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Trial registered on ANZCTR
Registration number
ACTRN12619000440123
Ethics application status
Approved
Date submitted
15/02/2019
Date registered
18/03/2019
Date last updated
18/03/2019
Date data sharing statement initially provided
18/03/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
topical agents used in chemo-mechanical removal of caries.
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Scientific title
Evaluation of effectiveness of sodium hypochlorite gel and BRIX 3000 in removing caries of primary molars in children.
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Secondary ID [1]
297420
0
none.
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Universal Trial Number (UTN)
U1111-1228-6465
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dental Caries
311591
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Condition category
Condition code
Oral and Gastrointestinal
310220
310220
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
children included in the trial will be divided into three groups:
Group A: Sodium hypochlorite gel.
Group B: BRIX 3000 gel.
Group C: conventional drilling.
the method of application of chemo-mechanical gels:
teeth will be selected randomly and they should be primary molars which have a cavitated proximal or occlusal caries with no proximity to pulp. The procedure will be performed without anesthesia,
the teeth will be dried, following the principles of Atraumatic Restorative Treatment (ART).
and the gel will be applied by a dentist in an amount of half a grain of rice as mentioned by the manufacturer of BRIX 3000. the application will be with a #2 dentin excavator, leaving it to act for 2 minutes , following the BRIX 3000 manufacturer’s instructions.The infected tissue was then removed through curettage, first at the surrounding walls, using a #2 dentin excavator followed by pulpal wall. the cavity will be washed and dried thorougly. then, caries detector dye will be applied with a microbrush to detect any carious dentin still present.
if any carious tissues will be detected, reapplying of the gel will be considered.
A timer will be switched on at the moment of gel application and it will be switche off whenever all caries will be removed to record time needed to remove caries in minutes.
The whole application will be done by a pedodontist who is available to help researchers and he will monitor the whole procedure.
Immediately after the treatment, the child will be questioned about the discomfort with the performed procedure using the Wong-Baker face scale. The child will be instructed to point to the picture that represents his level of discomfort after the following question:
what did you feel during treatment?
All teeth will be restored with restorations according to the remaining dental structure.
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Intervention code [1]
313672
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Treatment: Drugs
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Comparator / control treatment
conventional drilling system using micromotor dentin excavator drills.
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Control group
Active
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Outcomes
Primary outcome [1]
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assessment of caries removal.
A blinded investigator will do the measure.
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Assessment method [1]
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Timepoint [1]
319103
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Baseline and re-evaluate in one interval stage.
Primary timepoint will be after 2 minutes of application to assess caries removal.
Endpoint will be after the all caries is removed.
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Secondary outcome [1]
366981
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assessment of patient discomfort.
Patient discomfort will be assessed using Wong-Baker Faces scale.
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Assessment method [1]
366981
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Timepoint [1]
366981
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Patient discomfort will be assessed using Wong-Baker Faces scale immediately after the intervention.
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Secondary outcome [2]
367494
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time taken to remove the caries.
this will be assessed using a stopwatch.
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Assessment method [2]
367494
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Timepoint [2]
367494
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after all caries is removed, the time in minutes taken will be recorded.
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Eligibility
Key inclusion criteria
1- cooperative children.
2- inclusion criteria of the teeth involved:
a- primary molars.
b- proximal or occlusal cavitated caries
c- no proximity of caries to pulp.
d- sufficient dental structure to restore the tooth.
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Minimum age
4
Years
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Maximum age
9
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Children who have any allergic reaction to the components of BRIX 3000
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomisation using arandomisation table created by computer software.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
15/05/2019
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Actual
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Date of last participant enrolment
Anticipated
10/09/2019
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Actual
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Date of last data collection
Anticipated
11/09/2019
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Actual
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Sample size
Target
45
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
21283
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Syrian Arab Republic
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State/province [1]
21283
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Damascus
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Funding & Sponsors
Funding source category [1]
301988
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University
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Name [1]
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Damascus University
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Address [1]
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Dental Collage, Damascus University, Al-Mazzeh St, Damascus, Syria
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Country [1]
301988
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Syrian Arab Republic
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Primary sponsor type
University
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Name
Damascus University
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Address
Dental Collage, Damascus University, Al-Mazzeh St, Damascus, Syria
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Country
Syrian Arab Republic
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Secondary sponsor category [1]
301769
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None
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Name [1]
301769
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Address [1]
301769
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Country [1]
301769
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
302666
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Ethical and Scientific Committee of dental research of Damascus University
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Ethics committee address [1]
302666
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Dental Collage, Damascus University, Al-Mazzeh St, Damascus, Syria
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Ethics committee country [1]
302666
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Syrian Arab Republic
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Date submitted for ethics approval [1]
302666
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08/01/2019
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Approval date [1]
302666
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12/02/2019
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Ethics approval number [1]
302666
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Summary
Brief summary
Drilling is the most challenging concept in pediatric dentistry, and as modern dentistry represents minimally invasive dentistry. therefore, chemo-mechanical removal of caries is an important way to get rid of all dental caries with preservation of all healthy dental tissues. chemo-mechanical removal of caries is also a method in behavioral management in children as no anesthesia is needed and no drilling instruments are used. The null hypothesis tested is that neither sodium hypochlorite gel nor BRIX 3000 is effective in removing caries of primary molars.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Muaaz Alkhouli
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Address
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Dental Collage, Damascus University, Al-Mazzeh St, Damascus, Syria
PO Box 30621
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Country
90994
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Syrian Arab Republic
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Phone
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+963966133383
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Fax
90994
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Email
90994
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[email protected]
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Contact person for public queries
Name
90995
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Awab Midani
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Address
90995
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Dental Collage, Damascus University, Al-Mazzeh St, Damascus, Syria
PO Box 30621
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Country
90995
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Syrian Arab Republic
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Phone
90995
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00963994093794
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Fax
90995
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Email
90995
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[email protected]
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Contact person for scientific queries
Name
90996
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Muaaz Alkhouli
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Address
90996
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Dental Collage, Damascus University, Al-Mazzeh St, Damascus, Syria
PO Box 30621
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Country
90996
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Syrian Arab Republic
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Phone
90996
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+963966133383
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Fax
90996
0
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Email
90996
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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