Clinical Efficiency and Treatment Failure of Hall Versus SDF Techniques in the Management of Carious Primary Molar: Randomized Clinical Trial.
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Cairo University
- Enrollment
- 120
- Primary Endpoint
- percentage of Treatment failure:
Study Overview
Brief Summary
This study will compare two non- invasive treatment options: Hall technique and 38% Silver diamine fluoride. Both are methods used to create a more favorable environment without removal of caries leading to the arrest of the progression of demineralization process and restoring the function of the diseased molars.
Detailed Description
Detailed Description:
Dental caries, also known as tooth decay, it can occur in primary teeth in early childhood, is formed through interaction between acid-producing bacteria and carbohydrate. The caries develops in both the crowns and roots of teeth. Progress of caries depended on the lifestyle of the child (as high numbers of cariogenic bacteria, inadequate salivary flow, insufficient fluoride exposure and poor oral hygiene). To avoid this disease should follow the proper oral hygiene and improve lifestyle . A lot of methods found to treatment the decayed tooth - like; Hall technique and Silver diamine fluoride The first report on the Hall Technique published in 2007 by a general dental practitioner from Aberdeen/Scotland, Dr. Norna Hall. Dr. Hall used PMCs to restore carious primary molars rather than using the standard technique, placed them using a simplified method2
Previous studies have recommended that Silver diamine fluoride (SDF) solution would exert a preventive result in managing early childhood caries ECC. However, no well-designed clinical trials have yet been performed to study the effect of SDF on caries prevention. the objective is useful in arresting early childhood caries (ECC)
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Masking Description
not possible, since interventions are different
Eligibility Criteria
- Ages
- 4 Years to 6 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age: From 4 to 6 years
- •Caries in primary molars within enamel/dentin without pulp disease
Exclusion Criteria
- •Presence of signs and symptoms of necrosis
- •Root caries
- •Spontaneous pain
Outcomes
Primary Outcomes
percentage of Treatment failure:
Time Frame: one year
1. Obvious furcation or periapical radiolucency by radiographic examination. 2. (Internal and external) resorption by radiographic examination. 3. Sensitivity to percussion by clinical examination ( dental mirror ). 4. Loss of SSC crown by clinical examination ( visual examination ).
Secondary Outcomes
- Canine overbite(one year)
- Arresting caries in SDF(one year)
Investigators
Mostafa Amin Mahmoud El.byoumi
principle investigator
Cairo University