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| Name | Class |
|---|---|
| Shirley Glasstone Hughes Trust Fund | UNKNOWN |
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The aim of this research is to compare the clinical outcome of amalgam restorations placed in conjunction with three different lining protocols, each of which represents a different therapeutic concept.
Patients attending one of eight, United Kingdom general dental practitioners for a new restoration in a posterior tooth will be recruited and informed consent obtained. Each dentist will place 20 amalgam restorations either unlined (control), or lined with calcium hydroxide cement, rmgi cement, or sealed with a resin bonding agent (total - 640).
Pre-operative radiographs and pulp testing will be performed and measurement of cavity size to assess the remaining dental thickness. The pulp status and symptoms will be recorded at 6, 12, and 24 months. Post-operative sensitivity will be recorded by the patient at 1, 3, 7, 14 and 28 days using a visual analogue scale and diary. The dentists will be trained and calibrated to use United States Public Health Service criteria and the condition of the restoration will be assessed at 12 and 24 months.
For each lining option, one product and one admixed amalgam will be provided for use by all the dentists. Training and instruction will be given on the application of the liners and on amalgam condensation to increase standardisation.
The collected data will be assessed to identify any association between the outcome variables and the pre-treatment tooth condition or lining material used using logistic regression (α=0.05).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No lining | Placebo Comparator | No lining material placed under amalgam dental restoration |
|
| Calcium hydroxide cement | Active Comparator | Placement of calcium hydroxide cement under amalgam dental restorations |
|
| Bonding agent | Active Comparator | Placement of Resin bonding agent under amalgam dental restorations |
|
| RMGI cement | Active Comparator | Placement of rmgi lining under amalgam dental restorations |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No lining | Procedure | No lining material placed under amalgam dental restorations |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative sensitivity | pain following placement reported by patient using a visual analog scale | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Condition of test teeth | Pulp vitality assessed using an electronic pulp tester | 24 months |
| Condition of restorations | condition of restorations assessed visually using United States Public Health Service criteria |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dominic A Stewardson, PhD | Contact | 0121 4665489 | d.a.stewardson@bham.ac.uk | |
| Kirsty B Hill, PhD | Contact | 0121 4665488 | K.B.Hill@bham.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Dominic A Stewardson, PhD | University of Birmingham, School of Dentistry | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Birmingham, School of Dentistry | Recruiting | Birmingham | West Midlands | B4 6NN | United Kingdom |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D003731 | Dental Caries |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| C031028 | Cal-Mer cement |
| C069300 | Tripton resin |
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| Calcium Hydroxide cement |
| Procedure |
placement of lining material under amalgam dental restorations |
|
| RMGI cement | Procedure | placement of lining material under amalgam dental restorations |
|
| Resin Bonding Agent | Procedure | placement of lining material under amalgam dental restorations |
|
| 24 months |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D017001 | Tooth Demineralization |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |