Management of Occlusal Caries Using Silver Modified Atraumatic Restorative Treatment Versus Atraumatic Restorative Treatment
Clinical and Radiographic Evaluation After the Use of Silver Modified Atraumatic Restorative Treatment Versus Atraumatic Restorative Treatment in the Management of Occlusal Caries of Primary Molars in Preschool Children: Randomized Clinical Trial
1 other identifier
interventional
50
1 country
1
Brief Summary
Silver modified atraumatic restorative treatment (intervention) or atraumatic restorative treatment (Control) will be used to manage occlusal caries in preschool children then the molars will be evaluated at the interval of 3,6 and 12 months clinically and 6 and 12 months radiographically
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Sep 2021
1 active site
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
First Submitted
Initial submission to the registry
April 13, 2020
CompletedFirst Posted
Study publicly available on registry
April 21, 2020
CompletedStudy Start
First participant enrolled
September 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 3, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
October 11, 2023
CompletedDecember 30, 2024
December 1, 2024
1.1 years
April 13, 2020
December 28, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Questioning parent about whether the child have pain between follow up intervals (provoked or spontaneous)
Pain reported-Pain history that occurs after treatment at any point (will be recorded at the follow up intervals) Outcome will be binary (yes/no)
12 months
Secondary Outcomes (4)
OHRQoL(oral health related to quality of life)
3 months
Questioning parents about their aesthetic perception
3 months
ART assessment criteria (Codes 00-90)
12 months
Caries density in radiograph
12 months
Study Arms (2)
Silver modified atraumatic restorative treatment
EXPERIMENTALUsing silver diamine fluoride incorporated with atraumatic restorative treatment
Atraumatic restorative treatment
ACTIVE COMPARATORUsing atraumatic restorative treatment without the application of silver diamine fluoride
Interventions
Silver diamine fluoride that will be applied during atraumatic restorative treatment
Using atraumatic restorative treatment without applying silver diamine fluoride
Eligibility Criteria
You may qualify if:
- Patient and parent cooperation and compliance.
- Children aged 4 - 6 years
- Second primary molars with occlusal caries.
- No clinical signs and symptoms of pulp involvement
- No radiographic abnormalities
You may not qualify if:
- Uncooperative children or parents
- Children with systemic diseases
- Children with previous allergies to any of the used materials
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Faculty's pediatric dentiatry clinic
Cairo, Gizq, Egypt
Related Publications (4)
Vollu AL, Rodrigues GF, Rougemount Teixeira RV, Cruz LR, Dos Santos Massa G, de Lima Moreira JP, Luiz RR, Barja-Fidalgo F, Fonseca-Goncalves A. Efficacy of 30% silver diamine fluoride compared to atraumatic restorative treatment on dentine caries arrestment in primary molars of preschool children: A 12-months parallel randomized controlled clinical trial. J Dent. 2019 Sep;88:103165. doi: 10.1016/j.jdent.2019.07.003. Epub 2019 Jul 4.
PMID: 31279925BACKGROUNDSaber AM, El-Housseiny AA, Alamoudi NM. Atraumatic Restorative Treatment and Interim Therapeutic Restoration: A Review of the Literature. Dent J (Basel). 2019 Mar 7;7(1):28. doi: 10.3390/dj7010028.
PMID: 30866534BACKGROUNDOliveira BH, Rajendra A, Veitz-Keenan A, Niederman R. The Effect of Silver Diamine Fluoride in Preventing Caries in the Primary Dentition: A Systematic Review and Meta-Analysis. Caries Res. 2019;53(1):24-32. doi: 10.1159/000488686. Epub 2018 Jun 6.
PMID: 29874642BACKGROUNDvan Gemert-Schriks MC, van Amerongen WE, ten Cate JM, Aartman IH. Three-year survival of single- and two-surface ART restorations in a high-caries child population. Clin Oral Investig. 2007 Dec;11(4):337-43. doi: 10.1007/s00784-007-0138-8. Epub 2007 Aug 21.
PMID: 17710452BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Sherif B El Tawil, Professor
Pediatric Dentistry & Dental Public Health Faculty of Dentistry , Cairo university
- STUDY DIRECTOR
Dalia M Moheb, Associate professor
Pediatric Dentistry & Dental Public Health Faculty of Dentistry , Cairo university
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal investigator
Study Record Dates
First Submitted
April 13, 2020
First Posted
April 21, 2020
Study Start
September 1, 2021
Primary Completion
October 3, 2022
Study Completion
October 11, 2023
Last Updated
December 30, 2024
Record last verified: 2024-12
Data Sharing
- IPD Sharing
- Will not share