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CTRI Number  CTRI/2025/03/081802 [Registered on: 06/03/2025] Trial Registered Prospectively
Last Modified On: 03/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A comparison of calcium hydroxide and silver diamine fluoride as protective treatments for tooth decay in childrens molars 
Scientific Title of Study   COMPARATIVE EVALUATION OF CALCIUM HYDROXIDE AND SILVER DIAMINE FLUORIDE AS INDIRECT PULP CAPPING AGENTS IN PRIMARY MOLARS -A RANDOMIZED CONTROLLED TRIAL 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr ATHIRA H 
Designation  POSTGRADUATE STUDENT 
Affiliation  PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH 
Address  DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH ,GOLDEN HILLS ,VATTAPARA ,VENKODE ,TRIVANDRUM

Thiruvananthapuram
KERALA
695028
India 
Phone  9400169378  
Fax    
Email  harikrishnan6391@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr SAJEENA GEORGE 
Designation  PROFESSOR AND HOD 
Affiliation  PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH 
Address  PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH ,GOLDEN HILLS ,VENKODE ,VATTAPARA ,TRIVANDRUM

Thiruvananthapuram
KERALA
695028
India 
Phone  9400169378  
Fax    
Email  drsajeenajosek@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr ATHIRA H 
Designation  POSTGRADUATE STUDENT 
Affiliation  PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH 
Address  DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH ,GOLDEN HILLS ,VENKODE ,VATTAPARA ,TRIVANDRUM

Thiruvananthapuram
KERALA
695028
India 
Phone  9400169378  
Fax    
Email  harikrishnan6391@gmail.com  
 
Source of Monetary or Material Support  
funded by myself 
 
Primary Sponsor  
Name  Dr ATHIRA H 
Address  East Velliyotillam ,Pulimath po karate ,Trivandrum 
Type of Sponsor  Other [funded by myself] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR ATHIRA H  PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH   DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY GOLDEN HILLS ,VENKODE ,VATTAPARA ,TRIVANDRUM
Thiruvananthapuram
KERALA 
9400169378

harikrishnan6391@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: K029||Dental caries, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  CALCIUM HYDROXIDE  considered the gold standard for pulp capping  
Intervention  SILVER DIAMINE FLOURIDE   It is considered a promising treatment for managing caries in a noninvasive manner.  
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  9.00 Year(s)
Gender  Both 
Details  1) Primary molars with deep caries that are closer to a pulp with mild pain during mastication.
2) Primary molars showing positive transient response to thermal and electrical pulp testing
3) Primary molars with radiolucency, involving enamel and dentin with a Remaining Dentin Thickness (RDT) of 0.5-1.5 mm.

 
 
ExclusionCriteria 
Details  Deep caries with a history of spontaneous pain, and night pain.
2) Primary molars, with tenderness on palpation and percussion
3) Abscesses, sinus tract, or gingival inflammation
4) Pathological mobility
5) Radio graphical changes with radiolucencies involving pulp, widening of the periodontal ligament, irregular lamina dura, and periapical radiolucencies
6) Any systemic disease
7) Known allergy to silver
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment    
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
clinical and radiographic evaluation   ASSESSED AFTER 3 MONTHS AND 6 MONTHS  
 
Secondary Outcome  
Outcome  TimePoints 
no outcomes  no time points  
 
Target Sample Size   Total Sample Size="33"
Sample Size from India="33" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   25/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This randomized controlled trial compares calcium hydroxide and silver diamine fluoride (38% and 1:10%) as indirect pulp-capping agents in primary molars. A total of 33 teeth will be randomly assigned to three groups. Procedures include local anesthesia, rubber dam isolation , infected dentin removal, material application, and final restoration with a stainless steel crown.
Patients will be reviewed at 3 and 6 months, and clinical and radiographic evaluations will be performed to assess success. Double blinding will be implemented and the outcomes will be based on pain,inflammation,mobility , restoration retention, and radiographic changes 
 
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