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Dental CariesNCT05361278

Evaluation of Gel and Solution of Chlorhexidine in Disinfection Root Canals of Primary Anterior Teeth.

A study testing Chlorhexidine solution, Activated chlorhexidine solution and Chlorhexidine gel in people with Dental Caries and Infection, Bacterial, run by Damascus University at 1 site in Syria.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The process of removing bacteria and their products from the root canals is an essential step that is achieved through the combination of mechanical preparation and irrigation with chemicals. Read more about this study

Who is it for?
Ages 4 to 9 years
What is being tested?
Chlorhexidine solution, Activated chlorhexidine solution and Chlorhexidine gel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteSyria
Study dates
15 Jan 2021to 19 Feb 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 4 to 9 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Definitely positive or positive ratings of Frank scale.
  • Physiological root resorption no more than the apical third
  • Symptoms or signs of pulpal necrosis with or without radial lesions (swelling - fistua - abnormal movement).
  • At least 2 mm of bone surrounding the permanent bud.
  • Children who have not taken antibiotics in the past 3 months.

Who cannot join

  • Systematic or mental disorders.
  • Definitely negative or negative ratings of Frankel scale
  • Existence external or internal abnormal absorption.

Trial locations and contacts

1 site in 1 country.

Syria1 site
  • Damascus University

    Damascus, 30621

Other trials in Syria

About this study

Official title: Evaluation of Irrigation Effectiveness for Gel and Solution of Chlorhexidine in Disinfection Root Canals of Primary Anterior Teeth.

The process of removing bacteria and their products from the root canals is an essential step that is achieved through the combination of mechanical preparation and irrigation with chemicals. However, mechanical preparation alone can not reduce the microbial formations inside root canals, so at least about 35% of the root canal walls remain without the preparation tools reaching them.

Many irrigants were used to irrigate the root canals, as sodium hypochlorite and chlorhexidine are the most famous. Although most studies have proven the effectiveness of sodium hypochlorite with its different concentrations in accomplishing this task, some of them showed the inability of the irrigant fluid to eliminate Enterococcus faecalis inside the canals. These bacteria are highly resistant, and therefore endodontic treatment fails in the long term.

Read the detailed description

Bacteria and their products play an essential role in the initiation and persistence of endodontic diseases. Therefore, eliminating them and preventing the return of their effectiveness is the desired goal in any successful endodontic treatment in the short and long term.

Due to the fact that mechanical preparation of the root canal alone is not capable of removing the entire bacterial content, chemical irrigants were considered necessary to reduce the number of bacteria and toxins resulting from them. Until now, there is no irrigant capable of removing the entire bacterial content from the root canal.

Despite the many advantages of sodium hypochlorite, several studies have revealed the toxicity of the solution in high concentrations of it, and it tends to cause tissue irritation when it comes into contact with the apical tissues.

Chlorhexidine has been used for a long time in dentistry due to its antibacterial properties, long period of effect, and relatively low toxicity. This has prompted its use as an irrigant and an intra-canal dressing in endodontic treatment.

Being tested
Chlorhexidine solution, Activated chlorhexidine solution, Chlorhexidine gel, Activated chlorhexidine gel, Sodium hypochlorite solution
Keywords
Anterior Primary Tetth, Infected canals, chlorhexidine, Sodium hypochlorite
Medical subject headings
Dental Caries, Bacterial Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Chlorhexidine solutionOther

    • Irrigate the root canal with 1 ml of 2% CHx solution between each file 1 mm from the apical foramen by using a 27-gauge irrigation needle.
    • Irrigate the root canal with 3 ml of the solution after using the last file.
    • Irrigation with 3 ml of 0.5% Tween 80 and 0.07 % lecithin to remove residual chlorhexidine solution.
    • Drying the canal with paper points (placing a 20 size paper point for 60 seconds in each canal) to take the bacterial smear.
    • Follow-up of endodontic treatment procedures for the treated tooth.
  • Activated chlorhexidine solutionOther

    • Irrigate the root canal with 1 ml of 2% CHx solution between each file 1 mm from the apical foramen by using a 27-gauge irrigation needle with activation using an ultrasonic irrigation head.
    • Irrigate the root canal with 3 ml of the solution after using the last file with activation using an ultrasonic irrigation head.
    • Irrigation with 3 ml of 0.5% Tween 80 and 0.07 % lecithin to remove residual chlorhexidine solution.
    • Drying the canal with paper points (placing a 20 size paper point for 60 seconds in each canal) to take the bacterial smear.
    • Follow-up of endodontic treatment procedures for the treated tooth.
  • Chlorhexidine gelOther

    • Irrigate the root canal with 1 ml of 2% CHx gel between each file 1 mm from the apical foramen by using a 27-gauge irrigation needle.
    • Irrigate the root canal with 3 ml of the gel after using the last file.
    • Irrigation with 3 ml of 0.5% Tween 80 and 0.07 % lecithin to remove residual chlorhexidine gel.
    • Drying the canal with paper points (placing a 20 size paper point for 60 seconds in each canal) to take the bacterial smear.
    • Follow-up of endodontic treatment procedures for the treated tooth.
  • Activated chlorhexidine gelOther

    • Irrigate the root canal with 1 ml of 2% CHx gel between each file 1 mm from the apical foramen by using a 27-gauge irrigation needle with activation using an ultrasonic irrigation head.
    • Irrigate the root canal with 3 ml of the gel after using the last file with activation using an ultrasonic irrigation head.
    • Irrigation with 3 ml of 0.5% Tween 80 and 0.07 % lecithin to remove residual chlorhexidine gel.
    • Drying the canal with paper points (placing a 20 size paper point for 60 seconds in each canal) to take the bacterial smear.
    • Follow-up of endodontic treatment procedures for the treated tooth.
  • Sodium hypochlorite solutionOther

    • Irrigate the root canal with 1 ml of 5.25% sodium hypochlorite solution between each file 1 mm from the apical foramen by using a 27-gauge irrigation needle.
    • Irrigate the root canal with 3 ml of the solution after using the last file.
    • Irrigating the canal with 3 ml of 5% sodium thiosulfate solution to remove residual of sodium hypochlorite.
    • Drying the canal with paper points (placing a 20 size paper point for 60 seconds in each canal) to take the bacterial smear.
    • Follow-up of endodontic treatment procedures for the treated tooth.
Study groups in NCT05361278
Study groupRoleWhat they receive
Chlorhexidine irrigation solutionExperimentalCHx 2% solution will be used.
Receives: Other: Chlorhexidine solution
Activated chlorhexidine irrigation solutionExperimentalCHx 2% solution will be used with ultrasonic activation.
Receives: Other: Activated chlorhexidine solution
Chlorhexidine irrigation gelExperimentalCHx 2% gel will be used.
Receives: Other: Chlorhexidine gel
Activated chlorhexidine irrigation gelExperimentalCHx 2% gel will be used with ultrasonic activation.
Receives: Other: Activated chlorhexidine gel
Sodium hypochlorite irrigation solutionOtherNaOCl 5,25% solution will be used.
Receives: Other: Sodium hypochlorite solution

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Logarithmic reduction of bacterial count within the root canal of chlorhexidine solution.

    Set the Petri dish on a grid background and count the colonies in each grid cell, moving in a methodical pattern through all of the cells.

    Measured: 24 hours after sample incubation

  2. Logarithmic reduction of bacterial count within the root canal of activated chlorhexidine solution.

    Set the Petri dish on a grid background and count the colonies in each grid cell, moving in a methodical pattern through all of the cells.

    Measured: 24 hours after sample incubation

  3. Logarithmic reduction of bacterial count within the root canal of chlorhexidine gel.

    Set the Petri dish on a grid background and count the colonies in each grid cell, moving in a methodical pattern through all of the cells.

    Measured: 24 hours after sample incubation

  4. Logarithmic reduction of bacterial count within the root canal of activated chlorhexidine gel.

    Set the Petri dish on a grid background and count the colonies in each grid cell, moving in a methodical pattern through all of the cells.

    Measured: 24 hours after sample incubation

  5. Logarithmic reduction of bacterial count within the root canal of sodium hypochlorite solution.

    Set the Petri dish on a grid background and count the colonies in each grid cell, moving in a methodical pattern through all of the cells.

    Measured: 24 hours after sample incubation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 May 2022
  2. Study start15 Jan 2021
  3. Primary completion21 Dec 2021
  4. Study completion19 Feb 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05361278
Sponsor's protocol ID
UDDS-Pedo-02-2022
Status last verified
Apr 2022
First submitted
29 Apr 2022
Last updated
4 May 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Goud S, Aravelli S, Dronamraju S, Cherukuri G, Morishetty P. Comparative Evaluation of the Antibacterial Efficacy of Aloe Vera, 3% Sodium Hypochlorite, and 2% Chlorhexidine Gluconate Against Enterococcus faecalis: An In Vitro Study. Cureus. 2018 Oct 22;10(10):e3480. doi: 10.7759/cureus.3480.

    PubMed 30648031
  • Gomes BP, Ferraz CC, Vianna ME, Berber VB, Teixeira FB, Souza-Filho FJ. In vitro antimicrobial activity of several concentrations of sodium hypochlorite and chlorhexidine gluconate in the elimination of Enterococcus faecalis. Int Endod J. 2001 Sep;34(6):424-8. doi: 10.1046/j.1365-2591.2001.00410.x.

    PubMed 11556507
  • Ruksakiet K, Hanak L, Farkas N, Hegyi P, Sadaeng W, Czumbel LM, Sang-Ngoen T, Garami A, Miko A, Varga G, Lohinai Z. Antimicrobial Efficacy of Chlorhexidine and Sodium Hypochlorite in Root Canal Disinfection: A Systematic Review and Meta-analysis of Randomized Controlled Trials. J Endod. 2020 Aug;46(8):1032-1041.e7. doi: 10.1016/j.joen.2020.05.002. Epub 2020 May 12.

    PubMed 32413440
  • Walia V, Goswami M, Mishra S, Walia N, Sahay D. Comparative Evaluation of the Efficacy of Chlorhexidine, Sodium Hypochlorite, the Diode Laser and Saline in Reducing the Microbial Count in Primary Teeth Root Canals - An In Vivo Study. J Lasers Med Sci. 2019 Fall;10(4):268-274. doi: 10.15171/jlms.2019.44. Epub 2019 Oct 1.

    PubMed 31875118
  • Tirali RE, Bodur H, Ece G. In vitro antimicrobial activity of sodium hypochlorite, chlorhexidine gluconate and octenidine dihydrochloride in elimination of microorganisms within dentinal tubules of primary and permanent teeth. Med Oral Patol Oral Cir Bucal. 2012 May 1;17(3):e517-22. doi: 10.4317/medoral.17566.

    PubMed 22143724

Questions about this trial

What is this clinical trial studying?

A study testing Chlorhexidine solution, Activated chlorhexidine solution and Chlorhexidine gel in people with Dental Caries and Infection, Bacterial, run by Damascus University at 1 site in Syria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Syria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Logarithmic reduction of bacterial count within the root canal of chlorhexidine solution. (time frame: 24 hours after sample incubation). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05361278, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 May 2022.

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