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CTRI Number  CTRI/2020/07/026614 [Registered on: 16/07/2020] Trial Registered Prospectively
Last Modified On: 04/07/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of two types treatment of decayed teeth in primary school children with limited access to dental care. 
Scientific Title of Study   A six month clinical evaluation of Silver Diamine Fluoride and Atraumatic Restorative Treatment for treating dental caries. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sharmistha Mohanty 
Designation  Post graduate student 
Affiliation  Institute of Dental Sciences 
Address  Room No 9 Dept of Public Health Dentistry Institute of Dental Sciences K8 Kalinganagar Bhubaneswar

Khordha
ORISSA
751003
India 
Phone  8917592963  
Fax    
Email  sharmisthabolt007@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dharmashree Satyarup 
Designation  Professor 
Affiliation  Institute of Dental Sciences 
Address  Room No 9 Dept of Public Health Dentistry Institute of Dental Sciences K8 Kalinganagar Bhubaneswar

Khordha
ORISSA
751003
India 
Phone  8008610999  
Fax    
Email  dharmashree_s@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Dharmashree Satyarup 
Designation  Professor 
Affiliation  Institute of Dental Sciences 
Address  Room No 9 Dept of Public Health Dentistry Institute of Dental Sciences K8 Kalinganagar Bhubaneswar

Kendrapara
ORISSA
751003
India 
Phone  8008610999  
Fax    
Email  dharmashree_s@yahoo.com  
 
Source of Monetary or Material Support  
Department of Public Health Dentistry, Institute of Dental Sciences, K-8, Kalinganagar, 751003 
 
Primary Sponsor  
Name  None 
Address  none 
Type of Sponsor  Other [None] 
 
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 Dharmashree Satyarup  Institute of Dental Sciences  Room No 9 Dept of Public Health Dentistry Institute of Dental Sciences K8 Kalinganagar Bhubaneswar
Khordha
ORISSA 
8008610999

dharmashree_s@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Institute of Medical Sciences(IMS) and Sum Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M268||Other dentofacial anomalies,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Atraumatic Restorative Treatment  Has been advocated by WHO as the treatment for simple dental caries not involving the pulp, in areas with limited access to dental care. 
Intervention  Silver Diamine Fluoride  Silver Diamine Fluoride has been used for arresting active dental caries. 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  International Caries Detection and Assessment System (ICDAS) code V and VI not involving the pulp. 
 
ExclusionCriteria 
Details  Medically compromised patients.
dental caries involving pulp.
Pain and mobility in the tooth. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Intact restoration and no secondary caries  6 months 
 
Secondary Outcome  
Outcome  TimePoints 
1.Loss of restoration
2.Discoloration
3.Pain and infection of tooth 
6 months  
 
Target Sample Size   Total Sample Size="180"
Sample Size from India="180" 
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)   28/09/2020 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
Silver Diamine Fluoride(SDF) has been popularised for its ability to stop dental caries formation and concurrently arrest caries progression.This approach does not require caries excavation using instruments, in addition  silver has many antimicrobial properties and fluoride which helps in remineralisation. The Atraumatic Restorative Treatment (ART) is a pain free, minimal intervention approach where only hand instruments are used to remove carious tooth substance before the cavity is restored and any adjacent enamel fissures are sealed with conventional , self-hardening Glass Ionomer Cement(GIC).Thus WHO recommends ART as the treatment option for dental caries in areas with limited access to dental care.
Hence, this study is being conducted to evaluate if SDF can be used as an effective caries restoration option in school children as opposed to ART, as it removes the use of hand instruments used in ART for caries excavation. Therefore it can be used in children with anxiety for dental treatments and also be done by trained auxillaries instead of dentists in rural areas.
 
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