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Clinical and Laboratory Assessments of Effectiveness of Silver Diamine Fluoride (SDF) in Arresting Caries Among Children and Parental Satisfaction

Not Applicable
Conditions
Caries Arrested
Interventions
Other: Silver Diamine Fluoride (SDF)
Registration Number
NCT04642846
Lead Sponsor
Khalood Saeed Bahammam
Brief Summary

Globally, it is estimated that 2.4 billion people suffer from caries of permanent teeth and 486 million children suffer from caries of primary teeth . The highest estimate of dental caries prevalence in Saudi Arabia was 95% with maximum DMFT of 7.34 among 3-7 years old children . Also, it was found that 78% of 6-9 years old children in Dammam had caries with an average of 3.66±3.13 DMFT.

The objectives of this study are:

1. To assess the effectiveness of the Silver Diamine Fluoride (SDF) in arresting caries.

2. To assess the antibacterial effect of the Silver Diamine Fluoride (SDF).

3. To assess parents' and children's satisfaction and acceptance.

The aims of our study are to assess the effectiveness of SDF in arresting caries in primary dentition among children visiting Imam Abdulrahman bin Faisal University in Dammam, Saudi Arabia and to assess parental acceptance and satisfaction.

The expected outcome the results of this study will help in understanding the effectiveness SDF in arresting dental caries in this target population especially that it was recently approved for clinical use in Saudi Arabia.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
155
Inclusion Criteria
  • Children between four and six years of age.
  • Healthy.
  • Have at least two active dentin carious lesions on the primary teeth meeting the International Caries Detection and Assessment System (ICDAS) score 5 or 6.
  • Should not have periapical infection, root resorption or widening in the periodontal ligament space.
Exclusion Criteria
  • Participants who have systemic or neurological diseases.
  • Tooth abscess, pain on percussion, symptoms of pulpal involvement or mobility,
  • Allergic to silver or any dental material to be used.
  • Unable to attend follow-up visits.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
one application of SDFSilver Diamine Fluoride (SDF)-
two application of SDF one month apartSilver Diamine Fluoride (SDF)-
Primary Outcome Measures
NameTimeMethod
Effectiveness of the Silver Diamine Fluoride (SDF) in arresting caries.2 years

Caries arresting rate: total number of arrested teeth/ total number of treated teeth.

Secondary Outcome Measures
NameTimeMethod
Clinical changes of dentinal lesion: in the hardness and softness.2 years

Changes in ICDAS score: post treatment change in carious lesion status.

Parents satisfaction2 years

To assess parents' and children's satisfaction and acceptance by questionnaire (Arabic and English). Link: https://forms.office.com/Pages/ResponsePage.aspx?id=_LuGLASN_0GoOpQvB14PYCVJ8_tHLjNCkOqqrov3N-1UMFlYRzFQUVRKMDhNUEtJR1ZXNkk4SzhGWS4u

The antibacterial effect of the Silver Diamine Fluoride (SDF).2 years

by DNA extractions and performed the 16S rRNA sequencing

Trial Locations

Locations (1)

Imam Abdulrahman Bin Faisal University

🇸🇦

Dammam, Eastern Province, Saudi Arabia

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