Clinical Evaluation Of A New Two-Component Self-Etch Universal Adhesive (XTR)
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Purpose
This randomized clinical trial will evaluate the clinical performance of a new two-component self-etch universal adhesive, OptiBond XTR, when applied in non-carious Class V cervical lesions without macromechanical retention (retentive grooves or bevels). The control material will be OptiBond FL, a "traditional" etch/prime/bond adhesive with documented clinical performance. Eighty non-carious Class V cervical lesions will be divided into two groups to be treated with either OptiBond XTR or OptiBond FL. Both adhesives will be applied strictly according to the manufacturer's directions. Herculite Ultra, a nano-hybrid resin-based composite, will be used as the restorative material with both adhesives. The restorations will be evaluated at insertion (baseline), 6 months, and 18 months. An optional three-year recall evaluation is also proposed. The investigators hypothesize that both adhesives will have comparable performance.
| Condition | Intervention |
|---|---|
|
Composite Restorations Tooth Lesions |
Procedure: Adhesives: OptiBond XTR Composite: Herculite Ultra Procedure: Adhesives: OptiBond FL Composite: Herculite Ultra |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) |
| Official Title: | Clinical Evaluation Of A New Two-Component Self-Etch Universal Adhesive (OptiBond XTR) |
- Change from Baseline in Retention Rates at two time points: 6 months and 18 months [ Time Frame: 6 and 18 months post-baseline ] [ Designated as safety issue: No ]
- Color match [ Time Frame: 6 and 18 months post-baseline ] [ Designated as safety issue: No ]
- Cavosurface margin discoloration [ Time Frame: 6 and 18 months post-baseline ] [ Designated as safety issue: No ]
- Secondary caries [ Time Frame: 6 and 18 months post-baseline ] [ Designated as safety issue: No ]
- Anatomic form [ Time Frame: 6 and 18 months post-baseline ] [ Designated as safety issue: No ]
- Marginal adaptation and/or integrity [ Time Frame: 6 and 18 months post-baseline ] [ Designated as safety issue: No ]
- Post operative sensitivity [ Time Frame: 6 and 18 months post-baseline ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 25 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | September 2014 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Adhesive OptiBond XTR
will include composite restorations placed using the dental adhesive OptiBond XTR.
|
Procedure: Adhesives: OptiBond XTR Composite: Herculite Ultra
The intervention in Arm 1 (XTR) is a 2-step, self-etching adhesive.
|
|
Active Comparator: Adhesive OptiBond FL
will include composite restorations placed using the dental adhesive OptibOnd FL.
|
Procedure: Adhesives: OptiBond FL Composite: Herculite Ultra
Arm 2 (FL) is a 3-step, etch-and-rinse adhesive.
|
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Subjects needing restoration of NCCLs (these include some cases where the patient has hypersensitivity and a restoration is indicated)
- Subjects with age range 18-80 years old
- Teeth with normal occlusion relationships
Exclusion Criteria:
- Subjects with fewer than 20 teeth
- Subjects with poor oral hygiene and/or uncontrolled periodontal disease
- Teeth with NCCLs with mechanical undercuts
- Subjects with known allergies to HEMA or resin-based materials. The materials to be used are HEMA and/or resin-based materials.
- Subjects with medical conditions that contraindicate dental treatment.
- Subjects with xerostomia. Xerostomia is a condition where there is a decrease salivary flow (dry mouth). Decrease salivary flow is a known factor that affects the long-term prognosis of dental restorations, and would be a confounder.
Contacts and Locations| Contact: André V Ritter, DDS, MS | (919)843-6356 | rittera@dentistry.unc.edu |
| Contact: Shannon Tate | (919_966-2770 | Shannon_Tate@dentistry.unc.edu |
| United States, North Carolina | |
| University of North Carolina at Chapel Hill School of Dentistry | Recruiting |
| Chapel Hill, North Carolina, United States, 27599 | |
| Contact: André V Ritter, DDS, MS 919-843-6356 rittera@dentistry.unc.edu | |
| Contact: Shannon Tate (919)966-2770 Shannon_Tate@dentistry.unc.edu | |
| Principal Investigator: André V Ritter, DDS, MS | |
| Sub-Investigator: Harald O Heymann, DDS, MEd | |
| Sub-Investigator: Edward J Swift, Jr, DMD, MS | |
| Sub-Investigator: John R Sturdevant, DDS | |
| Sub-Investigator: Lee Boushell, DDS, MS | |
| Principal Investigator: | André V Ritter, DDS, MS | University of North Carolina, Chapel Hill |
More Information
No publications provided
| Responsible Party: | André V. Ritter, DDS, MS, Professor UNC School of Dentistry, University of North Carolina, Chapel Hill |
| ClinicalTrials.gov Identifier: | NCT01464996 History of Changes |
| Other Study ID Numbers: | Kerr-XTR-11 |
| Study First Received: | October 25, 2011 |
| Last Updated: | September 4, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of North Carolina, Chapel Hill:
|
non-carious cervical lesions bonded restorations composites adhesives |
ClinicalTrials.gov processed this record on June 18, 2013