Dental Caries Clinical Trial
— SOCLOfficial title:
Decision Aids for the Management of Suspicious Occlusal Caries Lesions
NCT number | NCT02340767 |
Other study ID # | 14-003-E |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | December 2014 |
Est. completion date | December 2016 |
Verified date | July 2018 |
Source | The National Dental Practice-Based Research Network |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The study will determine whether clinicians who use a diagnostic device treat suspicious occlusal carious lesions (SOCL) surgically more often, with the same frequency, or less frequently, than dentists not relying on a diagnostic device. The study will also determine -- among those SOCLs that are opened -- whether the proportion of lesions that extend into the dentin when dentists are using a diagnostic device is more than, the same, or less than when no device is used.
Status | Completed |
Enrollment | 3085 |
Est. completion date | December 2016 |
Est. primary completion date | June 2015 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 6 Years and older |
Eligibility |
Inclusion Criteria: Practitioner: In order to be eligible to participate in this study, an individual must meet all of the following criteria: - Is enrolled in the National Dental Practice Based Research Network (National Dental PBRN); - Has completed an Enrollment Questionnaire; - Is a general or pediatric dentist who is licensed in the United States to treat patients and treats patients in the United States on a recurring basis; - Is trained and certified in Human Subjects Protection Training; - Has attended or viewed a National Dental PBRN orientation session or attended at least one annual regional meeting of practitioners or has attended a National Dental PBRN workshop at the International Association for Dental Research (IADR) or American Association for Dental Research (AADR). - Performs restorative dentistry routinely in their practices as reported on the enrollment questionnaire; - Has no clinical experience (no history of routine use in practice within the past one year) with either of the devices being used in the study and declares no conflict of interest with the corporations that produce DIAGNOdent® and Spectra®; and - Is able to complete the pre-and post-study vignettes online. Practice: If a practitioner is in a practice where they share an operatory (including a hygiene chair) only 1 dentist can be recruited from that practice. Patient: In order to be eligible to participate in this study, an individual with a SOCL must meet all of the following criteria: - Willing to provide consent according to regionally approved procedures and/or obtain parent/legal guardian permission as applicable; - Willing to comply with all study procedures; Is six years of age or older; and - Has not participated in the study previously. Patients will be enrolled only once throughout the study (this includes the pre-intervention and intervention phases for the pilot study and full study). Tooth: In order to be eligible to be included in this study, a tooth with a SOCL must meet all of the following criteria: - Permanent tooth; - No radiographic evidence of caries into dentin based on available radiographs; - Caries into dentin is suspected due to roughness, surface opacities, or staining; - No symptoms of sensitivity to sweets, cold, air, etc.; - No restoration on the occlusal surface; and - No sealant on occlusal surface. Exclusion Criteria: - Under the age of 6 years old - Primary Teeth - Evidence of Caries into dentin based on available radiographs - Sensitivity to sweets, cold, air etc.; - Restoration on the occlusal surface - Sealant on occlusal surface |
Country | Name | City | State |
---|---|---|---|
United States | University of Alabama at Birmingham | Birmingham | Alabama |
United States | University of Florida | Gainesville | Florida |
United States | HealthPartners Institute for Education and Research | Minneapolis | Minnesota |
United States | Kaiser Permanente Center for Health Research | Portland | Oregon |
United States | University of Rochester | Rochester | New York |
United States | University of Texas Health Science Center at San Antonio | San Antonio | Texas |
Lead Sponsor | Collaborator |
---|---|
The National Dental Practice-Based Research Network | HealthPartners Institute, Kaiser Permanente, The University of Texas Health Science Center at San Antonio, University of Alabama at Birmingham, University of Florida, University of Rochester |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of Lesions That Received Invasive Treatment and the Number of Lesions Receiving Invasive Treatment That Extended Into Dentin | There was one lesion/patient. | Pre-intervention and post-intervention (one day visit) | |
Secondary | Number of Clinicians in Likelihood of Surgically Treating Lesions in Online Vignettes That Display Two Levels of Five Cues (Color, Surface Smoothness, Surface Luster, Caries Risk, and Device Reading (if Applicable) in Post-intervention | Clinicians' likelihood of treating surgical lesions depicted with brown verses black, smooth verses rough, shiny verses matte, in patients with high verses low caries risk, by post-intervention phases. The outcome measure will be to see what cues were used or treatment decisions in the post-intervention phase. Please note that more than one cue could be chosen, so values may add up to more than 100 percent. Participants in the no device group did not receive a device reading cue. | Post-intervention (dentists completed the vignettes one time) | |
Secondary | Number of Clinicians in Likelihood of Surgically Treating Lesions in Online Vignettes That Display Two Levels of Four Cues (Color, Surface Smoothness, Surface Luster, and Caries Risk) in Pre-intervention | Clinicians' likelihood of treating surgical lesions depicted with brown verses black, smooth verses rough, shiny verses matte, in patients with high verses low caries risk, by post-intervention phases. The outcome measure will be to see what cues were used or treatment decisions in the pre-intervention phase. Please note that more than one cue could be chosen, so values may add to more than 100 percent of participants. | Pre-intervention (dentists completed the vignettes one time) |
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