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White Spot LesionNCT06131294

Efficacy Evaluation of Two Different Fluoride Applications

A study testing Fluoride Application (Experimental Fluoride Application) and Fluor Protector S in people with White Spot Lesion, run by Ivoclar Vivadent AG at 1 site in Turkey (Türkiye).

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 goal of this clinical trial is to evaluate the remineralizing or preservative effect of two different fluoride-containing products. The main question aims to answer how the mineral content of the active white spot lesions change after the treatment with those two fluoride applications in a split-mouth design by… Read more about this study

Who is it for?
Ages 13 to 50 years
Conditions the study is for
White Spot Lesion
What is being tested?
Fluoride Application (Experimental Fluoride Application) and Fluor Protector S
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
1 siteTurkey (Türkiye)
Study dates
24 Feb 2023to 16 Apr 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 13 to 50 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • At least two active non-cavitated white spot lesions on buccal surfaces of anterior teeth or premolars (ICDAS code 1 and 2; Nyvad score 1) in two different quadrants.
  • Age between 13 and 50 years
  • No untreated caries lesions or periodontal disease
  • No systematic disease or medication (such as antidepressants, antibiotics etc.) that affects salivary flow rate
  • Subjects claimed regular brushing at least twice a day
  • Subjects had to agree to keep the scheduled recall appointments for at least 1 year.

Who cannot join

  • Inactive non-cavitated lesions (Nyvad Score 4)
  • Lesions with microcavity, cavitation, chipping or discoloration
  • Lesions at buccal side of the molars
  • Lesions adjacent to restoration
  • Developmental white spot lesions such as enamel hypoplasia
  • Pregnancy

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Istanbul Medipo University

    Istanbul, Esenler, 34230

Other trials in Turkey (Türkiye)

About this study

Official title: Evaluation of Effectiveness of a Novel Remineralizing Agent: A Randomized Controlled Clinical Trial

The goal of this clinical trial is to evaluate the remineralizing or preservative effect of two different fluoride-containing products. The main question aims to answer how the mineral content of the active white spot lesions change after the treatment with those two fluoride applications in a split-mouth design by measuring their mineral content via QLF technology.

Each patient will receive both treatments in a split-mouth design. It is comparison between an experimental fluoride application and Fluoride Protector S.

Being tested
Fluoride Application (Experimental Fluoride Application), Fluor Protector S
Keywords
white spot lesion

What participants receive

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

  • Fluoride Application (Experimental Fluoride Application)Device

    Fluoride containing applications are applied on white spot lesions. First solution was air-dried before the second application with the other component was done.

  • Fluor Protector SDevice

    Fluor Protector S is applied on white spot lesions.

Study groups in NCT06131294
Study groupRoleWhat they receive
Expermental Fluoride ApplicationExperimentalThe two-step system, consisting of Component A (ammonium fluoride solution) and Component B (calcium fluoride application), will be applied once on the white spot lesions one.
Receives: Device: Fluoride Application (Experimental Fluoride Application)
Fluor Protector SActive comparatorThe ammonium fluoride gel will be applied once on the white spot lesions.
Receives: Device: Fluor Protector S

What is being measured

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

  1. Measurement of White Spot Lesions by QLF Parameters: Delta F (Max)

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta F (max) (Percentage of maximal fluorescence loss at lesion sites compared to fluorescence of normal enamel, relative fluorecence loss)

    Measured: Baseline

  2. Measurement of White Spot Lesions by QLF Parameters: Delta F (Average)

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta F (average) (Percentage of average fluorescence loss at lesion sites compared to fluorescence of normal enamel, relative fluorecence loss)

    Measured: Baseline

  3. Measurement of White Spot Lesions by QLF Parameters: WSA

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • white spot area (WSA)

    Measured: Baseline

  4. Measurement of White Spot Lesions by QLF Parameters: Delta Q

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters: delta Q

    • delta Q (fluorescence loss in the lesions times with the area of white spot lesions (delta F x WSA); fluorescence loss is negative per definition as enamal has higher mineral content and thus fluorescence than white spot lesions)

    Measured: Baseline

  5. Measurement of White Spot Lesions by QLF Parameters: Delta R

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta R (increase of red fluorescence at lesion compared to normal enaml; relative red fluorescence increase)

    Measured: Baseline

  6. Measurement of White Spot Lesions by QLF Parameters: Delta F (Max)

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta F (max) (Percentage of maximal fluorescence loss at lesion sites compared to fluorescence of normal enamel, relative fluorecence loss)

    Measured: 1 Month

  7. Measurement of White Spot Lesions by QLF Parameters: Delta F (Average)

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta F (average) (Percentage of average fluorescence loss at lesion sites compared to fluorescence of normal enamel, relative fluorecence loss)

    Measured: 1 Month

  8. Measurement of White Spot Lesions by QLF Parameters: WSA

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • white spot area (WSA)

    Measured: 1 Month

  9. Measurement of White Spot Lesions by QLF Parameters: Delta Q

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters: delta Q

    • delta Q (fluorescence loss in the lesions times with the area of white spot lesions (delta F x WSA); fluorescence loss is negative per definition as enamal has higher mineral content and thus fluorescence than white spot lesions)

    Measured: 1 Month

  10. Measurement of White Spot Lesions by QLF Parameters: Delta R

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta R (increase of red fluorescence at lesion compared to normal enaml; relative red fluorescence increase)

    Measured: 1 Month

  11. Measurement of White Spot Lesions by QLF Parameters: Delta F (Max)

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta F (max) (Percentage of maximal fluorescence loss at lesion sites compared to fluorescence of normal enamel, relative fluorecence loss)

    Measured: 6 Month

  12. Measurement of White Spot Lesions by QLF Parameters: Delta F (Average)

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta F (average) (Percentage of average fluorescence loss at lesion sites compared to fluorescence of normal enamel, relative fluorecence loss)

    Measured: 6 Month

  13. Measurement of White Spot Lesions by QLF Parameters: WSA

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • white spot area (WSA)

    Measured: 6 Month

  14. Measurement of White Spot Lesions by QLF Parameters: Delta Q

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters: delta Q

    • delta Q (fluorescence loss in the lesions times with the area of white spot lesions (delta F x WSA); fluorescence loss is negative per definition as enamal has higher mineral content and thus fluorescence than white spot lesions)

    Measured: 6 Month

  15. Measurement of White Spot Lesions by QLF Parameters: Delta R

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta R (increase of red fluorescence at lesion compared to normal enaml; relative red fluorescence increase)

    Measured: 6 Month

  16. Measurement of White Spot Lesions by QLF Parameters: Delta F (Max)

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta F (max) (Percentage of maximal fluorescence loss at lesion sites compared to fluorescence of normal enamel, relative fluorecence loss)

    Measured: 12 Month

  17. Measurement of White Spot Lesions by QLF Parameters: Delta F (Average)

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta F (average) (Percentage of average fluorescence loss at lesion sites compared to fluorescence of normal enamel, relative fluorecence loss)

    Measured: 12 Month

  18. Measurement of White Spot Lesions by QLF Parameters: WSA

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • white spot area (WSA)

    Measured: 12 Month

  19. Measurement of White Spot Lesions by QLF Parameters: Delta Q

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters: delta Q

    • delta Q (fluorescence loss in the lesions times with the area of white spot lesions (delta F x WSA); fluorescence loss is negative per definition as enamal has higher mineral content and thus fluorescence than white spot lesions)

    Measured: 12 Month

  20. Measurement of White Spot Lesions by QLF Parameters: Delta R

    Evaluation of the change in lesion size of white spot areas and mineral content by measurement of QLF parameters:

    • delta R (increase of red fluorescence at lesion compared to normal enaml; relative red fluorescence increase)

    Measured: 12 Month

Secondary outcomes (8)
  1. Severity of White Spot Lesions by ICDAS II Visual Scoring System (Codes)

    Evaluation of the clinical status of the lesions:

    0: Sound tooth surface: No evidence of caries after 5 sec air drying

    1. First visual change in enamel: Opacity or discoloration (white or brown) is visible at the entrance to the pit or fissure seen after prolonged air drying
    2. Distinct visual change in enamel visible when wet, lesion must be visible when dry
    3. Localized enamel breakdown (without clinical visual signs of dentinal involvement) seen when wet and after prolonged drying
    4. Underlying dark shadow from dentin
    5. Distinct cavity with visible dentin
    6. Extensive (more than half the surface) distinct cavity with visible dentin

    Measured: Baseline

  2. Severity and Activity of White Spot Lesions by Nyvad Criteria

    Evaluation of the clinical status of the lesions:

    0: Sound

    1. Active caries (intact surface)
    2. Active caries (surface discontinuity)
    3. Active caries (cavity)
    4. Inactive caries (intact surface)
    5. Inactive caries (surface discontinuity)
    6. Inactive caries (cavity)
    7. Filling (sound surface)
    8. Filling+active caries
    9. Filling+inactive caries

    Measured: Baseline

  3. Severity Transition of White Spot Lesions by ICDAS II Visual Scoring System (Codes)

    Evaluation of the clinical status of the lesions:

    • "progression" = ICDAS score increased from 2 to 3
    • "unchanged" = ICDAS score 2
    • "regression" = ICDAS score decreased from 2 to 0 or 1

    Measured: Baseline to 1 month

  4. Severity and Activity Transition of White Spot Lesions by Nyvad Criteria

    Evaluation of the clinical status of the lesions:

    • "progression" = Nyvad score changed from 1 to 2 or 5
    • "unchanged" = Nyvad score 1
    • "regression" = Nyvad score changed from 1 to 0 or 4

    Measured: Baseline to 1 month

  5. Severity Transition of White Spot Lesions by ICDAS II Visual Scoring System (Codes)

    Evaluation of the clinical status of the lesions:

    • "progression" = ICDAS score increased from 2 to 3
    • "unchanged" = ICDAS score 2
    • "regression" = ICDAS score decreased from 2 to 0 or 1

    Measured: Baseline to 6 month

  6. Severity and Activity Transition of White Spot Lesions by Nyvad Criteria

    Evaluation of the clinical status of the lesions:

    • "progression" = Nyvad score changed from 1 to 2 or 5
    • "unchanged" = Nyvad score 1
    • "regression" = Nyvad score changed from 1 to 0 or 4

    Measured: Baseline to 6 month

  7. Severity Transition of White Spot Lesions by ICDAS II Visual Scoring System (Codes)

    Evaluation of the clinical status of the lesions:

    • "progression" = ICDAS score increased from 2 to 3
    • "unchanged" = ICDAS score 2
    • "regression" = ICDAS score decreased from 2 to 0 or 1

    Measured: Baseline to 12 month

  8. Severity and Activity Transition of White Spot Lesions by Nyvad Criteria

    Evaluation of the clinical status of the lesions:

    • "progression" = Nyvad score changed from 1 to 2 or 5
    • "unchanged" = Nyvad score 1
    • "regression" = Nyvad score changed from 1 to 0 or 4

    Measured: Baseline to 12 month

Timeline

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

  1. First posted14 Nov 2023
  2. Study start24 Feb 2023
  3. Primary completion31 May 2023
  4. Study completion16 Apr 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Split-mouth design: Meaning that each patient receives both treatments, but on different teeth.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06131294
Sponsor's protocol ID
LL4470462
Status last verified
Mar 2025
First submitted
2 Nov 2023
Last updated
23 Oct 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Fluoride Application (Experimental Fluoride Application) and Fluor Protector S in people with White Spot Lesion, run by Ivoclar Vivadent AG at 1 site in Turkey (Türkiye).

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 6 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 23 Oct 2025. 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 Turkey (Türkiye). 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 20 Apr 2025). 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?

Measurement of White Spot Lesions by QLF Parameters: Delta F (Max) (time frame: Baseline). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Oct 2025.

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