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Child Discomfort and Parental Acceptability of Silver Diamine Fluoride and Alternative Restorative Treatment

Phase 2
Completed
Conditions
Child Discomfort
Dental Caries
Interventions
Drug: ART
Registration Number
NCT04654624
Lead Sponsor
Nourhan M.Aly
Brief Summary

The aim of the current study was to compare pain perception of young children treated with SDF and ART, as well as their parents' acceptability of both modalities.

Detailed Description

Eighty, 3-8-years-old children, having at least one deciduous asymptomatic tooth with active caries were randomly assigned into 2 groups; SDF for caries arresting in the test group, and ART for caries removal in the control group.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Negative and definitely negative behavior according to Frankl's behavior rating scale.
  • Having at least one deciduous asymptomatic tooth with active caries, as defined by the International Caries Detection and Assessment System; ICDAS II scores 4, 5, 6.
Exclusion Criteria
  • Children who suffered from silver allergy, oral ulcerations, pulpal infections and whose parents needed immediate permanent restorations.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Atraumatic Restorative TreatmentART-
Silver Diamine FluorideSDF-
Primary Outcome Measures
NameTimeMethod
Pain perception6 months

Pain reaction was assessed using the Sound, Eye, Motor scale (SEM) according to Wright et al. criteria. It is an objective method for pain assessment, where the child's level of anxiety was evaluated according to three types of observations. The score in each category ranged from one (no pain) to four (intense pain). A lower score represents less physical reaction to the procedure than does a higher value. Time of treatment was recorded using a stopwatch.

Secondary Outcome Measures
NameTimeMethod
Parents' acceptability of the treatment modality2 weeks

It was assessed using a 5-likert scale, self-administered questionnaire, specifically designed for the current study.

Trial Locations

Locations (1)

Faculty of Dentistry, Alexandria University

🇪🇬

Alexandria, Egypt

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