Laser Versus Silver Diamine Fluoride in Hall Technique in Primary Teeth
SDF
Clinical and Radiographic Evaluation of the Efficacy of Laser Versus Silver Diamine Flouride (SDF) in Hall Technique in Primary Teeth
1 other identifier
interventional
120
1 country
1
Brief Summary
The hall technique for primary teeth depends on the idea of isolation of the carious non exposed primary tooth from all bacteria present in the oral cavity by using a stainless-steel crown which result in arresting of the caries and preventing its progress to the pulp. Recently laser and Silver Diamide Fluoride (SDF) have been used to arrest the progress of caries so in the current study we will compare the success rate of hall technique with either laser or SDF in arresting of caries
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 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
Study Start
First participant enrolled
March 10, 2021
CompletedFirst Submitted
Initial submission to the registry
February 3, 2022
CompletedFirst Posted
Study publicly available on registry
March 3, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2022
CompletedJune 4, 2024
June 1, 2024
1.1 years
February 3, 2022
June 1, 2024
Conditions
Outcome Measures
Primary Outcomes (2)
Pain on biting
Verbal questioning of the patient
1 year
gingival swelling
visual examination by the operator
1 year
Secondary Outcomes (1)
Periapical/ furcation radiolucency
1 year
Study Arms (3)
SDF with stainless steel crown
EXPERIMENTALmixture of silver , diamine and fluoride applied using a brush to the caries in the primary molar , it is used to arrest the progress of the carious lesion
Diode laser with stainless steel crown
EXPERIMENTALDiode laser beam is used to sterilize the carious lesions to arrest the progress of the dental caries
Control, stainless steel crown only
ACTIVE COMPARATORstainless steel crown is cemented on the carious primary molar to arrest the progress of the caries, by isolating the tooth from the surrounding bacteria, this is the concept of the Hall technique.
Interventions
Silver Diamine Fluoride (38%) applied to the carious lesion in the primary molars with a brush and the tooth is sealed with a stainless steel crown
Diode laser will be applied to the carious lesions primary molars to eradicate the bacteria and then the tooth will be sealed with stainless steel crown
the primary molars with carious lesions will be sealed with stainless steel crowns following the concept of hall technique
Eligibility Criteria
You may qualify if:
- Patients should be medically free
- Presence of asymptomatic enamel and dentin caries in one or more primary molars, which can be detected clinically and radiographically
- Periapical radiograph should show caries involving the outer half of the dentin
- There should be no signs or symptoms of pulpal pathosis
You may not qualify if:
- Immunocompromised patients
- Presence of any signs or symptoms of pulpal pathosis denoting irreversible pulpitis
- Parents who are not willing to come in the follow up visits
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Dr. Rasha Farouk Sharaf
Cairo, Egypt
Related Publications (5)
Chaurasiya A, Gojanur S. Evaluation of the clinical efficacy of 38% silver diamine fluoride in arresting dental caries in primary teeth and its parental acceptance. J Indian Soc Pedod Prev Dent. 2021 Jan-Mar;39(1):85-89. doi: 10.4103/jisppd.jisppd_34_21.
PMID: 33885393BACKGROUNDAltoukhi DH, El-Housseiny AA. Hall Technique for Carious Primary Molars: A Review of the Literature. Dent J (Basel). 2020 Jan 17;8(1):11. doi: 10.3390/dj8010011.
PMID: 31963463RESULTClark W, Geneser M, Owais A, Kanellis M, Qian F. Success rates of Hall technique crowns in primary molars: a retrospective pilot study. Gen Dent. 2017 Sep-Oct;65(5):32-35.
PMID: 28862586RESULTCrystal YO, Niederman R. Evidence-Based Dentistry Update on Silver Diamine Fluoride. Dent Clin North Am. 2019 Jan;63(1):45-68. doi: 10.1016/j.cden.2018.08.011.
PMID: 30447792RESULTChokhachi Zadeh Moghadam N, Seraj B, Chiniforush N, Ghadimi S. Effects of Laser and Fluoride on the Prevention of Enamel Demineralization: An In Vitro Study. J Lasers Med Sci. 2018 Summer;9(3):177-182. doi: 10.15171/jlms.2018.32. Epub 2018 Jul 28.
PMID: 30809328RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rasha Sharaf, PhD
Researcher at the National Research Centre
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Researcher of Pediatric Dentistry
Study Record Dates
First Submitted
February 3, 2022
First Posted
March 3, 2022
Study Start
March 10, 2021
Primary Completion
April 30, 2022
Study Completion
April 30, 2022
Last Updated
June 4, 2024
Record last verified: 2024-06