The Effect of Oxalic Acid on Cervical Restorations on Hypersensitive Teeth, a Double-blind Randomized Controlled Clinical Trial. One Year Follow up
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 31
- Primary Endpoint
- teeth sensitivity by EVA
Study Overview
Brief Summary
The aim of this double-blind randomized controlled clinical trial was to evaluate the effect on dentin sensitivity using oxalic acid desensitizing agent before restoring with resin-based-composites, during one-year follow-up. One hundred and twenty two cervical lesions (31 patients, age range between 24 and 66 years) were selected and randomly divided into four groups: OA/Z250: treated with acid oxalic desensitizing agent (Desenssiv, SSWhite) before restoring with a methacrylate resin-based-composite (Z250, 3M ESPE), (n=31), OA/P90 treated with acid oxalic desensitizing agent (Desenssiv, SSWhite) before restoring with a silorane resin-based-composite (Silorane p90, 3M ESPE) (n=31), Z250 restored with methacrylate resin-based-composite (Z250, 3M ESPE) (n=30) and P90 restored with a silorane resin-based-composite (Silorane p90, 3M ESPE) (n=30). All lesions were evaluated at baseline, immediately and 1, 2, 3, 6 months and 1 year after treatment. Teeth sensitivity was measured by visual analog scale (VAS) after evaporation and tactile stimuli
Detailed Description
The study design was a split-mouth placebo-controlled randomized clinical trial according to CONSORT recommendations. Patients were recruited in the Clinic of Dental School of University of Chile according to inclusion criteria.All patients signed the informed consent approved by the Ethics Committee (Dental School, Universidad de Chile).
Inclusion criteria were:
- Patients older than 18 years old having at least 4 teeth with cervical buccal lesions sensitive to tactile and thermal/evaporation stimuli. (moderate / severe pain by EVA)
- Teeth with surface loss on the buccal cervical area with indication of resin-composite-based restoration.
Exclusion criteria were:
- Systemic diseases related to chronic pain
- Pregnancy
- Recent periodontal surgery, orthodontic treatment or desensitizing treatment within the last 3 months.
- In treatment with NSAIDs
- Teeth with caries or restorations
- Incisor teeth (to avoid cross innervation).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Patients older than 18 years old having at least 4 teeth with cervical buccal lesions sensitive to tactile and thermal/evaporation stimuli. (moderate / severe pain by EVA)
- •Teeth with surface loss on the buccal cervical area with indication of resin-composite-based restoration.
Exclusion Criteria
- •-Systemic diseases related to chronic pain
- •Pregnancy
- •Recent periodontal surgery, orthodontic treatment or desensitizing treatment within the last 3 months.
- •In treatment with NSAIDs
- •Teeth with caries or restorations
- •Incisor teeth (to avoid cross innervation).
Arms & Interventions
z250 resin composite
(n=31) Treated with distilled water (placebo) and restored with a methacrylate resin-based-composite (Z250, 3M ESPE, shade: A3)
z250 resin composite + oxalic acid
(n=31) treated with 0.5% oxalic acid (Desenssiv, SSWhite)(intervention)// and restored with a methacrylate resin-based-composite (Z250, 3M ESPE, shade: A3)
Intervention: with 0,5% oxalic acid (Desenssiv SSWhite) (Other)
p 90 resin composite
(n=31) Treated with distilled water (placebo) and restored with a silorane resin-based-composite.
p 90 resin composite + oxalic acid
(n=31) treated with 0,5% oxalic acid (Desenssiv SSWhite)(Intervention)/ and restored with a silorane resin-based-composite (Filtek Silorane p90, £M ESPE, shade:)
Intervention: with 0,5% oxalic acid (Desenssiv SSWhite) (Other)
Outcomes
Primary Outcomes
teeth sensitivity by EVA
Time Frame: 360 days
days after of placing the restorations
teeth sensitivity by EVA
Time Frame: 30 days
days after of placing the restorations
teeth sensitivity by EVA
Time Frame: 60 days
days after of placing the restorations
teeth sensitivity by EVA
Time Frame: 90 days
days after of placing the restorations
teeth sensitivity by EVA
Time Frame: 180 days
days after of placing the restorations
Secondary Outcomes
No secondary outcomes reported
Investigators
Eduardo Fernandez
Prof.Eduardo Fernández G.
University of Chile
