NCT04001959

Brief Summary

The objective of this randomized clinical trial will be the comparison of dentine discoloration after treatment with: Silver Diamino Fluoride and Silver Diamino Fluoride associated with Potassium Iodide for caries lesions in posterior primary teeth. The study sample will consist of children presenting caries lesion in dentin, without reporting spontaneous pain. The children will be allocated into 2 groups that will correspond to the treatments with the use of SDF (Group 1), SDF + PI (Group 2). Treatment will be performed by trained and calibrated researchers. Examiners will be blind to the treatment received. Initially, data will be collected on socio-demographic aspects, characteristics of children, and clinical aspects. Clinical, photographic and initial evaluations will be performed after 1 week, 15 days, 1 and 2 months after treatment. The results obtained will be typed and organized in a database, using the software Statistical Package for Social Science (SPSS), version 22.0 and descriptive, bivariate analyzes will be performed.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started May 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 2, 2019

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

June 24, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

June 28, 2019

Completed
3 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2019

Completed
Last Updated

July 5, 2019

Status Verified

July 1, 2019

Enrollment Period

2 months

First QC Date

June 24, 2019

Last Update Submit

July 1, 2019

Conditions

Keywords

CarostatsClinical trialPreventive dentistryPreschoolers

Outcome Measures

Primary Outcomes (1)

  • Dentin color change

    In all the consultations will be made photographic shoots of the tooth with purpose of comparison. Then all images will be downloaded to the computer and analyzed using the Windows program - Paint. The tooth will be analyzed on all its faces. The coloration will be evaluated in scores from 0 to 4 where 0 is white, 1 yellow, 2 light brown, 3 dark brown and 4 black.

    1 week, 15 days, 1 and 2 months

Secondary Outcomes (2)

  • Clinical success based on the International System for Assessment and Detection of Caries (ICDAS)

    1 and 2 months

  • Parental Satisfaction Scale

    1 and 2 months

Study Arms (2)

Silver Diamine Fluoride

ACTIVE COMPARATOR

Initially a prophylaxis will be done on the tooth to be treated with Robinson brush and prophylactic paste and then the relative isolation (with mouth openers and cotton rollers) and protection of the soft tissues with vaseline in the region to be treated to protect the surrounding tissues will be carried out. Next, dry the tooth for 30 seconds with air jet followed by a drop of 30% Diamino Fluoride Silver with a disposable applicator brush for 3 minutes and after that time washing for 1 minute.

Procedure: Silver Diamine Fluoride with Potassium Iodide

Silver Diamine Fluoride with Potassium Iodide

EXPERIMENTAL

Initially a prophylaxis will be done on the tooth to be treated with Robinson brush and prophylactic paste and then the relative isolation (with mouth openers and cotton rollers) and protection of the soft tissues with vaseline in the region to be treated to protect the surrounding tissues will be carried out. Then the tooth is dried for 30 seconds with an air jet and applied one drop of the Diamino 30% Silver Fluoride with a disposable applicator brush for 3 minutes and one drop of potassium iodide solution immediately on the surface treated with Diamino , until the formed creamy white color becomes transparent. After these steps have been completed, rinse with water for 1 minute.

Procedure: Silver Diamine Fluoride with Potassium Iodide

Interventions

Dry the tooth for 30 seconds with air jet and apply one drop of Diamino 30% Silver Fluoride with a disposable applicator brush for 3 minutes and one drop of potassium iodide solution immediately on the treated surface, then wash.

Silver Diamine FluorideSilver Diamine Fluoride with Potassium Iodide

Eligibility Criteria

Age1 Year - 10 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Children who have at least one vital deciduous tooth with a dentin cavitated lesion.
  • Children whose parents / guardians agree to their child's participation in the study.

You may not qualify if:

  • Child with systemic health impairment;
  • Child who has already performed dental treatment on the tooth to be included in the research;
  • Sensitivity to chemicals used;
  • Tooth with spontaneous pain;
  • Tooth with pulp wrapping;
  • Radiographic evidence of pathological internal or external resorption of the root;
  • Radiographic evidence of periapical lesion;

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Priscila Seixas Mourão

Diamantina, Minas Gerais, 39.100-00, Brazil

RECRUITING

MeSH Terms

Interventions

silver diamine fluoridePotassium Iodide

Intervention Hierarchy (Ancestors)

IodidesIodine CompoundsInorganic ChemicalsPotassium Compounds

Central Study Contacts

Priscila S Mourão, Graduated

CONTACT

Marcos L Pinheiro, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Masking Details
Single
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: A randomized, controlled study in which the variables were evaluated 1 week, 15 days, 1 and 2 months after the intervention. For the allocation of participants, a Randomization ratio of 1: 1 was performed.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 24, 2019

First Posted

June 28, 2019

Study Start

May 2, 2019

Primary Completion

July 1, 2019

Study Completion

September 1, 2019

Last Updated

July 5, 2019

Record last verified: 2019-07

Data Sharing

IPD Sharing
Will not share

Locations