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Trial registered on ANZCTR
Registration number
ACTRN12624000653561
Ethics application status
Approved
Date submitted
19/03/2024
Date registered
21/05/2024
Date last updated
21/05/2024
Date data sharing statement initially provided
21/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Clinical study to evaluate the effect of a bioactive restoration material in restoration of dental root caries
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Scientific title
Evaluating the clinical performance: retention rate, marginal adaptation, marginal staining, recurrence of caries and fracture of a bioactive restoration material (BioUnion Filler) in carious cervical lesions restorations in healthy non smoking patients without bruxism or any oral para-functional habits
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Secondary ID [1]
311763
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Nil known
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Universal Trial Number (UTN)
U1111-1305-7568
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cervical dental caries
333267
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Condition category
Condition code
Oral and Gastrointestinal
329963
329963
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The researcher himself will do the restorations of 40 teeth that will be divided into two groups randomly (20 restorations in each group) and the following will be done in the study group:
- Vitality test (using ethyl chloride on a cotton pellet on the middle third of the facial surface of the tooth)
- Apply local anesthesia
- Isolation with cotton rolls and retraction cords or using rubber dam
- Mechanical preparation and complete caries removal until reaching a clean and caries-free surface
- Applying glass ionomer cement (GIC) BioUnion Filler (Caredyne-Restore, GC Corporation, Tokyo, Japan) to every cavity in the intervention group and filling the entire cavity until a smooth surface is reached and it is consistent with the original tooth surface
- Finishing and polishing after 24 hours
follow ups for clinical evaluation of the restorations will be in (3 months, 6 months, 9 months, and 12 moths)
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Intervention code [1]
328218
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Treatment: Other
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Comparator / control treatment
The researcher himself will do the restorations of 40 teeth that will be divided into two groups randomly (20 restoration in each group) and the following will be done in the control group:
- Vitality test (using ethyl chloride on a cotton pellet on the middle third of the facial surface of the tooth)
- Apply local anesthesia
- Isolation with cotton rolls and retraction cords or using rubber dam
- Mechanical preparation and complete caries removal until reaching a clean and caries-free surface
- Applying (GIC) Fuji IX GP® (GC Corporation, Tokyo, Japan) to every cavity until a smooth surface is reached and it is consistent with the original tooth surface
- Finishing and polishing after 24 hours
follow ups for clinical evaluation of the restorations will be in (3 months, 6 months, 9 months, and 12 moths)
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Control group
Active
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Outcomes
Primary outcome [1]
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Retention rate
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Assessment method [1]
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Rated by modified USPHS criteria
Alpha: retained
Charlie: missing
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Timepoint [1]
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1 week (Baseline), 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, and 1 year post-intervention (primary timepoint)
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Secondary outcome [1]
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Marginal adaptation
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Assessment method [1]
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Rated by modified USPHS.
Alpha: Restoration is continuous with existing anatomic form.
Bravo: Detectable V-shaped defect in enamel only. Catches explorer going both ways. Charlie: Detectable V-shaped defect to dentin-enamel junction
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Timepoint [1]
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1 week (Baseline), 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, and 1 year post-intervention
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Secondary outcome [2]
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Marginal staining
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Assessment method [2]
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Rated by modified USPHS.
Alpha: No discoloration along the margin.
Bravo: Slight and superficial staining (removable, usually localized).
Charlie: Deep staining cannot be polished away
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Timepoint [2]
432965
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1 week (Baseline), 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, and 1 year post-intervention
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Secondary outcome [3]
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Secondary caries
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Assessment method [3]
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rated by modified USPHS.
Alpha: No evidence of caries contiguous with the margin.
Charlie: Evidence of presence of caries
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Timepoint [3]
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1 week (Baseline), 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, and 1 year post-intervention
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Secondary outcome [4]
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Restoration fracture
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Assessment method [4]
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Rated by modified USPHS.
Alpha: None.
Bravo: Small chip, but Clinically acceptable.
Charlie: Failure due to bulk restorative fracture
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Timepoint [4]
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1 week (Baseline), 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, and 1 year post-intervention
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Eligibility
Key inclusion criteria
-patient with minimum age 19
- cervical carious lesions (up to 40% of the lesion on root)
- lesion depth not less than 1 mm
- the lesion must be on:
lower or upper molars
lower or upper premolars
and lower canines only
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Minimum age
19
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- history of tooth hypersensitivity
- periapical or periodontal diseases
- necrotic pulp and endodonticaly treated teeth
- previous restorations
- bruxism
- pregnancy
- sensitivity to any material in the study
- smokers
- using orthodontic appliances
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The intervention will be determined by opening a sealed envelope -after finishing the cavity preparation- determining what material will be used for this tooth.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation will be done using coin-tossing for the first eligible tooth for the study in the patient mouth starting from the upper right quadrant
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
15/06/2024
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Actual
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Date of last participant enrolment
Anticipated
1/07/2024
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Actual
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Date of last data collection
Anticipated
10/05/2025
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26208
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Syrian Arab Republic
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State/province [1]
26208
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Damascus
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Funding & Sponsors
Funding source category [1]
316098
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University
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Name [1]
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Damascus University
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Address [1]
316098
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Country [1]
316098
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Syrian Arab Republic
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Primary sponsor type
University
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Name
Damascus University
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Address
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Country
Syrian Arab Republic
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Secondary sponsor category [1]
318266
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None
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Name [1]
318266
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Address [1]
318266
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Country [1]
318266
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314925
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Ethical and scientific committee of dental research of Damascus University
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Ethics committee address [1]
314925
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Mazzah highway, Fayez Mansour street, Damascus, Syria
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Ethics committee country [1]
314925
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Syrian Arab Republic
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Date submitted for ethics approval [1]
314925
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12/04/2022
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Approval date [1]
314925
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09/05/2022
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Ethics approval number [1]
314925
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2619
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Summary
Brief summary
BioUnion Filler is a relatively new restoration material that is known to be the first commercially available bioactive glass-ionomer cement. The manufacturing company recommends using BioUnion Filler in high risk caries patients because of its important characteristic of releasing Zn2+ and Ca2+ in high acidic environment. This study was designed to evaluate the clinical performance of this material in carious cervical lesions by comparing it to GIC (Fuji IX). Information about oral and tooth brushing habits along with gingival bleeding status will be collected for each patient
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Ahmed Ballouk
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Address
133150
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work organisation address : Damascus university.Syria, Damascus, Mazzeh, Fayez Mansour street.
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Country
133150
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Syrian Arab Republic
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Phone
133150
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+963937414715
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Fax
133150
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Email
133150
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[email protected]
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Contact person for public queries
Name
133151
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Ahmed Ballouk
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Address
133151
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work organisation address : Syria, Damascus, Mazzeh, Fayez Mansour street.
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Country
133151
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Syrian Arab Republic
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Phone
133151
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+963937414715
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Fax
133151
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Email
133151
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[email protected]
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Contact person for scientific queries
Name
133152
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Ahmed Ballouk
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Address
133152
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work organisation address : Damascus university.Syria, Damascus, Mazzeh, Fayez Mansour street.
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Country
133152
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Syrian Arab Republic
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Phone
133152
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+963937414715
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Fax
133152
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Email
133152
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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