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CavityNCT05145322

In Vivo Assessment of the Tooth-Resin Composite Interface Using Optical Coherence Tomography

A study testing Composite with 90 degree cavosurface angle and Composite with wide bevel in people with Cavity and Cavities of Teeth, run by University of Minnesota at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of the study is to compare the short-term marginal integrity of two preparation techniques for Class I composite restoration using two visual assessment techniques, the FDI World Dental Federation and US Public Health Service assessment criteria. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cavity, Cavities of Teeth
What is being tested?
Composite with 90 degree cavosurface angle and Composite with wide bevel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteUnited States
Study dates
23 Sep 2021to 16 Oct 2024
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Good general health
  • Fair oral hygiene
  • At least 20 teeth in occlusion
  • Available for the duration of the study
  • Tooth-level inclusion Criteria:
  • Participants with occlusal caries lesion/s in permanent posterior dentition except wisdom teeth
Show all 12Show fewer
  • Caries lesion can be primary or secondary caries.
  • Caries lesion is in the International Caries Detection and Assessment System (ICDAS) 4 or 5 category.
  • The extent of the caries lesion bucco-lingually is likely not to exceed two-thirds of the occlusal table.
  • The selected tooth must be able to be isolated with either rubber dam or other isolation technique during clinical procedure.
  • The selected tooth must have an opposing antagonist.
  • The selected tooth should be periodontally healthy.

Who cannot join

  • Signs of bruxism
  • Tooth-level exclusion criteria:
  • Wisdom teeth
  • Present with irreversible pulpitis.
  • Periodontally compromised tooth that may require extraction.
  • Caries lesions that would require cuspal coverage.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Minnesota

    Minneapolis, Minnesota, 55455

Other trials in United States

About this study

The aim of the study is to compare the short-term marginal integrity of two preparation techniques for Class I composite restoration using two visual assessment techniques, the FDI World Dental Federation and US Public Health Service assessment criteria. In addition, Optical Coherence Tomography (OCT) will be used to assess the marginal integrity of the restoration.

Read the detailed description

A recent review on clinical studies published on the performance of posterior composite restorations that were recalled at least up to 24-months reported that the overall failure rates for studies conducted between 2006-2016 was 13.13% and the two main reasons for failure in these two decades remained the same, i.e. secondary caries (25.68% - 29.47%) and composite fracture (28.84% - 39.07%). In in vitro studies, secondary caries has been attributed to interfacial gap or marginal defect both of which are consequences of polymerization contraction stresses. However, to date no clinical study has been able to directly establish a link between these stresses (and its consequences) to secondary caries. World Dental Federation (FDI) and United States Public Health Service (USPHS) clinical assessment criteria are the two main systems used to evaluate dental restorations in clinical trials. Both systems are designed to evaluate different properties of a restoration and properties pertaining to marginal integrity has been reported to be the most frequent properties investigated of a resin composite restoration. The grading descriptions for these properties are subjective and the discrimination between grading and between properties (especially between marginal stains and secondary caries) are problematic. Reasons to the lack of such a link is the discriminative deficiency of the clinical visual evaluation systems, the FDI and USPHS assessment criteria, and the ethical dilemma of restoration removal to assess for presence or absence of secondary caries. It has been long acknowledged that an objective clinical measuring tool and new clinical study designs for secondary caries is needed to further the understanding of secondary caries initiation and progression and how these relates to the marginal integrity of dental restorations. This brings forth the need of a sensitive yet clinically applicable assessment method for interfacial debonding and demineralization. Optical coherence tomography (OCT) is an optical, nondestructive and clinically- applicable technique that uses near infra red-light waves to provide cross-sectional images of structures. It is regarded as a standard-of-care equipment in ophthalmology and its clinical application has recently expanded to cardiology and dermatology. In dentistry, it has been used intra-orally in clinical trials to detect and quantify enamel demineralization and to detect mucosal and submucosal lesions. Optical coherence tomography and has been used to assess the performance of dental adhesives in a 12-month in vivo trial on non-carious cervical lesion. The authors reported that OCT outcome measures detected significant differences between groups while visual assessments did not. Hence supplementing the two visual assessment techniques with OCT outcome measures is expected to increase the sensitivity of short term interfacial debonding and demineralization changes. The aim of the study is to compare the short-term marginal integrity of two preparation techniques for Class I composite restoration using two visual assessment techniques, the FDI World Dental Federation and US Public Health Service assessment criteria. In addition, Optical Coherence Tomography (OCT) will be used to assess the marginal integrity of the restoration.

Being tested
Composite with 90 degree cavosurface angle, Composite with wide bevel
Keywords
Dental Composite
Medical subject headings
Dental Caries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Composite with 90 degree cavosurface angleDevice

    Lesion-specific cavity design with 90 degree cavosurface angle throughout the cavity margins will be prepared. The total etch method will be performed, i.e. with a 32% by weight phosphoric acid (3M Scotchbond™ Universal Etchant) on enamel and dentine for 15 seconds. The etchant will be rinsed away and an adhesive (3M Scotchbond™ Universal Adhesive) will be applied on dentine with a microbrush for 20 seconds. The adhesive will be light-cured for 10 sec with the Elipar S10 curing light (3M Oral Care). Subsequently the preparation will be restored with a bulkfill resin composite (3M Filtek™ One Bulk Fill Restorative) and cured for 20 seconds.

  • Composite with wide bevelDevice

    Lesion-specific cavity design with wide bevel throughout the cavity margins will be prepared. The total etch method will be performed, i.e. with a 32% by weight phosphoric acid (3M Scotchbond™ Universal Etchant) on enamel and dentine for 15 seconds. The etchant will be rinsed away and an adhesive (3M Scotchbond™ Universal Adhesive) will be applied on dentine with a microbrush for 20 seconds. The adhesive will be light-cured for 10 sec with the Elipar S10 curing light (3M Oral Care). Subsequently the cavity will be restored in with a pre-warmed (using Bioclear Heatsync Kit) bulkfill resin composite (3M Filtek™ One Bulk Fill Restorative) and cured for 20 seconds.

Study groups in NCT05145322
Study groupRoleWhat they receive
Group 1ExperimentalGroup 1: Lesion-specific cavity design with 90 degree cavosurface angle throughout the cavity margins
Receives: Device: Composite with 90 degree cavosurface angle
Group 2ExperimentalLesion-specific cavity design with wide bevel throughout the cavity margins
Receives: Device: Composite with wide bevel

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Marginal Staining: World Dental Federation (FDI) Criteria - Baseline

    The World Dental Federation (FDI) criteria is 5-point ordinal scale with a score of 5 indicating the worst marginal staining.

    1. No marginal staining
    2. Minor marginal staining, easily removable by polishing.
    3. Moderate marginal staining, not esthetically unacceptable.
    4. Pronounced marginal staining; major intervention necessary for improvement
    5. Deep marginal staining, not accessible for intervention.

    Outcome will be reported as a single score at baseline.

    Measured: Baseline

  2. Marginal Staining: World Dental Federation (FDI) Criteria - 6 Months Follow-up

    The World Dental Federation (FDI) criteria is 5-point ordinal scale with a score of 5 indicating the worst marginal staining.

    1. No marginal staining
    2. Minor marginal staining, easily removable by polishing.
    3. Moderate marginal staining, not esthetically unacceptable.
    4. Pronounced marginal staining; major intervention necessary for improvement
    5. Deep marginal staining, not accessible for intervention.

    Outcome will be reported as a single score at 6 months post-operative.

    Measured: 6 months Follow-up

  3. Marginal Staining: World Dental Federation (FDI) Criteria - 18 Months Follow-up

    The World Dental Federation (FDI) criteria is 5-point ordinal scale with a score of 5 indicating the worst marginal staining.

    1. No marginal staining
    2. Minor marginal staining, easily removable by polishing.
    3. Moderate marginal staining, not esthetically unacceptable.
    4. Pronounced marginal staining; major intervention necessary for improvement
    5. Deep marginal staining, not accessible for intervention.

    Outcome will be reported as a single score at 18 months post-operative.

    Measured: 18 months Follow-up

  4. Marginal Staining: United States Public Health Service (USPHS) Criteria - Baseline

    The United States Public Health Service (USPHS) criteria is 3-point ordinal scale with the 'C' indicating the worst staining.

    1. None. B) Superficial staining (removable, usually localized). C) Deep staining (not removable, generalized).

    Outcome will be reported as a single score at baseline.

    Measured: Baseline

  5. Marginal Staining: United States Public Health Service (USPHS) Criteria - 6 Months Follow-up

    The United States Public Health Service (USPHS) criteria is 3-point ordinal scale with the 'C' indicating the worst staining.

    1. None. B) Superficial staining (removable, usually localized). C) Deep staining (not removable, generalized).

    Outcome will be reported as a single score at 6 months post-operative.

    Measured: 6 months Follow-up

  6. Marginal Staining: United States Public Health Service (USPHS) Criteria - 18 Months Follow-up

    The United States Public Health Service (USPHS) criteria is 3-point ordinal scale with the 'C' indicating the worst staining.

    1. None. B) Superficial staining (removable, usually localized). C) Deep staining (not removable, generalized).

    Outcome will be reported as a single score at 18 months post-operative.

    Measured: 18 months Follow-up

  7. Marginal Defect: World Dental Federation (FDI) Criteria - Baseline

    The World Dental Federation (FDI) criteria is 5-point ordinal scale with a score of 5 indicating the worst marginal defect.

    1. Harmonious outline, no gaps.
    2. Slight ditching, slight step/flashes, minor irregularities.
    3. Major irregularities, ditching or flash, steps
    4. Larger irregularities or steps (repair necessary)
    5. Generalized major gaps or irregularities.

    Margins were assessed quantitatively as 2 different proportions (100% and <100%) of the total length of the margin that is of Score 1 quality.

    Measured: Baseline

  8. Marginal Defect: World Dental Federation (FDI) Criteria - 6 Months Follow-up

    The World Dental Federation (FDI) criteria is 5-point ordinal scale with a score of 5 indicating the worst marginal defect.

    1. Harmonious outline, no gaps.
    2. Slight ditching, slight step/flashes, minor irregularities.
    3. Major irregularities, ditching or flash, steps
    4. Larger irregularities or steps (repair necessary)
    5. Generalized major gaps or irregularities.

    Margins were assessed quantitatively as 2 different proportions (100% and <100%) of the total length of the margin that is of Score 1 quality.

    Measured: 6 months Follow-up

  9. Marginal Defect: World Dental Federation (FDI) Criteria - 18 Months Post-operative

    The World Dental Federation (FDI) criteria is 5-point ordinal scale with a score of 5 indicating the worst marginal defect.

    1. Harmonious outline, no gaps.
    2. Slight ditching, slight step/flashes, minor irregularities.
    3. Major irregularities, ditching or flash, steps
    4. Larger irregularities or steps (repair necessary)
    5. Generalized major gaps or irregularities.

    Margins were assessed quantitatively as 2 different proportions (100% and <100%) of the total length of the margin that is of Score 1 quality.

    Measured: 18 months post-operative

  10. Marginal Defect: United States Public Health Service (USPHS) Criteria - Baseline

    The United States Public Health Service (USPHS) criteria is 3-point ordinal scale with the 'C' indicating the worst defect.

    1. Undetectable. B) Detectable - V-shaped defect in enamel only and catches explorer going both ways.
    2. Detectable - V-shaped defect to the dentin-enamel junction

    Outcome will be reported as a single score at baseline.

    Measured: Baseline

  11. Marginal Defect: United States Public Health Service (USPHS) Criteria - 6 Months Follow-up

    The United States Public Health Service (USPHS) criteria is 3-point ordinal scale with the 'C' indicating the worst defect.

    1. Undetectable. B) Detectable - V-shaped defect in enamel only and catches explorer going both ways.
    2. Detectable - V-shaped defect to the dentin-enamel junction

    Outcome will be reported as a single score at 6 months post-operative.

    Measured: 6 months Follow-up

  12. Marginal Defect: United States Public Health Service (USPHS) Criteria - 18 Months Post-operative

    The United States Public Health Service (USPHS) criteria is 3-point ordinal scale with the 'C' indicating the worst defect.

    1. Undetectable. B) Detectable - V-shaped defect in enamel only and catches explorer going both ways.
    2. Detectable - V-shaped defect to the dentin-enamel junction

    Outcome will be reported as a single score at 18 months post-operative.

    Measured: 18 months post-operative

Secondary outcomes (3)
  1. Backscattered Intensity at the Occlusal Cavosurface Angle.

    Presence of elevated intensity at the cavosurface angle (margins) of the restoration, which indicates presence of minor marginal defect, is computed as percentage area of the outline of restoration at every evaluation time point, i.e. baseline, 6 months and 18 months post-operative. Outcome is reported in units of percentage area.

    Measured: Baseline

  2. Tooth-resin Interface Gap at the Occlusal Cavosurface Angle.

    Presence of tooth-resin interface gap of more than 0.1 mm at the cavosurface angle (margins) of the restoration, which indicates presence of moderate marginal defect, will be computed as percentage area of the outline of restoration at every evaluation time point, i.e. baseline, 6 months and 18 months post-operative. Outcome is reported in units of percentage area.

    Measured: Baseline

  3. Backscattered Intensity Along the Superficial 2mm Depth of the Preparation Walls

    Presence of elevated backscattered intensity along the superficial 2mm depth walls of the restoration, which indicates presence of debonding, will be computed as percentage volume of the restoration at every evaluation time point, i.e. baseline, 6 months and 18 months post-operative. Outcome is reported in units of percentage area.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Dec 2021
  2. Study start23 Sep 2021
  3. Primary completion16 Oct 2024
  4. Study completion16 Oct 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05145322
Sponsor's protocol ID
STUDY00011286
Status last verified
Oct 2024
First submitted
12 Oct 2021
Last updated
28 Oct 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Hickel R, Peschke A, Tyas M, Mjor I, Bayne S, Peters M, Hiller KA, Randall R, Vanherle G, Heintze SD. FDI World Dental Federation: clinical criteria for the evaluation of direct and indirect restorations-update and clinical examples. Clin Oral Investig. 2010 Aug;14(4):349-66. doi: 10.1007/s00784-010-0432-8. Epub 2010 Jul 14.

    PubMed 20628774
  • Ryge G, Snyder M. Evaluating the clinical quality of restorations. J Am Dent Assoc. 1973 Aug;87(2):369-77. doi: 10.14219/jada.archive.1973.0421. No abstract available.

    PubMed 4515696
  • Nazari A, Sadr A, Shimada Y, Tagami J, Sumi Y. 3D assessment of void and gap formation in flowable resin composites using optical coherence tomography. J Adhes Dent. 2013 Jun;15(3):237-43. doi: 10.3290/j.jad.a28623.

    PubMed 23534012

Questions about this trial

What is this clinical trial studying?

A study testing Composite with 90 degree cavosurface angle and Composite with wide bevel in people with Cavity and Cavities of Teeth, run by University of Minnesota at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Oct 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Marginal Staining: World Dental Federation (FDI) Criteria - Baseline (time frame: Baseline). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05145322, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2024.

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