 3: Bioactive glass ionomer (N-BAG/GIC). At the first visit both groups received the same treatment of incomplete caries excavation, application of dentin dressing materials and sealing temporarily for 3-months with a glass ionomer cement (GIC). At the second visit the GIC reduced pulpally in (SE) group leaving 2 mm as base and completely removal the remaining carious lesion in (SW) group then re-application of same dentin dressing material on each tooth and GIC as a base. Finally, all cavities were restored with selective enamel etching technique, after which self-etch adhesive and Nano-filled composite resin are applied according to manufacturer instructions. The clinical and digital radiographic evaluations of the success and failure rates were performed at: baseline (7 days), 3, 12, and 18-months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 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
Study Start
First participant enrolled
February 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2024
CompletedFirst Submitted
Initial submission to the registry
September 3, 2024
CompletedFirst Posted
Study publicly available on registry
September 5, 2024
CompletedSeptember 5, 2024
September 1, 2024
1.2 years
September 3, 2024
September 3, 2024
Conditions
Outcome Measures
Primary Outcomes (4)
post operative pain
evaluation of the post operative pain following restorations using modified USPHS
7 days
post operative pain
evaluation of the post operative pain following restorations using modified USPHS
3 months
post operative pain
evaluation of the post operative pain following restorations using modified USPHS
12 months
post operative pain
evaluation of the post operative pain following restorations using modified USPHS
18 months
Study Arms (6)
selective removal (chitosan loaded nano hydroxyapatite )
EXPERIMENTALselective removal then apply chitosan loaded nano hydroxyapatite
selective removal (nano bioactive glass/GIC)
EXPERIMENTALselective removal then apply (nano bioactive glass/GIC)
selective removal (nanosilver)
EXPERIMENTALselective removal then apply (nanosilver)
stepwise removal (chitosan loaded nano hydroxyapatite )
EXPERIMENTALstepwise removal then apply (chitosan loaded nano hydroxyapatite )
stepwise removal (nano bioactive glass/GIC)
EXPERIMENTALselective removal (nano bioactive glass/GIC)
stepwise removal (nanosilver)
EXPERIMENTALselective removal then apply (nanosilver)
Interventions
removal of all cavity caries except last layer related to the pulp
Eligibility Criteria
You may qualify if:
- Patients with first and second molars with occlusal deep carious lesions (Class I) extending to the inner third of dentin thickness on radiographic examination using (i-sensor H1, Woodpecker, China).
- Teeth with a healthy response to the electrical pulp tester (DY 310, Denjoy Dental CO., LTD, China).
- Teeth with the absence of spontaneous pain.
- Teeth with a negative sensitivity to percussion.
- Teeth with the absence of periapical lesions by a digital radiographic examination.
- Clinically, all teeth were without any mobility.
- Patients who will complete the procedure of follow up.
- Patients who will sign the consent.
You may not qualify if:
- Mutilated teeth or teeth with caries extending subgingivally.
- Teeth with the existence of previous restorations.
- Teeth with periodontal disease, any swelling, fistulas, signs of irreversible pulpitis or necrotic pulp.
- Teeth with roots showing external or internal resorption.
- Pregnant women.
- Presence of any systemic disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Al Azhar university
Cairo, 11651, Egypt
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- teaching assistant
Study Record Dates
First Submitted
September 3, 2024
First Posted
September 5, 2024
Study Start
February 1, 2023
Primary Completion
May 1, 2024
Study Completion
August 1, 2024
Last Updated
September 5, 2024
Record last verified: 2024-09