Arrest of Interproximal Caries Lesion With 38% Silver Diamine Fluoride Solution

Postgraduate Institute of Dental Sciences Rohtak45 enrolled

Overview

This study was conducted to assess the efficacy of 38% Silver Diamine fluoride and compare it with 5% sodium fluoride varnish in arresting interproximal caries in primary molars at 12 months follow-up. Bitewing radiographs were taken to diagnose as well as to assess caries depth at follow up visits. Each bitewing was scored based on ICCMS radiographic criteria and was compared (follow-ups to baseline)to check for caries arrest. Interproximal caries included in this study, according to ICCMS criteria, were at stages- RA - caries limited to outer half of enamel RA2 - caries limited to the inner half of enamel RA3 - caries limited to outer third of dentine RA4 - caries limited to middle third of dentine

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Caries Arrested

Interventions

Silver diamine fluoride is a topical medication composed of 25% silver, 5% fluoride, 8% ammonia, and 62% Deionized water, used to treat and prevent dental caries and relieve dentinal hypersensitivity.

Sodium fluoride varnishDRUG

It is a topical application with an active ingredient of 5% sodium fluoride(22,600ppm fluoride).it prolongs the contact time between the fluoride and tooth surface and promotes remineralization and inhibits demineralization.

Eligibility

Sex: ALLMin age: 5 YearsMax age: 9 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Children aged 5 to 9 years. 2. Presence of at least 2 primary molars with interproximal caries. 3. Carious lesions of enamel or outer or middle third of dentin in primary molars, as assessed by bitewing radiographs with ICCMSTM scoring (RA1, RA2, RA3, RB4). Exclusion Criteria: 1\. Presence of advanced carious lesions reaching inner third of dentin detected by bitewing radiographic examinations ICCMSTM (RC5, RC6). 3\. Children or adolescents that refuse to participate in the study or present negative behaviours. 4\. Teeth with premature hypermobility 5. Both physically and mentally disabled children

Locations (1)

Post graduate institute of dental sciences

Rohtak, Haryana, India

Outcomes

Primary Outcomes

Caries arrest

Assessment with bitewing radiographs based on ICCMS radiographic scoring system

Time frame: 12 months

Data from ClinicalTrials.gov

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