Clinical Evaluation of Different Minimal Invasive Treatment Modalities of Mild to Moderate Dental Fluorosis Using A Visual Analog Scale
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- Patient Satisfaction
研究概览
简要总结
This study was conducted for clinical evaluation of the quality of different minimal-invasive treatment modalities and combination treatments in esthetics improvement of mild to moderate fluorosed teeth using two different evaluation methods.
One hundred and sixty fluorosed teeth were included in this study. Prior to the interventions, pre-operative photographs were taken as baseline records. After that teeth were randomly allocated in eight treatment protocols with twenty teeth (n=20) included in each protocol. Protocol one (P1) Opalescence™ boost™ PF 40%. Protocol two (P2) Opalustre™. Protocol three (P3) MI-Paste Plus®. In protocol four (P4) teeth were treated with Opalustre™ followed by Opalescence™ boost™ PF 40%. In protocol five (P5) Opalescence™ boost™ PF 40% was applied followed by MI-Paste Plus®, while in protocol six (P6) Opalustre™ was applied followed by MI-Paste Plus®. Whereas protocol seven (P7) teeth were treated with Opalustre™ followed by Opalescence™ boost™ PF 40% and lastly MI-Paste Plus®. Protocol eight (P8) control.
All teeth were evaluated immediately after treatment (T1), after 14 days (T2), after 3 months (T3) and after 6 months (T4).
They were rated for "improvement in appearance" and "change in white/brown opaque areas" using VAS through two blinded evaluators by comparing photographs of each follow-up time point with baseline. "Patient satisfaction", "tooth sensitivity" and "requirements for further treatments" were recorded by the participant.
详细描述
This study was conducted for clinical evaluation of the quality of different minimal-invasive treatment modalities and combination treatments in esthetics improvement of mild to moderate fluorosed teeth using two different evaluation methods.
Materials used in this study were Opalustre™ (microabrasion paste of 6.6% hydrochloric acid and Silicon Carbide), Opalescence™ Boost™ PF 40% (in-office bleaching of 40% hydrogen peroxide) and MI-Paste Plus® (topical remineralizing tooth crème of casein phosphopeptide amorphous calcium fluoride phosphate).
One hundred and sixty fluorosed teeth were included in this study. Prior to the interventions, pre-operative photographs were taken as baseline records. After that teeth were randomly allocated in eight treatment protocols with twenty teeth (n=20) included in each protocol. Protocol one (P1) Opalescence™ boost™ PF 40%. Protocol two (P2) Opalustre™. Protocol three (P3) MI-Paste Plus®. In protocol four (P4) teeth were treated with Opalustre™ followed by Opalescence™ boost™ PF 40%. In protocol five (P5) Opalescence™ boost™ PF 40% was applied followed by MI-Paste Plus®, while in protocol six (P6) Opalustre™ was applied followed by MI-Paste Plus®. Whereas protocol seven (P7) teeth were treated with Opalustre™ followed by Opalescence™ boost™ PF 40% and lastly MI-Paste Plus®. Protocol eight (P8) control.
All teeth were evaluated immediately after treatment (T1), after 14 days (T2), after 3 months (T3) and after 6 months (T4).
They were rated for "improvement in appearance" and "change in white/brown opaque areas" using VAS through two blinded evaluators by comparing photographs of each follow-up time point with baseline. "Patient satisfaction", "tooth sensitivity" and "requirements for further treatments" were recorded by the participant.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
盲法说明
Masking was ensured as the baseline and follow-ups photographs were stored on a computer with a unique ID and the investigators were not disclosed about the participants' treatment protocol. Blinding of the participants was guaranteed as they didn't know each other, or the treatments received in other protocols
入排标准
- 年龄范围
- 20 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Each participant had at least 8 teeth with mild to moderate dental fluorosis score 1-4 according to Thylstrup and Fejerskov index.
- •Participants of age range 20-35 years old
- •Good oral and general health
- •Had no caries or restorations on the teeth to be treated
- •Ability to return for periodic recalls
排除标准
- •Hypersensitive teeth
- •Any fixed orthodontic appliance
- •Current or previous use of bleaching agents
- •A history of allergies to tooth whitening product
- •Smoking habits
- •Pregnant or lactating women
- •Non-vital or teeth with symptoms of pulpitis
- •Loss or fracture of maxillary and mandibular anterior teeth
研究组 & 干预措施
In-office bleaching
40% hydrogen peroxide in-office bleaching (Opalescence™ boost™ PF 40%, Ultradent Products, Inc., South Jordan, UT, USA)
干预措施: Opalescence™ boost™ PF 40% (Other)
microabrasion
6.6% hydrochloric acid and silicon carbide microparticles microabrasion paste (Opalustre™, Ultradent Products, Inc., South Jordan, UT, USA).
干预措施: Opalustre™ (Other)
Remineralization
casein phosphopeptide amorphous calcium fluoride phosphate (CPP-ACFP) remineralizing tooth crème (MI-Paste Plus®, GC America Inc., USA).
干预措施: MI-Paste Plus® (Other)
Microabrasion + In-office bleaching
teeth were treated with enamel microabrasion followed by in-office bleaching.
干预措施: Opalescence™ boost™ PF 40% (Other)
Microabrasion + In-office bleaching
teeth were treated with enamel microabrasion followed by in-office bleaching.
干预措施: Opalustre™ (Other)
In-office bleaching + Remineralization
n-office bleaching was applied followed by MI-Paste Plus®
干预措施: Opalescence™ boost™ PF 40% (Other)
In-office bleaching + Remineralization
n-office bleaching was applied followed by MI-Paste Plus®
干预措施: MI-Paste Plus® (Other)
Microabrasion + Remineralization
microabrasion was applied followed by MI-Paste Plus®
干预措施: Opalustre™ (Other)
Microabrasion + Remineralization
microabrasion was applied followed by MI-Paste Plus®
干预措施: MI-Paste Plus® (Other)
Microabrasion + In-office bleaching + Remineralization
teeth were treated with microabrasion followed by in-office bleaching and lastly MI-Paste Plus®
干预措施: Opalescence™ boost™ PF 40% (Other)
Microabrasion + In-office bleaching + Remineralization
teeth were treated with microabrasion followed by in-office bleaching and lastly MI-Paste Plus®
干预措施: Opalustre™ (Other)
Microabrasion + In-office bleaching + Remineralization
teeth were treated with microabrasion followed by in-office bleaching and lastly MI-Paste Plus®
干预措施: MI-Paste Plus® (Other)
Control
no treatment (control).
结局指标
主要结局
Patient Satisfaction
时间窗: Six Months
Participants were asked to score for "patient satisfaction" using VAS ranging from 1 to 7
次要结局
未报告次要终点
研究者
Mostafa Nasser Abdelmoniem Youssef
Mostafa Nasser Abdelmoniem Youssef
Suez Canal University