Parental Acceptance and Perception of Silver Diamine FlouridApplication Among A Sample of Egyptian Children.

• Conditions: Early Childhood Caries
• Interventions: Combination Product: Silver Diamine Flouride

• Registration Number: NCT04218955
• Lead Sponsor: Cairo University

Brief Summary

Dental caries can be prevented or arrested . Moreover, preventive measures for dental caries are more cost effective than emergency room visits or restorative treatments when the illness has been established . One of the recent preventive methods of dental caries is silver diamine flouride . SDF has been used as an alternative treatment for caries prevention and arrest . Several studies showed that silver diamine flouride cause staining of the treated teeth . However, parents have different attitudes toward using SDF considering its positives and negatives.

Detailed Description

Dental caries is one of the most common diseases in the world, with a prevalence of 69%-79% . Early childhood caries (ECC) has been recognized by the American Dental Association as an important public health issue and was defined as presence of 1 or more decayed, missing, or filled tooth surfaces (dmfs) in any primary tooth in a preschool-aged child . Caries was known to be managed through two main approaches: Treatment, which includes drill and fill which is a challenge specially in minimally cooperative children and the second approach is prevention which depends on cease the process of caries formation at an early stage which is more effective . One of the recently marketed preventive measures of dental caries is silver diamine fluoride (SDF) .

In 2014, SDF was approved by the US Food and Drug Administration as a treatment for dentinal sensitivity .It was proven to be a cost-effective, minimally invasive, and handy treatment . Silver diamine flouride is easy to apply in a minimally cooperative individual . More important, it has shown a noticeable success rate in caries prevention, especially in early childhood caries cases . It provides families with an alternative solutions for managing dental caries, particularly if caries was detected at an early stage . Moreover, it could save time and effort for both families and dental teams.

The major downside of SDF is the unesthetic permanent black discoloration of the arrested lesion , which could affect parental acceptance for the treatment and may result in shifting to another esthetically acceptable treatment.

Study Timeline

• Status Verified: 2019-12
• Study First Submitted: 2019-12-27
• Study Start: 2020-01-01
• Study First Submitted QC: 2020-01-02
• Last Update Submitted: 2020-01-02
• Study First Posted: 2020-01-06
• Last Update Posted: 2020-01-06
• Primary Completion: 2021-01-01
• Study Completion: 2021-03-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 320

Inclusion Criteria

• parents whose children with early childhood caries. Accepting participations.

Exclusion Criteria

• Refusal of participation.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
1	Silver Diamine Flouride	Asking parents if they can accept staining from treat their children by silver Diamine Flouride or Not

Primary Outcome Measures

Name	Time	Method
Parental Satisfication about treat their children with silver Diamine flouride	Baseline	Using Likert scale ranging from Strong Accept ,Accept ,Neutral, Refuse, Strong Refuse.