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Silver Diamine Flouride in Arresting Enamel Caries

Not Applicable
Completed
Conditions
Carious Lesion
Interventions
Registration Number
NCT07125937
Lead Sponsor
HITEC-Institute of Medical Sciences
Brief Summary

This interventional study aims to evaluate the effectiveness of 38% Silver Diamine Fluoride (SDF) in arresting enamel caries in adults aged 18-50 years. Dental caries is a biofilm-mediated, multifactorial disease that can cause progressive tooth damage. Conventional treatments are invasive and costly, whereas SDF offers a non-invasive, low-cost alternative. A total of 250 patients meeting the inclusion criteria will be treated with SDF following the UCSF protocol. Lesions will be evaluated clinically using ICDAS and radiographically using ICCMS at 3 weeks and 3 months post-intervention. The primary outcome is the proportion of enamel caries lesions arrested after treatment. Data will be analyzed using the chi-square test.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Age group of subjects between 18 - 50 years

Carious lesions with ICDAS score 1, 2 and 3 in molars and premolars

Exclusion Criteria
  • PDL widening with periapical radiolucency around molars and premolars

Premolars and Molars with any white lesions other than caries

Third molars

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
38% Silver Diamine Fluoride Application38% Silver Diamine FluorideParticipants will receive a single application of 38% Silver Diamine Fluoride (Advantage Arrest™, Elevate Oral Care LLC) on enamel caries lesions (ICDAS scores 1-3) in molars and premolars, following the UCSF protocol. Lesions will be evaluated clinically (ICDAS) and radiographically (ICCMS) at 3 weeks and 3 months post-treatment to assess caries arrest.
Primary Outcome Measures
NameTimeMethod
Proportion of enamel caries lesions arrested after SDF application3 months post-intervention

Lesions will be clinically evaluated using the International Caries Detection and Assessment System (ICDAS) and radiographically using the International Caries Classification and Management System (ICCMS). Arrest is defined as no progression in ICDAS score and no radiographic progression

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hitec Ims

🇵🇰

Rawalpindi, Punjab, Pakistan

Hitec Ims
🇵🇰Rawalpindi, Punjab, Pakistan

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