Dental Caries Clinical Trial
Official title:
A Randomized Clinical Trial on the Use of Sodium Fluoride Varnish and Silver Diamine Fluoride Solution for Arresting Active Dental Caries in Preschool Children
This randomized clinical trial aims to compare the effectiveness of three topical fluoride application protocols, namely three applications of a 30% SDF solution at yearly or weekly interval and three applications of a 5% NaF varnish at weekly interval, in arresting dental caries in the primary teeth of preschool children over 30 months.
This randomized clinical trial aims to compare the effectiveness of three topical fluoride
application protocols, namely three applications of a 30% SDF solution at yearly or weekly
interval and three applications of a 5% NaF varnish at weekly interval, in arresting dental
caries in the primary teeth of preschool children over 30 months.
Preschool children attending the first year of the kindergartens will be invited to join
this study. An invitation letter will be sent to the parents explaining the purpose and
procedures of this study. Parental consent will be sought. Generally healthy children who
have at least one tooth with untreated caries into dentine will be invited to participate
and they will be followed for 30 months.
Dental clinical examination of the children will be conducted by a calibrated dentist in the
kindergarten. Tooth and oral hygiene condition will be recorded. A parental questionnaire
will be administered at baseline and at the 30-month follow-up visits regarding their
children's socio-economic background and oral health related behaviours. The questionnaire
will also assess parental satisfaction with their child's oral health and dental aesthetics.
All active dental caries lesions of the participant children will be treated if possible.
The children will be categorized as having a high or a low caries rate. They will then be
allocated by a stratified randomization method to one of the three study groups:
Group A - 3 applications of a 30% SDF solution at yearly interval Group B - 3 applications
of a 30% SDF solution at weekly interval Group C - 3 applications of a 5% NaF varnish at
weekly interval
A dental operator who is not involved in the examination of the child will apply the
fluoride agents. Follow-up oral examinations will be conducted every 6 months in the
kindergartens for 30 months. The status of the treated teeth and any possible side/adverse
effects will be recorded in the follow-up examinations.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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