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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03108586
Other study ID # UFPEL- PPGO 0020
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date September 1, 2016
Est. completion date December 1, 2032

Study information

Verified date April 2023
Source Federal University of Pelotas
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will evaluate the effect of the International Dental Federation (FDI) criteria, compared to CARS (Caries Associated with Restorations or Sealants) detection criteria for evaluation of caries lesions around restorations in permanent teeth, in the outcomes related to oral health of adults, in a randomized clinical trial.


Description:

The study will consist of a randomised controlled trial of two parallel groups. One group will correspond to adults who will receive the diagnosis and indication of treatment according to the standard criteria, following the FDI criteria to classify the restorations marginal conditions and the presence of secondary caries (traditional group). And the other group will receive a diagnosis and treatment decision according to a minimal intervention approach, using as reference the detection criteria "Caries Associated with Restorations or Sealants" (CARS) - ICCMS (International Caries Classification and Management System) - conservative group). Patient evaluations will be performed yearly after 12 months. The primary outcome will be the number of surfaces restored with the need for new interventions. Secondary outcomes will be the impact of oral health on quality of life and cost-effectiveness.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 185
Est. completion date December 1, 2032
Est. primary completion date December 1, 2022
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 60 Years
Eligibility Inclusion Criteria: - Patients seeking dental treatment at the School of Dentistry; - Age between 18 and 60 years; - Patients who present at least one restoration of composite resin or amalgam to posterior and/or anterior teeth. Exclusion Criteria: - Patients who refuse to participate in the research; - Patients included in other surveys that involve restorations or are in systematic attendance at another clinic or service; - Patients who present systemic conditions or chronic diseases that require differentiated care and follow-up - these will be referred to the specific services available at the Faculty of Dentistry; - Patients who reside in other locations and who can not return for periodic follow-up of the interventions.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Dental treatment
Dental treatment of all dental needs present in adults related or not to the dental caries
Dental treatment
Dental treatment of all dental needs present in adults related or not to the dental caries

Locations

Country Name City State
Brazil Federal University of Pelotas Pelotas Rio Grande Do Sul
Brazil School of Dentistry - Federal University of Pelotas Pelotas RS

Sponsors (1)

Lead Sponsor Collaborator
Federal University of Pelotas

Country where clinical trial is conducted

Brazil, 

References & Publications (3)

Brouwer F, Askar H, Paris S, Schwendicke F. Detecting Secondary Caries Lesions: A Systematic Review and Meta-analysis. J Dent Res. 2016 Feb;95(2):143-51. doi: 10.1177/0022034515611041. Epub 2015 Oct 13. — View Citation

Hickel R, Peschke A, Tyas M, Mjor I, Bayne S, Peters M, Hiller KA, Randall R, Vanherle G, Heintze SD. FDI World Dental Federation: clinical criteria for the evaluation of direct and indirect restorations-update and clinical examples. Clin Oral Investig. 2 — View Citation

Signori C, Moro BLP, Uehara JLS, Romero VHD, de Oliveira EF, Braga MM, Mendes FM, Cenci MS; CaCIA Collaborative Group. Study protocol for a diagnostic randomized clinical trial to evaluate the effect of the use of two clinical criteria in the assessment of caries lesions around restorations in adults: the Caries Cognition and Identification in Adults (CaCIA) trial. BMC Oral Health. 2020 Nov 10;20(1):317. doi: 10.1186/s12903-020-01307-z. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Change from baseline in number of surfaces restored requiring new intervention The primary endpoint will be the number of surfaces restored requiring intervention, which is composed of the sum of components with different levels of severity: number of surfaces with new caries lesions, number of surfaces restored in need of repair, replacement, teeth with episodes of pain, teeth requiring endodontic treatment or extraction. 12 months, 24 months
Secondary Impact of intervention on quality of life measured by a validated questionnaire - OHIP-14 (Oral Health Impact Profile-14) 12 months, 24 months
Secondary Cost-effectiveness measured by a scale Effectiveness will be measured through the number of restored surfaces without intervention. The cost-effectiveness ratio will be expressed by the cost ratio of the FDI and CARS criteria and effectiveness (number of surfaces without the need for new interventions) 12 months, 24 months
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