Status:

COMPLETED

A Clinical Trial of Silver Diamine Fluoride to Arrest Early Childhood Caries in Young Children

Lead Sponsor:

University of Manitoba

Collaborating Sponsors:

Children's Hospital Research Institute of Manitoba

Conditions:

Early Childhood Caries

Eligibility:

All Genders

Up to 72 years

Phase:

NA

Brief Summary

Silver diamine fluoride (SDF) is an antibiotic liquid that has the potential to arrest Early Childhood Caries in young children and delay treatment until children can be seen in outpatient settings. W...

Detailed Description

Good oral health during early childhood sets the foundation for a lifetime of optimal dental health. Unfortunately, many Canadian children develop Early Childhood Caries (ECC), defined as caries in th...

Eligibility Criteria

Inclusion

  • Child is \< 72 months of age with early childhood caries (ECC) with active lesions (International Caries Detection and Assessment System codes 5 or 6).
  • Child has ≥ 1 primary tooth with caries that is eligible to receive SDF. Eligible primary teeth must: a) have soft cavitated caries lesions extending into dentin; b) the cavitated lesions must allow for direct application of silver diamine fluoride (SDF). Teeth that meet any of the PUFA (pulpal involvement, ulceration, fistula, and abscess) index criteria (i.e. spontaneous pain due to caries, pulp exposure, mobility, signs of pulpal infection such as abscess, fistula, or swelling) will be excluded. However, a child would still be eligible even if they have at least one tooth that meets PUFA criteria, but other eligible teeth with caries do not.

Exclusion

  • Child is allergic or has a sensitivity to silver or other heavy metal ions.
  • Child has hereditary generalized developmental defects of enamel (e.g. Amelogenesis Imperfecta, Dentinogenesis Imperfecta)
  • Child has severe medical problems that limit participation.
  • Child requires immediate rehabilitation under general anesthesia (GA) because of severe infection or pain.
  • Antibiotic use within the last 2 weeks.

Key Trial Info

Start Date :

October 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 31 2023

Estimated Enrollment :

84 Patients enrolled

Trial Details

Trial ID

NCT04054635

Start Date

October 1 2019

End Date

July 31 2023

Last Update

September 13 2023

Active Locations (1)

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1

Children's Hospital Research Institute of Manitoba

Winnipeg, Manitoba, Canada, R3E 3P4