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CTRI Number  CTRI/2025/11/096961 [Registered on: 06/11/2025] Trial Registered Prospectively
Last Modified On: 05/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Single Arm Study 
Public Title of Study   Study to find how much silver is going into body of young children after applying SDF (Silver diamine fluoride), which is a liquid applied on teeth to stop cavities from spreading. 
Scientific Title of Study   Plasma and Salivary Assessment for Silver Levels Post-Silver Diamine Fluoride (SDF) Application in Children Aged 2-6 Years: A Prospective Cohort Study 
Trial Acronym  SDF (Silver Diamine Fluoride) 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sadia Iqbal 
Designation  Junior Resident 
Affiliation  PGIMER 
Address  Room 202 Unit of Pedodontics and Preventive Dentistry Oral Health Sciences Centre PGIMER

Chandigarh
CHANDIGARH
160012
India 
Phone  9818054483  
Fax    
Email  iqbalsadia07@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manojkumar Jaiswal 
Designation  Additional Professor  
Affiliation  PGIMER 
Address  Room 202 Unit of Pedodontics and Preventive Dentistry Oral Health Sciences Centre PGIMER

Chandigarh
CHANDIGARH
160012
India 
Phone  7888206664  
Fax    
Email  drmanojjaiswal@yahoo.in  
 
Details of Contact Person
Public Query
 
Name  Dr Manojkumar Jaiswal 
Designation  Additional Professor  
Affiliation  PGIMER 
Address  Room 202 Unit of Pedodontics and Preventive Dentistry Oral Health Sciences Centre PGIMER

Chandigarh
CHANDIGARH
160012
India 
Phone  7888206664  
Fax    
Email  drmanojjaiswal@yahoo.in  
 
Source of Monetary or Material Support  
Room 202 Unit of Pedodontics and Preventive Dentistry Oral Health Sciences Centre PGIMER 
 
Primary Sponsor  
Name  Unit of Pedodontics and Preventive dentistry Oral Health Sciences Centre PGIMER 
Address  Oral Health Sciences Centre PGIMER Chandigarh 160012 
Type of Sponsor  Research institution and hospital 
 
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 Sadia Iqbal  Unit of Pedodontics and Preventive Dentistry  Room 202, 2nd floor, Oral Health Sciences Centre, PGIMER
Chandigarh
CHANDIGARH 
9818054483

iqbalsadia07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Intramural  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 
Intervention  38 percent Silver Diamine Fluoride   38 percent Silver Diamine Fluoride will be applied to carious teeth. 2ml of Blood and saliva samples will be collected at baseline 4 hours and 1 month to assess silver levels and sent to laboratory same day for silver ions concentration analysis. 
Comparator Agent  Not applicable  Not applicable 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  6.00 Year(s)
Gender  Both 
Details  Children reporting to the Unit of Pedodontics and Preventive Dentistry Oral Health Sciences Centre to receive dental treatment
Multiple carious teeth requiring SDF application
Parental consent obtained to be part of the study
 
 
ExclusionCriteria 
Details  Presence of any known systemic diseases or syndromic cases
Patients with a history of allergic reactions to silver or products
History of any fluoride treatment in the past 3 months
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To estimate the levels of silver in plasma serum and saliva at baseline before SDF application at 4 hours and 1 month of SDF application using Inductively coupled plasma mass spectrometry ICPMS  Baseline before SDF application
4 hours after SDF application
1 month after SDF application 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate arrest of caries post-SDF application using ICDAS-II Criteria and to assess any localized adverse effect of SDF application  Baseline before SDF application
4 hours after SDF application
1 month after SDF application 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   26/11/2025 
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="0"
Months="1"
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   A prospective cohort study to evaluate silver levels in plasma and saliva of children aged 2 to 6 years following application of 38 percent Silver Diamine Fluoride SDF on carious teeth and blood and saliva samples  will be collected at baseline 4 hours of application and 1 month post SDF application to assess pharmacokinetic changes of silver ions 
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