Status:

NOT_YET_RECRUITING

Effect of Nano Hydroxy Apatite Varnish and Potassium Nitrate Gel on the MIH-affected Permanent Teeth

Lead Sponsor:

Cairo University

Conditions:

Molar Incisor Hypomineralisation

Eligibility:

All Genders

6-10 years

Phase:

NA

Brief Summary

This clinical study main goal is to investigate the effectiveness of nano hydroxy apatite crystal varnish and potassium nitrate gel as a non invasive approach in managing MIH-affected teeth.

Detailed Description

This randomized clinical trial study aims to investigate the effectiveness of nano-hydroxy apatite crystal varnish, and potassium nitrate gel compared to fluoride varnish, in reducing dentin hypersens...

Eligibility Criteria

Inclusion

  • The research unit of this study will be the MIH-affected permanent tooth, in children aged from six to ten years, from either gender.
  • Inclusion criteria:
  • Participants related criteria:
  • Children aged from six to ten years old.
  • Medically free children according to the history taken from their parents.
  • Children who are categorized as Class I or II according to the American Society of Anaesthesiologists (ASA).
  • Children whom their parents accept to comply with the follow-up visits.
  • Children who accept, and their guardians, to participate in the study by signing the informed consent.
  • Children with no more than four cavitated primary teeth.
  • Tooth related criteria:
  • 1\. The diagnosis of MIH will be done as per the Wurzburg concept, 2023 MIH diagnostic criteria:
  • The child will be confirmed to have MIH if any of the following characteristics are apparent:
  • affected teeth show a clearly defined opacity at the occlusal and buccal surfaces of a tooth,
  • defects vary in shape, size, and pattern,
  • white, cream-colored, or yellow-brown color deviations are recognizable,
  • defects variably vary in size,
  • teeth with hypersensitivity are present,
  • teeth have an atypical restoration,
  • permanent teeth for (suspected) MIH reasons are missing (extractions),
  • combinations of the above characteristics are present.
  • MIH-affected permanent teeth, suffering from dentin hypersensitivity, (MIH-TNI 3, 4a).
  • Positive Schiff Cold Airblasting Sensitivity score (score 1, 2, or 3).
  • Exclusion criteria:
  • Participants related criteria:
  • Children with severe behavioral or emotional disabilities.
  • Children who received analgesics within the last 24 hours before the procedure.15
  • Patients who are using chlorhexidine-based gels or mouthwashes.
  • Tooth related criteria:
  • A tooth with signs and symptoms of irreversible pulpitis.
  • A tooth with signs and symptoms of necrotic pulp.
  • Sealing therapy or application of desensitizing agent on the MIH teeth within one month before participation in the study.
  • Presence of dental caries on the MIH-affected permanent tooth.
  • Presence of restoration(s) on MIH-affected permanent tooth.

Exclusion

    Key Trial Info

    Start Date :

    June 1 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 1 2026

    Estimated Enrollment :

    48 Patients enrolled

    Trial Details

    Trial ID

    NCT06896565

    Start Date

    June 1 2025

    End Date

    August 1 2026

    Last Update

    April 24 2025

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