Effect of Different Adhesive Systems on White Spot Lesions During Fixed Orthodontic Treatment
1 other identifier
interventional
34
1 country
1
Brief Summary
The primary goal of this study is to compare the number of white spot lesions during fixed appliance therapy between self-etch and one-step bonding systems.
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 Jan 2027
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
August 4, 2026
CompletedFirst Posted
Study publicly available on registry
August 7, 2026
CompletedStudy Start
First participant enrolled
January 15, 2027
ExpectedPrimary Completion
Last participant's last visit for primary outcome
January 15, 2028
Study Completion
Last participant's last visit for all outcomes
June 15, 2028
August 10, 2026
August 1, 2026
1 year
August 4, 2026
August 6, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Number of white spot lesions
From bracket placement to 6 months after placement.
Demineralisation of bonded teeth
Amount of demineralisation around brackets measured
From date of bracket placement to 6 months of treatment
Study Arms (3)
Experimental 1: Self-Etch Adhesive
EXPERIMENTALSelf- Etch Adhesive
Control Group
PLACEBO COMPARATORConventional bonding technique
Experimental group 2: One-Step Adhesive
EXPERIMENTALInterventions
Self-Etch adhesive used for two step bonding of bracket placement.
Placement of bracket using one-step adhesive system.
Bonding brackets using three step conventional technique; etchant , bonding agent, composite adhesive
Eligibility Criteria
You may qualify if:
- healthy patients 12-30 yrs
- patients undergoing fixed appliance treatment with full mouth bonding
- presence of at least 7 accessible teeth
- no cavitated lesion at time of bond up
You may not qualify if:
- patients with chronic or systematic diseases
- patients with fluorosis or enamel defects
- presence of fixed prosthesis
- patients on medications which could alter salivary flow
- patients with history of salivary gland disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Foundation University College of Dentistry and Hospital
Islamabad, Federal, 44000, Pakistan
Related Publications (4)
Sampson V, Sampson A. Diagnosis and treatment options for anterior white spot lesions. Br Dent J. 2020 Sep;229(6):348-352. doi: 10.1038/s41415-020-2057-x. Epub 2020 Sep 25.
PMID: 32978577BACKGROUNDKhan AR, Fida M, Gul M. Decalcification and bond failure rate in resin modified glass ionomer cement versus conventional composite for orthodontic bonding: A systematic review & meta-analysis. Int Orthod. 2020 Mar;18(1):32-40. doi: 10.1016/j.ortho.2019.10.003. Epub 2019 Dec 24.
PMID: 31882396BACKGROUNDEl Helou M, Chakar S, Nicolas E, Estephan E, Cuisinier F, Barthelemi S. Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed Orthodontic Treatment? A Systematic Review. J Adhes Dent. 2024 Oct 14;26:241-252. doi: 10.3290/j.jad.b5781299.
PMID: 39397759BACKGROUNDHoran OGA, Al-Khateeb SN. Comparison of three orthodontic bonding systems in white spot lesion development: a randomized clinical trial. Angle Orthod. 2023 Sep 1;93(5):531-537. doi: 10.2319/111422-781.1.
PMID: 37017436BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
August 4, 2026
First Posted
August 7, 2026
Study Start (Estimated)
January 15, 2027
Primary Completion (Estimated)
January 15, 2028
Study Completion (Estimated)
June 15, 2028
Last Updated
August 10, 2026
Record last verified: 2026-08
Data Sharing
- IPD Sharing
- Will not share
Patient privacy