This is the Comparison of Clinical Effectiveness of Hydrochloric Acid-pumice Compound and Sodium Hypochlorite-pumice Compound Used in Microabrasion Technique for the Treatment of Dental Fluorosis. Change in Tooth Shade Was Checked Before and After the Procedure.

Dental Fluoroses Clinical Trial

Official title:

Comparison of Clinical Effectiveness of Hydrochloric Acid and Sodium Hypochlorite Used in Microabrasion Technique for the Treatment of Dental Fluorosis.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05339503
• Other study ID #: FatimaJDC
• Status: Completed
• Phase: N/A
• Start date: November 1, 2019
• Est. completion date: April 30, 2020

Study information

• Verified date: April 2022
• Source: Fatima Jinnah Dental College
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To compare the clinical effectiveness of hydrochloric acid-pumice compound and sodium hypochlorite-pumice compound in treating dental fluorosis using microabrasion technique.

Description:

A Randomized Clinical Trial was taken Fatima Jinnah Dental College Hospital, Karachi, from 1st November 2019 To 30th April 2020. Total 30 teeth in each group were included. Preoperatively shade was checked. The mixture was applied 10 times or more during the same session. Total treatment time was around 30 minutes. Every patient received entire microabrasion treatment. At the end of the treatment, neutral sodium fluoride gel was applied. Then changes in shade were checked. Descriptive statistics were calculated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: April 30, 2020
• Est. primary completion date: April 30, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Patients aged 18-40 years .
• Permanent dentition assessed on clinical examination.
• Have at least four maxillary incisors with scores of 4 to 5, according to the Dean's Fluorosis Index.
• Have no caries or restoration on the teeth to be treated assessed clinically.

Exclusion Criteria:

• Poor oral dental and general health assessed on clinical examination.
• History of Smoking and any form of tobacco.
• Patients with periodontal disease assessed on clinical examination.
• Caries on anterior teeth assessed on clinical examination.
• Hypersensitive teeth assessed on clinical examination.

Related Conditions & MeSH terms

• Dental Fluoroses
• Fluoride Poisoning
• Fluorosis, Dental

Intervention

Other:
• enamel microabrasion
It is a non-restorative, conservative treatment that works both chemically and mechanically to remove up to 0.2 mm of affected enamel per application. Pumice either mixed with 18% hydrochloric acid or 5.25% sodium hypochlorite was used to remove fluorosis stains.

Locations

Country	Name	City	State
Pakistan	Fatima Jinnah Dental College	Karachi	Sindh

Sponsors (1)

Lead Sponsor	Collaborator
Fatima Jinnah Dental College

Country where clinical trial is conducted

Pakistan, 

References & Publications (3)

Gupta A, Dhingra R, Chaudhuri P, Gupta A. A comparison of various minimally invasive techniques for the removal of dental fluorosis stains in children. J Indian Soc Pedod Prev Dent. 2017 Jul-Sep;35(3):260-268. doi: 10.4103/JISPPD.JISPPD_138_16. — View Citation

Nevárez-Rascón M, Molina-Frechero N, Adame E, Almeida E, Soto-Barreras U, Gaona E, Nevárez-Rascón A. Effectiveness of a microabrasion technique using 16% HCL with manual application on fluorotic teeth: A series of studies. World J Clin Cases. 2020 Feb 26; — View Citation

Sheoran N, Garg S, Damle SG, Dhindsa A, Opal S, Gupta S. Esthetic management of developmental enamel opacities in young permanent maxillary incisors with two microabrasion techniques--a split mouth study. J Esthet Restor Dent. 2014 Sep-Oct;26(5):345-52. d — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	HYDROCHLORIC ACID PUMICE COMPOUND	Tooth shade was recorded at the baseline with the help of VITA classical A1-D4® shade guide. The arrangement of the shades in the VITA classical family of shades is as follows: A1 - A4 (reddish-brownish), B1 - B4 (reddish-yellowish), C1 - C4 (greyish shades), D2 - D4 (reddish-grey).Determination of shade was done under daylight. Closest shade was selected from the shade tab. Effectiveness was marked positive if there was atleast one change in shade from the baseline just after the procedure to shade group from A1-D4. Effectiveness was marked negative if there is no change in shade from the baseline.	30 minutes
Primary	SODIUM HYPOCHLORITE PUMICE COMPOUND	Tooth shade was recorded at the baseline with the help of VITA classical A1-D4® shade guide. The arrangement of the shades in the VITA classical family of shades is as follows: A1 - A4 (reddish-brownish), B1 - B4 (reddish-yellowish), C1 - C4 (greyish shades), D2 - D4 (reddish-grey).Determination of shade was done under daylight. Closest shade was selected from the shade tab. Effectiveness was marked positive if there was atleast one change in shade from the baseline just after the procedure to shade group from A1-D4. Effectiveness was marked negative if there is no change in shade from the baseline.	30 minutes