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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT03321474
Other study ID # CEBD-CU-2017-10-24
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date July 2019
Est. completion date May 2020

Study information

Verified date March 2019
Source Cairo University
Contact zeinab saeed Elshamy, MDS
Phone 01125195692
Email zeinab.alshamy@dentistry.cu.edu.eg
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Patient with discolored anterior teeth and need conservative restoration treated with all ceramic esthetic laminate veneers. The Patient will be satisfied with restoration mimic the surrounding natural teeth, but conventional preparation shows approximately 60% of veneer failure in form of color change and nearly 67% Fractures of laminate veneers so the modified gull wing preparation is a significant factor affecting the final esthetic especially in discolored teeth and improve fracture resistance of the restoration.


Description:

This trial will be conducted on patient from the outpatient clinic in the fixed prosthodontics clinic, faculty of oral and dental medicine, Cairo University Adherence session will take place in the presence of the patients in the initial visit. This include that patient will be informed by Z Elshamy about the study steps and maintenance of oral hygiene instructions. Participants will be asked by Z Elshamy if they have any problems.

Motivation and enforcing the maintenance of oral hygiene measures by ZElshamy.

The visits will be designated as follow:

Visit 1: Preoperative records, face-to-face adherence reminder session, clinical, radiographic examination, intraoral photographs, and primary impression for diagnostic cast construction. Visit 2: teeth preparation, secondary impression using addition silicone rubber base material and temporary restoration. Visit 3: one week after the second visit, try in for the restoration will be done.

Visit 4: placement and permanent cementation of the final restoration. Visit 5: Every 2 months post operatively follow-up visit for one year. Sample size: Since no previously published effect size data regarding the effectiveness of neither the intervention nor the control exist, an estimated sample of (20 restorations) would be used with allocation ratio 1:1 Recruitment: The patients fulfilled the inclusion criteria will be selected from the outpatient clinic of the fixed prosthodontics department - Cairo University. Screening of patients will be carried out until the target population is reached.

Methods: Assignment of interventions (for controlled trial) Sequence generation. The participant teeth will be allocated into two groups with 1:1 allocation ratio by using computerized Sequence generation.

Plans to promote participant retention &complete follow up :

Telephone numbers and address of the patient included in the study will be Recorded. All patients will be given a phone call before the next appointment.

Data management: All data will be entered electronically. Patient files are to be stored in Numerical order in a secured place. This will be carried out by ZElshamy Statistical methods Data analysis All Data will be collected, checked, revised, tabulated and entered into the computer by ZElshamy. Quantitative variables from the normal distribution will be expressed as mean and standard deviation (SD) values. To test the significant differences between two groups at different follow-up period's student t-test will be used. Significant level will be set at P ≤ 0.05 Statistical analysis will be done using Statistical Package for Social Sciences, Version 21.0 (SPSS, IBM, Chicago, III, USA) for Windows. Data monitoring: The main supervisor is responsible for data monitoring if harms arise, an interim analysis will be done. (El Mahallawi O).

Harms: Any adverse effect of pain or even failure will be recorded, documented and treated. Consent: Researcher will discuss the trial with all patients. Patients will then be able to have an informed discussion with the researcher. A researcher will obtain written consent from patients willing to participate in the trial. All consent forms will be in the Arabic language Confidentiality :All study-related information will be stored securely. All participants' information will be stored in locked file cabinets in areas with limited access. All data collection, process, and administrative forms will be identified by a coded ID [identification] number only to maintain participant confidentiality. All records that contain names or other personal identifiers will be stored separately from study records identified by code number. All local databases will be secured with password-protected access systems.

Access to data :The investigator and supervisors will be given access to the data sets. All data sets will be password protected. To ensure confidentiality, Participant study information will become confidentially Ancillary and post-trial care :All patients will be followed up until complete period study& patients' satisfactions occur. As any prosthetic treatment post insertion adjustment is necessary and in this trial recalls maintenance.

Dissemination policy : Study results will be published as partial fulfillment of the requirements for PHD degree in fixed prosthodontics.

- Topics suggested for presentation or publication will be circulated to the authors.

Data collection methods:

Primary outcome: The fracture of the restoration of the two groups will be assessed using the modified United States public health service ( USPHS) criteria Secondary outcome: Color changes of the two groups will be assessed using the modified United States public health service (USPHS) criteria


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 20
Est. completion date May 2020
Est. primary completion date December 2019
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 50 Years
Eligibility - Inclusion Criteria

- age groups from 18-50-year-old

- patients able to read and sign the informed consent.

- patient without periodontal diseases

- Patients indicated for laminate veneers.

- patients Willing to return for follow -up

- Exclusion Criteria

- Patients with poor oral hygiene

- patients with endodontic ally treated teeth

- patients with Psychiatric problems

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
modified gull wing preparation
preparation is the inciso - proximal extension of porcelain laminates veneer margin more palatally. The preparation finished at the gingival margin and extended towards the papilla to finish the interproximal elbow preparation.

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Cairo University

References & Publications (2)

Alhekeir DF, Al-Sarhan RA, Al Mashaan AF. Porcelain laminate veneers: Clinical survey for evaluation of failure. Saudi Dent J. 2014 Apr;26(2):63-7. doi: 10.1016/j.sdentj.2014.02.003. Epub 2014 Mar 26. — View Citation

Duzyol M, Duzyol E, Seven N. Fracture Resistance of Laminate Veneers Made with Different Cutting and Preparation Techniques. 2016;4(3):42-48. doi:10.12691/ijdsr-4-3-3.

Outcome

Type Measure Description Time frame Safety issue
Primary fracture of restoration The fracture of the restoration of the two groups will be assessed using the modified United States public health service ( USPHS) criteria one year
Secondary color changed Secondary outcome : Color match Color changes of the two groups will be assessed using the modified United States public health service (USPHS) criteria one year
See also
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