Dental Caries
Conditions
Brief summary
Our study is designed as an interventional prospective longitudinal study which examines the Israeli defense force personnel. The population of our study is composed out of the IDF personnel which will be randomly be subdivided into 2 different groups - one will be noted as the intervention group and the other will function as a control group. Each participant will be monitored for a period of 18 months.
Detailed description
On the intervention group, which includes a couple of hundreds participants, a thorough caries management by risk assessment plan will be conducted. The risk assessment will include the following criteria: * Saliva check * Plaque control * Plaque acidity * Diet - Frequency of carbohydrate intake * Previous caries experience and present carious activity * Others (prosthetic/orthodontic appliances, systemic diseases etc.) After obtaining the data the patients will be categorized into 1 of 3 distinct risk level - low, medium, high. Each category will be treated according to a tailored treatment protocol: * Dietary instructions * Oral hygiene instructions * Antibacterial therapy * Fluorides * Restoration * Follow ups The control group will be treated according to standard protocol of treatment in the IDF dental clinics, which is based on removal the cavitated lesions, and lacks any reference to caries as a multifactorial infectious disease. We assume that personalized treatment of the disease, based on identifying risk factors will lower the number of patients with active disease.
Interventions
BEHAVIORALbehavioral intervention
* Dietary instructions * Oral hygiene instructions: GC plaque indicator kit * Antibacterial therapy: medident sol. one week a month, for 6 months * Fluorides: VOCO Profluorid varnish, once every 3 month * Restoration * Follow ups
Sponsors
Medical Corps, Israel Defense Force
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Informed consent
Exclusion criteria
* Pregnancy * Available for 18 month follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in one of the risk factors (such as eating habits, saliva, plaque control, fluorides). | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Progression of the disease in 30% of patients in the control group in comparison to only 15% in the intervention group. | 18 months |
Countries
Israel
Contacts
Primary ContactEinav Hirschhorn, DMD
Outcome results
None listed