Skip to main content
OpenTrials
Recruiting

NCT Number: NCT07730359

Clinical Investigation of the Performance of Epinamel for Dental White Spot Lesions

Mintech-Bio Ltd is a UK-based start-up company which was created to turn 14 years of research from our co-founder Dr Alvaro Mata at Queen Mary University into a real-world product.

Loss of tooth enamel from issues such as decay or erosion is a great cause of dental problems, affecting over half of people around the world. There is also evidence to suggest that having poor oral health may be connected to other health issues such as diabetes, heart problems, and lung infections like pneumonia.

While treatments like fluoride varnishes and remineralization solutions can help with the effects of enamel loss, there's currently no easy-to-use option that actually regrows enamel in a way that closely matches the natural look and strength of real enamel.

Mintech-Bio has created a special gel that helps rebuild tooth enamel back to its natural strength and structure. This new invention could take the place of fluoride treatments and make a big difference in preventing tooth problems around the world. The purpose of this research study is to demonstrate the efficacy of the Epinamel device in the treatment of dental white-spot lesions.

If you meet all the screening criteria you will be entered into the study and shall have the device applied after the removal of dental braces. Each trial participant will have the treatment product applied to a tooth on one side of the mouth, and a comparative 'control' product named Curodont Repair (vVardis Professional, Switzerland will be applied on the opposite side of the mouth.

Recruiting

Interested in participating?

Request Info

Key information

Age range

12 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Guys and St Thomas NHS Foundation Trust Faculty of Dentistry, Oral & Craniofacial Sciences, Kings College London

London, SE1 9RT, United Kingdom

Location status: Recruiting

Location contact

Avijiit Professor of Cariology & Operative Dentistry

CONTACT

[email protected]

+44 207 1881577

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • • Will have dental braces or brackets removed immediately prior to or up to 48 hours prior to potential study participation
  • Have at least one active non-cavitated carious lesions around the bracket area with a rough, chalky and matte surface (white spot lesions - WSLs) at each side of the mouth;
  • Have carious lesion which are fully visible, assessable and accessible;
  • Are able and willing to observe good oral hygiene throughout the study;
  • Have ≥20 teeth and a BPE score of <3;
  • Have completed fixed orthodontic treatment within the past 24-120 hours.
  • Are aged 12-60 years
  • Are willing and able to attend the on-study visits;
  • Are willing and able to understand all study-related procedures;
  • Provide written informed consent (by parent/guardian if minor) before participation in the study.
  • No systemic diseases or concomitant medication affects salivary flow in order not to negatively affect the remineralising process.

Exclusion criteria

  • • Patients with known hypersensitivity to glutaraldehyde or any of the product's ingredients.
  • Patients with severe pulpitis or oral infections
  • Patients who are still be undergoing treatment using dental braces or brackets at time of study initiation
  • Patients who are vulnerable
  • Patients who are participating in another trial
  • Patients with tetracycline pigmentation, dental fluorosis, or enamel hypoplasia
  • Participants who had evidence of reduced salivary flow, systemic, or medical complications
  • Participants with cavitated lesions

Treatment and study plan

Varnish

Device

Epinamel is a professional dental product that is indicated for the treatment of white spot lesions. It utilizes a patented technology that promotes enamel repair by entrapping calcium and phosphate from the saliva to grow hydroxyapatite mineral within the white spot lesion and on the tooth surface.

Epinamel is a 2-part product. Applying and drying Part A on the surface of the tooth followed by Part B initiates the hardening and setting of the product.

Primary outcomes

  1. Regression or progression of white spot lesions (WSLs), determined by changes in lesion size measured (micrometers) by morphometry.

    Time frame: 6 weeks

    Classified as the proportion of lesions that:

    Regress (decrease in size by >20% at 6 weeks with respect to baseline), Progress (increase in size by >20% at 6 weeks with respect to baseline), or Remain approximately stable in size (decrease or increase in size by ≤20% at 6 weeks with respect to baseline).

    Assessment method: Morphometric measurement (micrometers) of standardized, calibrated clinical photographs.

Secondary outcomes

  1. Laser Fluorescence Readings (DIAGNOdent Pen, KaVo, Biberach, Germany) Objective fluorescence-based assessment of lesion status.

    Time frame: 6 weeks

    Repeat measurements will be used to monitor lesion progression or regression over time.

    Numerical values range from 0 to 99, with clinical interpretation as follows:

    0-12: Healthy tooth structure / sound enamel 13-24: Initial enamel caries / demineralization 25-29: Deep enamel caries, possible dentin involvement

    ≥30: Likely dentin caries / advanced lesion

    A two-sided paired samples t-test will be used to compare laser fluorescence measurements at baseline and 6 weeks following treatment. A p-value of <0.05 will be considered statistically significant

Study contacts

Contact information is provided by the study sponsor or research team.

Gabriella Research Portfolio Manager

CONTACT

[email protected]

+44 20 7848 5958

Sponsors and collaborators

Lead sponsor

Mintech Bio Ltd

Industry

Collaborators

  • Guy's and St Thomas' NHS Foundation Trust

Registry information

Official study title

A Pilot Clinical Investigation of the Performance of Epinamel for Dental White Spot Lesions

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jul 28, 2026
Registry last updated
Jul 28, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.