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Trial registered on ANZCTR
Registration number
ACTRN12613000980730
Ethics application status
Approved
Date submitted
27/08/2013
Date registered
3/09/2013
Date last updated
3/09/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Effectiveness of a simplified method of managing carious primary molar teeth in young children using preformed metal crowns- Phase 2
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Scientific title
Effectiveness of a simplified method of managing carious primary molar teeth in young children using preformed metal crowns-The Hall Technique - Phase 2
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Secondary ID [1]
283092
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nil
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Universal Trial Number (UTN)
U1111-1147-2505
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
dental caries
289925
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Condition category
Condition code
Oral and Gastrointestinal
290300
290300
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Public Health
290352
290352
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
modified stainless steel crown technique on primary molars to seal caries, ie the Hall Technique. Placed on one tooth on one occasion per child
review at 6, 12 and 24 months
technique takes approximately 15 minutes
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Intervention code [1]
287805
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Treatment: Surgery
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Comparator / control treatment
no conrol group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
290333
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The success rate will be measured in terms of numbers of years per tooth free of re-treatment over 24 months. Re-treatment consists of any subsequent treatment on the tooth after baseline treatment.
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Assessment method [1]
290333
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Timepoint [1]
290333
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6, 12 and 24 months after placement of Hall Technique crowns
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Secondary outcome [1]
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Acceptability of Hall Technique to public oral health practitioners, their patients and the parents and primary carers of the patients. This will be measured via questionnaires at baseline (Hall Technique Crown placement), 6, 12 and 24 months
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Assessment method [1]
304315
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Timepoint [1]
304315
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questionnaires at baseline (Hall Technique Crown placement), 6, 12 and 24 months
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Eligibility
Key inclusion criteria
greater than 3 years of age
less than 8 years of age
high risk to dental decay
co-operative for dental treatment in the chair
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Minimum age
36
Months
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Maximum age
95
Months
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
immuno-compromised
cardiac conditions
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
17/09/2013
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
220
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
7290
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3121 - Richmond
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Recruitment postcode(s) [2]
7291
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3175 - Dandenong
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Recruitment postcode(s) [3]
7292
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3220 - Geelong
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Funding & Sponsors
Funding source category [1]
287846
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Charities/Societies/Foundations
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Name [1]
287846
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William Buckland Foundation, ANZ Trustees
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Address [1]
287846
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42/55 Collins St Melbourne GPO box 389
Melbourne
VICTORIA 3001
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Country [1]
287846
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Australia
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Primary sponsor type
Other
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Name
North Richmond Community Health Centre Inc
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Address
23 Lennox St
Richmond
VIC 3121
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Country
Australia
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Secondary sponsor category [1]
286576
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Government body
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Name [1]
286576
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Dental Health Services Victoria
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Address [1]
286576
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720 Swanston St
Carlton
VIC 3053
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Country [1]
286576
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Australia
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Other collaborator category [1]
277586
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University
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Name [1]
277586
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Melbourne Dental School
University of Melbourne
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Address [1]
277586
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720 Swanston St
Carlton
VIC 3053
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Country [1]
277586
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Australia
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Other collaborator category [2]
277587
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Government body
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Name [2]
277587
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Barwon Health
Oral Health Services
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Address [2]
277587
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104 – 108 Bellarine Highway, Newcomb, Vic, 3219
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Country [2]
277587
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Australia
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Other collaborator category [3]
277588
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Government body
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Name [3]
277588
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Monash Health
Oral Health Services
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Address [3]
277588
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3/229 Thomas St
Dandenong
VICTORIA 3175
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Country [3]
277588
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289788
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Dental Health Services Human Research Ethics Committee
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Ethics committee address [1]
289788
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720 Swanston St Carlton VICTORIA 3053
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Ethics committee country [1]
289788
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Australia
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Date submitted for ethics approval [1]
289788
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Approval date [1]
289788
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07/08/2013
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Ethics approval number [1]
289788
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270
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Summary
Brief summary
Dental decay (caries) is a highly prevalent disease in Australia and Early Childhood Caries (ECC) is one of the most common chronic diseases of childhood. ECC is the presence of any decayed, missing (due to decay) or filled surface in primary (deciduous) teeth in children 6 years or less. ECC has wide-ranging health and developmental consequences and is often associated with pain, infection and abscesses which can lead to delayed growth, reduced general health, sleep problems and disrupted social and academic development due to school absences. In Australia the epidemiological and service data on prevalence and morbidity for child oral health is patchy; with only 2002 national data available. In 2002 Australian children 0-4 years in the National Child Oral Health survey had a mean of 1.55 decayed, missing or filled teeth (dmft) and 80% of this was active, untreated decay. Of those children with decay (44%), the mean dmft per child was 4.23. In 2006, the Victorian Child Health and Wellbeing Survey found that 21% of 0-3 year olds had experienced toothache and Victorian data available from DHSV shows that of children aged 0-6 years attending public dental clinics in 2009 (n=14,911), 47% had tooth decay (n=7,072), with an average dmft of 2.2. Dental treatment was the 3rd most common cause of hospitalisation for 0-14 year olds in Australia in 2009-10 and the average cost per admission for extractions and restorations was AUD$2508 per child. Importantly the severity of the disease in young children may be increasing as there was a 53% increase in dental Ambulatory Care Sensitive Conditions (ACSC) admissions from 1997/8 to 2004/5 for 0–9 year-olds, with an average annual increase of 7.6%. However, caries rates are higher among the more socially disadvantaged, particularly in childhood, and amongst those living in rural and regional areas. This is also reflected in the ACSC data and rural children have dental related hospital admission rates that are 4 times higher than metropolitan children. After tooth extraction, the potential impacts on child social, emotional, nutritional and developmental experiences are considerable. The significance of this project is to test the effectiveness of a simplified method, reported in the literature, for managing carious primary molar teeth in preschool children without any tooth preparation or local analgesia and therefore making treatment more acceptable to preschool children in a primary care setting. If the approach were shown to be effective, the expected long term outcome would be a reduction in hospital admissions for the management of dental caries in this age group.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
42418
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A/Prof Hanny Calache
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Address
42418
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Dental Health Services Victoria
720 Swanston St Carlton 3053
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Country
42418
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Australia
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Phone
42418
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+61 3 9341 1291
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Fax
42418
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+61 3 9341 1234
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Email
42418
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[email protected]
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Contact person for public queries
Name
42419
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Rachel Martin
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Address
42419
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Dental Health Services Victoria
720 Swanston St Carlton 3053
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Country
42419
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Australia
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Phone
42419
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+61 3 9341 1720
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Fax
42419
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Email
42419
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[email protected]
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Contact person for scientific queries
Name
42420
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Hanny Calache
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Address
42420
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Dental Health Services Victoria
720 Swanston St Carlton 3053
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Country
42420
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Australia
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Phone
42420
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+61 3 9341 1291
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Fax
42420
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Email
42420
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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