Status:

COMPLETED

Noncarious Cervical Lesion Treatment Outcomes

Lead Sponsor:

Pearl Network

Collaborating Sponsors:

National Institute of Dental and Craniofacial Research (NIDCR)

Conditions:

Noncarious Cervical Lesions

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The overall objective of this three-armed randomized clinical trial (RCT) is to determine the comparative efficacy of three treatments for hypersensitive noncarious cervical lesions (NCLs): chemoactiv...

Eligibility Criteria

Inclusion

  • A premolar or first molar with an NCL and hypersensitivity of ≥3 as indicated by the subject on the Numeric Pain Assessment Scale (2008 NCCN) with standardized air blast stimulation with no other tooth exhibiting hypersensitivity (≥2 as indicated by the subject on the NPAS) in the same quadrant. If the patient has a tooth in more than one quadrant that meet these criteria then the quadrant selected will be that containing the tooth with the highest hypersensitivity reading. If the sensitivities are the same the quadrant with the lesion with the greatest depth would be selected. If the sensitivities and depth are the same the quadrant with the most convenient restorative access will be selected.
  • Teeth with NCL depth of at least 1 mm as measured by placing a periodontal probe (e.g.) into the deepest part of the cervical lesion
  • Teeth free of mesial, distal, or buccal restorations (to avoid confounding hypersensitivity)
  • Teeth with mobility of \<1 mm when manipulated between blunt instruments
  • Subject able to follow the study protocol and willing to return for all evaluation appointments
  • Subject able to comprehend and sign the written consent form
  • Subject 18 years of age or older

Exclusion

  • Subject who has a medical condition that could interfere with reliable pain reporting
  • Subject who is taking a medication that could interfere with reliable pain reporting
  • Subject who has taken an analgesic medication (narcotic, NSAID, acetaminophen, salicylic acid) within 24 hr pretreatment
  • Subject who is undergoing active orthodontic treatment
  • Subject with any of the following: a) Hypersensitive teeth with carious lesions; b) Hypersensitive teeth with buccal vertical cracks in enamel; c) Hypersensitive teeth with an irreversible pulpitis (pain lasting more than 5 sec after stimulation); d) Hypersensitive teeth with full crowns; e) Hypersensitive teeth with partial denture clasps on the facial surface; f) Evidence of inflamed gingival tissue and bleeding on probing in the sextant being considered for treatment as part of the study (the etiology of these lesion is closely related to excessive or improper brushing perhaps with an abrasive dentifrice and there is almost never accumulated plaque associated with the NCL)

Key Trial Info

Start Date :

March 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2012

Estimated Enrollment :

304 Patients enrolled

Trial Details

Trial ID

NCT00867997

Start Date

March 1 2009

End Date

February 1 2012

Last Update

February 29 2012

Active Locations (17)

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Page 1 of 5 (17 locations)

1

Maryann Lehmann, DDS

Darien, Connecticut, United States, 06820

2

Ahmad Soolari, D.M.D.

Potomac, Maryland, United States, 20854

3

Oral Health Center

Southborough, Massachusetts, United States, 01772

4

Scott B Schaffer, DMD

Clark, New Jersey, United States, 07066