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CTRI Number  CTRI/2025/05/086810 [Registered on: 13/05/2025] Trial Registered Prospectively
Last Modified On: 12/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   comparing silver diamine fluoride and sodium fluoride varnish in stopping the caries 
Scientific Title of Study   comparative evaluation of silver diamine fluoride and sodium fluoride varnish in arresting the caries: A Randomized control trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr.Tommandru Supriya 
Designation  Post graduate 
Affiliation  Anil Neerukonda Institute of Dental Sciences 
Address  Anil Neerukonda Institute of Dental Sciences Sangivalasa Bheemunipatnam Visakhapatnam
Anil Neerukonda Institute of Dental Sciences Sangivalasa Bheemunipatnam Visakhapatnam 531162
Visakhapatnam
ANDHRA PRADESH
531162
India 
Phone  7981577894  
Fax    
Email  sahanya7t@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.K.Chaitanya Ram 
Designation  Professor and Hod 
Affiliation  Anil Neerukonda Institute of Dental Sciences 
Address  Anil Neerukonda Institute of Dental Sciences Sangivalasa Bheemunipatnam Visakhapatnam
Anil Neerukonda Institute of Dental Sciences Sangivalasa Bheemunipatnam Visakhapatnam
Visakhapatnam
ANDHRA PRADESH
531162
India 
Phone  9493120291  
Fax    
Email  fauchard2612@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr.T.Supriya 
Designation  Post graduate 
Affiliation  ANIL NEERUKONDA INSTITUTE OF DENTAL SCIENCES 
Address  Anil Neerukonda Institute of Dental Sciences Sangivalasa Bheemunipatnam Visakhapatnam
Anil Neerukonda Institute of Dental Sciences Sangivalasa Bheemunipatnam Visakhapatnam
Visakhapatnam
ANDHRA PRADESH
531162
India 
Phone  7981577894  
Fax    
Email  sahanya7t@gmail.com  
 
Source of Monetary or Material Support  
Anil Neerukonda Institute Of Dental Sciences Visakhapatnam 
 
Primary Sponsor  
Name  Dr Tommandru Supriya 
Address  Anil Neerukonda Institute of Dental Sciences Sangivalasa Bheemunipatnam Visakhapatnam 531162 
Type of Sponsor  Private medical college 
 
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 
DrTommandru Supriya  Anil neerukonda institute of dental sciences  Department of pediatric and preventive dentistry Room no.7 sangivalasa pincode:531162
Visakhapatnam
ANDHRA PRADESH 
7981577894

sahanya7t@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DR TOMMANDRU SUPRIYA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  healthy 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  silver diamine fluoride  effectiveness of silver diamine fluoride in arresting caries 
Comparator Agent  sodium fluoride varnish  effectiveness of sodium fluoride varnish in arresting caries 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1.children aged 6-12 years with parental or guardian acceptance and cooperation.
2. Children with active carious lesions in either primary,mixed dentition
3. Patient with good general health and free of any systemic diseases.
4. Children with no allergic reactions to silver. 
 
ExclusionCriteria 
Details  1. Children with developmental dental abnormalities such as enamel defects.
2. Children with known silver allergy.
3. Tooth with physiologic root resorption or close to exfoliation.
4. Children with extensive caries involvement, including pulpal involvement, pain, mobility, abscess formation, sinus, or fistula.
5. Children with special health care needs. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The comparative evaluation of Silver diamine fluoride and sodium fluoride varnish will give an appropriate material in arresting caries progression.  3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Caries Recurrence
tooth discoloration
treatment acceptability
cost effectiveness 
at 3, 6 & 9 month interval 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
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   Phase 4 
Date of First Enrollment (India)   07/06/2025 
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="11"
Days="2" 
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  

• A randomized control study will be conducted among children aged 6-12 years residing in government hostel Visakhapatnam, suburban district, Andhra   Pradesh. Prior to the study written informed consent would be taken from the parents of the children.

•  children who fulfilled the inclusion criteria will be included in the study.

• A preoperative bitewing radiograph is taken to all the children undergoing the study

•   In Group 1, steps of 38 percent SDF(kedo 38 percent SDF with KI) application:

• Before doing the procedure any food debris and plaque if present should be removed from the cavities by wiping with wet gauze, carious lesions should not be removed.

• Decayed teeth are isolated and should be kept dry with cotton rolls and gauze.

• Place one drop of SDF in a plastic dappen dish and should be applied onto the carious tooth surfaces with a micro- applicator for 1 minute ,then apply potassium iodide. Remove any excess by gentle blotting using a cotton pellet.

• The children are instructed to avoid drinking, eating or rinsing in the next 30 minutes after the application.

• The children will be recalled at 3,6 and 9month intervals and evaluated for caries arrest with the help of a post operative bitewing radiograph.

• A dfs index and post operative bitewing radiograph is used to record and assess the prevalence of dental caries in children.

• In Group 2, steps of 5 percent NaF varnish(voco profluoride varnish) application:

• Before the procedure Any food debris and plaque if present,should be removed from the tooth surfaces thoroughly by wiping with wet gauze.

• We should Isolate the decayed teeth and keep it dry with cotton rolls and gauze.

• A thin coat of 5 percent NaF(voco proflouride) varnish should be applied using a suitable brush to carious teeth.

• The children will be recalled at 3,6 and 9month intervals and evaluated for caries arrest with the help of a post operative bitewing radiograph.

• A dfs index & post operative bitewing radiograph  is used to record and assess the prevalence of dental caries in children.

The children were instructed not to rinse, drink or eat for 2 hours and are asked to refrain from brushing on the same day

 
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