CClinicalTrials.gg
Status unknownNCT04994314Updated Aug 6, 2021

White Spot Lesions Prevention During Orthodontic Fixed Appliance Treatment: a Randomized Clinical Trial

A Phase 3 interventional study of nCaF2 primer and Control primer in White Spot Lesion of Tooth, sponsored by University of Baghdad. Status unknown at 1 site in Iraq. Per ClinicalTrials.gov, last updated 2021-08-06.

Sponsored by University of Baghdad · Phase 3, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Aug 2021), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Feb 2021, registered Jul 2021).
Phase
Phase 3
Study type
Interventional
Enrollment
31
Allocation
Randomized
Sex
All
01

Study summary

The aim of this study is to evaluate the effectiveness of calcium fluoride nanoparticles containing orthodontic primer in preventing or decreasing the incidence WSLs over a period of 6 months in patients with fixed orthodontic appliances.

This study proposed to be double blinded, split mouth, randomized clinical trial, with equal randomization (1:1 allocation ratio).

Read the detailed description

The sample was selected and recruited from patients attending two centres (Orthodontic Department at Karbala Governmental Specialized Dental Center and Almina Dental Private Clinics/Karbala), but the bonding and follow up sessions were done in Almina Dental Private Clinics/Karbala. Patient recruitment was done according to specified inclusion and exclusion criteria.

Intervention procedure planned to be by bonding fixed orthodontic appliances to all patients. The four quadrants of the mouth will be divided into two groups (Group 1 and 2), with one group, the upper right and lower left quadrants bonded with nCaF2 resin, while the upper left and lower right quadrants bonded with control resin. For the other group, the reverse will be carried out. Then, by the use of a computer random number generator, the two groups will be randomly allocated, and each number in the random table will be given a study number in order to create the final Allocation Table for the participants in the study (which contained the study number and allocation group). the primary planned to be measured by DIAGNOdent Pen 2190 device to measure enamel demineralization objectively, while the secondary objective planned to be quantitative detection of Streptococcus mutans bacteria by using real-time PCR

02

Conditions studied

  • White Spot Lesion of Tooth

Keywords

  • white spot lesions
  • orthodontic primer
  • calcium fluoride nanoparticles
03

In context

Lead sponsor

University of Baghdad is the lead sponsor of 164 studies on the registry; 66 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients have

    1. Fully erupted permanent teeth (regardless the third molar),
    2. Indication to have orthodontic treatment without extraction
    3. Fair or good oral hygiene before or after oral hygiene instruction

Exclusion criteria

Exclusion Criteria:

  • Patients will be excluded if they had

    1. Previous orthodontic treatment or extractions
    2. Missing teeth
    3. Active enamel caries determined by clinical examination
    4. Patients with enamel hypoplasia, dental fluorosis or tetracycline pigmentation
    5. Labial restorations
    6. Severe periodontal diseases determined according to PDI index by Sigurd P. Ramfjord (Ramfjord, 1967)
    7. Craniofacial syndromes such as clefts
    8. Xerostomia determined from clinical history of the patient
    9. Severely rotated teeth (limiting the appearance of buccal surfaces)
    10. Heavy smokers determined by accounting the number of cigarettes per day and time to the first cigarette of the day (Heatherton et al., 1989) .
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
31 participants (estimated)

Study arms

  • Active comparator
    orthodontic primer containing calcium fluoride nanoparticles

    Fixed appliance for ten maxillary teeth and the contralateral mandibular teeth will be bonded using orthodontic primer containing calcium fluoride nanoparticles

    Drug: nCaF2 primer

  • Placebo comparator
    Control primer

    Fixed appliance for ten maxillary teeth (contralateral to experimental ten side)and the contralateral mandibular teeth will be bonded using conventional primer (TransbondTM XT orthodontic primers (3M-Unitek, Monrovia, USA)

    Drug: Control primer

Interventions

  • DrugnCaF2 primer

    Calcium fluoride nanoparticles was added to conventional orthodontic primers to develop bioactive primer. This primer was examined previously for its biological and physical properties

    Also known as: Orthodontic primer containing calcium fluoride nanoparticles

  • DrugControl primer

    Conventional orthodontic primer

    Also known as: TransbondTM XT orthodontic primer

06

What researchers measure

Primary outcomes

  1. DIAGNOdent Pen scores change

    assessing changes in the amount of enamel demineralization (DIAGNOdent Pen scores) between four time points:- 1. baseline (before brackets bonding) 2. after one month of brackets bonding 3. after three months of brackets bonding 4. after six months of brackets bonding

    Time frame: Six months

Secondary outcomes

  1. Streptococcus mutans load change

    Quantitative detection of streptococcus mutans load changes (using real time PCR) between four time points:- 1. baseline (before brackets bonding) 2. after one month of brackets bonding 3. after three months of brackets bonding 4. after six months of brackets bonding

    Time frame: Six months

07

Study locations

1 of 1 sites recruiting
  • Almina dental clinics
    Karbala, 56001, Iraq
    Recruiting
08

References and documents

Publications

  • Al Tuma RR, Yassir YA. Effect of calcium fluoride nanoparticles in prevention of demineralization during orthodontic fixed appliance treatment: a randomized clinical trial. Eur J Orthod. 2023 Mar 31;45(2):122-132. doi: 10.1093/ejo/cjac055. PubMed 36049047 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04994314
Lead sponsor
University of Baghdad
Responsible party
Rawof Rasheed Jawad (Assistant professor, University of Baghdad) — Principal investigator
First posted
Aug 6, 2021
Start date
Feb 15, 2021
Primary completion
Dec 16, 2021 (estimated)
Completion
Feb 15, 2022 (estimated)
Last update
Aug 6, 2021

Study contacts

Rawof R. Al Tuma, MSc
Contact
raooftoma@yahoo.com
+9647901762894
Yassir A. Yassir, PhD
Contact
yassirkyassir@gmail.com
+9647703919599
Yassir A. Yassir, PhD
study director · Baghdad University- College of Dentistry

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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