Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT06364020 |
| Other study ID # |
APHP230067 |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
April 2024 |
| Est. completion date |
April 2025 |
Study information
| Verified date |
April 2024 |
| Source |
Assistance Publique - Hôpitaux de Paris |
| Contact |
Caroline Mocquot, MCU-PH |
| Phone |
+33622971627 |
| Email |
caroline.mocquot[@]aphp.fr |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
In the management of patients with noncarious cervical lesions (NCCL), we observe that they
frequently present signs of anxiety, traumatic brushing, bruxism or eating disorders. These
multifactorial and interrelated etiologies make diagnosis and management difficult.
Furthermore, in the literature, there is a lack of studies that evaluate the relationship
between these risk factors and NCCL. A better understanding of the etiology and risk factors
would help to optimize patient management and direct patients to the most appropriate
therapies.
Description:
Tooth wear is a cumulative loss of surface area at the expense of mineralized tooth tissue
caused by physical or physicochemical processes (erosion, attrition, abrasion), i.e.,
excluding carious lesion, resorption, or trauma.
Non-carious cervical lesions (NCCL) correspond to hard tissue loss in the cervical area of
the tooth by processes not related to caries.
The prevalence of NCCL varies between 5 and 85% depending on the study and the severity of
cervical wear increases with age. A 2020 systematic review estimates the prevalence of NCCL
at 46.7%.
NCCL are frequent pathologies caused by changes in lifestyle and diet. The reasons for
consultation are diverse and varied, either symptomatic (sensitivities) functional (food
retention) or aesthetic. The prevalence and severity of wear increases with age. It is
generally accepted that lesions are not generated by a single factor but result from a
combination of factors, such as erosion, abrasion or abfraction. The clinical appearance of
NCCLs may vary depending on the type and severity of the etiologic factors involved. Proper
diagnosis of this type of lesion requires a comprehensive knowledge of the different
etiologies as well as their multifactorial aspects through focused questioning and careful
clinical observation. Due to the multifactorial and interrelated etiologies, accurate
diagnosis of NCCLs is challenging.
Prevention and proper management of NCCL requires an understanding of the etiology and risk
factors related to mental disorders such as depression, stress and anxiety or pathological
behaviors such as traumatic brushing or bruxism. Wear lesions can be aggravated by
gastroesophageal reflux and eating disorders resulting from mental disorders that are
devastating to dental tissue. The decision to monitor NCCLs rather than intervene should be
based on the progression of the lesions and how they compromise the vitality, function, and
aesthetics of the teeth.
During the management of patients with NCCL, we observe that they show signs of anxiety.
Therefore, the objective is to assess the level of anxiety in patients with NCCL and to
compare it to that of patients without NCCL.
We wish to carry out an observational survey from a prospective cohort at the Rothschild
Hospital.
