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CTRI Number  CTRI/2025/06/088042 [Registered on: 02/06/2025] Trial Registered Prospectively
Last Modified On: 31/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A comparative study on silver ion penetration in three different application techniques under scanning electron microscopy 
Scientific Title of Study   Comparative evalutaion of silver diamine fluoride penetration into dentine with three different application techniques using scanning electron microscope- energy dispersive x-ray spectroscopy an ex-vivo study 
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 Julita Joseph 
Designation  postgraduate  
Affiliation  The Oxford Dental College 
Address  Department of Pediatric and Preventive Dentistry, 4th floor, room no. 8 The Oxford Dental College, Bangalore
The Oxford Dental college
Bangalore
KARNATAKA
560068
India 
Phone  9990565773  
Fax    
Email  julitajoseph23@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bharath Vardhana 
Designation  Reader 
Affiliation  The Oxford Dental College 
Address  Department of Pediatric and Preventive Dentistry, 4th floor, room no. 8 The Oxford Dental College, Bangalore
The Oxford Dental college
Bangalore
KARNATAKA
560068
India 
Phone  9886588595  
Fax    
Email  bharath.dentist@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Julita Joseph 
Designation  postgraduate  
Affiliation  The Oxford Dental College 
Address  Department of Pediatric and Preventive Dentistry, 4th floor, room no. 8 The Oxford Dental College, Bangalore
The Oxford Dental college
Bangalore
KARNATAKA
560068
India 
Phone  9990565773  
Fax    
Email  julitajoseph23@gmail.com  
 
Source of Monetary or Material Support  
The Oxford Dental College Bommanahalli, Hosur Road, Bangalore- 560068 India 
 
Primary Sponsor  
Name  Dr Julita Joseph 
Address  The Oxford Dental College, Bommanahalli, Hosur road Bangalore- 560068 Karnataka 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Bharath Vardhana  The Oxford Dental College, Bangalore 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Julita Joseph  The oxford Dental College  Department of Pediatric and Preventive Dentistry, 4th floor, room no. 8 The Oxford Dental College, Bangalore The Oxford Dental college
Bangalore
KARNATAKA 
09990565773

julitajoseph23@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Oxford Dental College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Children with dental caries 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  silver diamine fluoride   comparative evalutaion of silver diamine fluoride penetration into dentine with three different application techniques using scanning electron microscope- energy dispersive x-ray spectroscopy 
Comparator Agent  silver diamine fluoride   three comparative group to check the penetration of silver ion using silver diamine for 1 minute on the carious tooth as control group and silver diamine fluoride for 1 minute followed by with potassium iodide for 2 minute on the carious tooth and silver diamine fluoride with curing light for 20 seconds on carious tooth as experimental group 
 
Inclusion Criteria  
Age From  8.00 Year(s)
Age To  13.00 Year(s)
Gender  Both 
Details  Freshly extracted carious primary teeth that are nearing exfoliation.
Primary teeth with visible dentinal caries.
 
 
ExclusionCriteria 
Details  Primary teeth with caries involving pulp.
Primary teeth previously treated with SDF(silver diamine fluoride).
Primary teeth with restorations.
Primary teeth with developmental anomalies.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
SDF increases the resistance to acid dissolution and increases mineral density and hardness. A rich mineralised layer can be found on the surface of arrested carious lesions.Applying KI with SDF creates a silver iodide precipitate that is yellow, insoluble and does not cause black staining on the tooth  Silver penetration at 1min, after 2min and after 20seconds 
 
Secondary Outcome  
Outcome  TimePoints 
Efficiency of SDF when applied alone and when applied with potassium iodide and light curing.  Efficiency of SDF when applied alone and when applied with potassium iodide and light curing. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   25/06/2025 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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 is a comparative study done to evaluate the amount of silver ions in carious lesions in tooth treated with silver diamine fluoride, silver diamine fluoride followed by potassium iodide and silver diamine fluoride with light curing for 20 seconds. SDF increases the resistance to acid dissolution and increases mineral density and hardness. A rich mineralised layer can be found on the surface of arrested carious lesions. It also exhibits control of caries infection, simplicity of use, affordability, minimal requirement for training and it is a minimally invasive treatment. Potassium iodide (KI) is a salt that generates white or transparent hexahedral crystals. Applying KI with SDF creates a silver iodide precipitate that is yellow, insoluble and does not cause black staining on the tooth.
It is seen that curing of SDF using light emitting diode (LED) light curing increased precipitation of silver ions in the infected dentine layer of the carious lesion.
 
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