Air-polishing With Erythritol During Orthodontic Tretament
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Ultrasonic scaler, Air-Flow Prophylaxis Master.
- Who it may be relevant to
- Registry conditions: Inflammation Gum, White Spot Lesion. Basic parameters: 12 years — 16 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Switzerland
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Air-polishing With Erythritol on Prevalence of White Spot Lesions and Gingivitis During Orthodontic Treatment With Fixed Appliances: a Randomized Clinical Trial of 2-years Duration
Overview
Patients with multi-bracketed fixed orthodontic treatment are at increased risk of developing white spot lesions (WSL) and gingivitis. Various preventive strategies have been examined to prevent the development of WSLs. During initial non-surgical periodontal therapy, the use of subgingival air-polishing with erythritol powder has shown promising results in reducing deep pockets and gingival inflammation. The efficacy of its use as monotherapy in preventing WSLs and gingival inflammation in patients during orthodontic treatment, has not yet been tested. The primary objective of the present study is to compare the effectiveness of an air-polishing device used as monotherapy versus ultrasonic instrumentation (the current gold standard procedure) in preventing white spot lesions (WSL) and gingivitis among young patients undergoing multi-bracketed fixed orthodontic treatment.
Detailed description
This is a randomized clinical study for evaluating the performance of an air-polishing device in preventing WSLs and gingivitis among patients undergoing multi-bracketed fixed orthodontic treatment. The null hypothesis tested is that there is no difference between the air-polishing device and the conventional ultrasonic device in preventing WSLs and gingivitis during orthodontic treatment.
Clinical examination and clinical samples will be taken before, during and after orthodontic treatment. It is a single center study of 3 years duration involving samples of 60 patients attending the Division of Orthodontics for treatment. Half of the participants will be randomly assigned for treatment with the air-polishing device in every orthodontic appointment, meaning once per month, the other half will be treated with a standard ultrasonic scaler every six months. The study duration for each participant will be approximately 2 years. The investigators will then analyze the prevalence of WSLs using the Quantitative light-induced fluorescence (QLF) method. Gingivitis will be evaluated throughout the study by using standard clinical parameters; the antimicrobial efficacy against several known periodontal pathogens and the host-response (inflammatory markers in GCF) will be measured by the qPCR assay and the multiplex immunoassay, respectively. Clinical evaluation and collection of samples for microbial and host response analysis will be performed every 6 months. Incidence of bracket debonding we will be calculated and compared.
Interventions
- Device Ultrasonic scaler
Ultrasonic scaling for subgingival cleaning every 6 months for 2 years according to the manufacturer's procedures. - Device Air-Flow Prophylaxis Master
AIR-FLOW PROPHYLAXIS MASTER with erythritol powder (AIR FLOW Powder Plus) will be used every month for 2 years for subgingival cleaning according to the manufacturer's procedures.
Primary outcome measures
- Appearance of white spot lesions (WSL) during orthodontic movement with fixed appliances. [Time frame: 2 years]
- Appearance on inflammatory lesions during orthodontic treatmnet [Time frame: 2 years]
- Changes from baseline in clinical parameters [Time frame: 2 years]
Secondary outcome measures (5)
- Patient acceptance [Time frame: 2 years]
- Tooth sensitivity [Time frame: 2 years]
- Total bacterial counts and counts of 6 periodontal pathogens in subgingival samples from treated pockets [Time frame: 2 years]
- Inflammatory markers in GCF from baseline [Time frame: 2 years]
- Toral tretament time [Time frame: 2 years]
Eligibility criteria
Inclusion criteria
- Subjects about to undergo fixed orthodontic treatment will be invited to participate.
- Age between 12 and 16 years only participants
- Informed written consent obtained by the parents
Exclusion criteria
- Clinically significant concomitant disease states (e.g., renal failure, hepatic dysfunction, cardiovascular disease, etc.),
- Known or suspected non-compliance, drug or alcohol abuse
- Inability to follow the procedures of the investigation, e.g. due to language problems, psychological disorders, dementia, etc. of the subject
- Participation in another investigation with an investigational drug or another MD within the 30 days preceding and during the present investigation
- Previous enrolment into the current investigation
- Enrolment of the PI, his/her family members, employees and other dependent persons
- History of fixed orthodontic treatment
- Defects on enamel on labial surfaces of the teeth
- Untreated cavitated lesions
- Plaque levels >25%
- Periodontitis
- Multiple missing teeth
- Cleft lip and/or palate or other craniofacial anomalies or syndromes
- Patients taking any regular medication
- Patients with asthmatic problems
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Switzerland · 1 center
- University of Geneva, University Clinics of Dental Medicine — Geneva
Identifiers
NCT: NCT05989750 · BASEC 2023-D0032