NCT06585436

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

87
On Track

Trial Health Score

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

Enrollment
54

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Feb 2023

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

February 1, 2023

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2024

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2024

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

September 3, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 5, 2024

Completed
Last Updated

September 5, 2024

Status Verified

September 1, 2024

Enrollment Period

1.2 years

First QC Date

September 3, 2024

Last Update Submit

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 )

EXPERIMENTAL

selective removal then apply chitosan loaded nano hydroxyapatite

Procedure: partial caries removal

selective removal (nano bioactive glass/GIC)

EXPERIMENTAL

selective removal then apply (nano bioactive glass/GIC)

Procedure: partial caries removal

selective removal (nanosilver)

EXPERIMENTAL

selective removal then apply (nanosilver)

Procedure: partial caries removal

stepwise removal (chitosan loaded nano hydroxyapatite )

EXPERIMENTAL

stepwise removal then apply (chitosan loaded nano hydroxyapatite )

Procedure: partial caries removal

stepwise removal (nano bioactive glass/GIC)

EXPERIMENTAL

selective removal (nano bioactive glass/GIC)

Procedure: partial caries removal

stepwise removal (nanosilver)

EXPERIMENTAL

selective removal then apply (nanosilver)

Procedure: partial caries removal

Interventions

removal of all cavity caries except last layer related to the pulp

selective removal (chitosan loaded nano hydroxyapatite )selective removal (nano bioactive glass/GIC)selective removal (nanosilver)stepwise removal (chitosan loaded nano hydroxyapatite )stepwise removal (nano bioactive glass/GIC)stepwise removal (nanosilver)

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

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

Location

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

Locations