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CTRI Number  CTRI/2020/07/026877 [Registered on: 29/07/2020] Trial Registered Prospectively
Last Modified On: 09/06/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Deep caries management  
Scientific Title of Study   Silver diamine fluoride for caries management in primary molars 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Meenu Mittal 
Designation  Professor 
Affiliation  ESIC Dental College 
Address  Department of Pediatric Dentistry, ESIC Dental College,Sector 15, Rohini, Delhi

North
DELHI
110089
India 
Phone  9811840018  
Fax    
Email  meenu20feb@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meenu Mittal 
Designation  Professor 
Affiliation  ESIC Dental College 
Address  Department of Pediatric Dentistry, ESIC Dental College,Sector 15, Rohini, Delhi

North
DELHI
110089
India 
Phone  9811840018  
Fax    
Email  meenu20feb@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meenu Mittal 
Designation  Professor 
Affiliation  ESIC Dental College 
Address  Department of Pediatric Dentistry, ESIC Dental College,Sector 15, Rohini, Delhi

North
DELHI
110089
India 
Phone  9811840018  
Fax    
Email  meenu20feb@gmail.com  
 
Source of Monetary or Material Support  
ESIC Dental College 
 
Primary Sponsor  
Name  ESIC Dental College 
Address  ESIC Dental College,Sector 15, Rohini, Delhi 
Type of Sponsor  Government 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 
Dr Meenu Mittal  ESIC Dental College  Department of Pediatric Dentistry,ESIC Dental College, Sector 15, Rohini, Delhi
North
DELHI 
9811840018

meenu20feb@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, ESIC Dental College & hospital  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  Control   Control- No medicament application,only stainless steel crown 
Intervention  silver diamine fluoride  silver diamine fluoride application on carious lesions followed by stainless steel crowns 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  Healthy cooperative dental patients presenting cavitated carious lesions involving dentin without pulp exposure in primary molars 
 
ExclusionCriteria 
Details  History of spontaneous pain/ presence of abscess or fistula or abnormal mobility/ radiographic evidence of internal root resorption or peri-apical pathosis 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Clinical and radiological success of silver diamine fluoride in deep carious lesions  1 month, 3 months, 6 months, 12 months 
 
Secondary Outcome  
Outcome  TimePoints 
None  not applicable 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/08/2020 
Date of Study Completion (India) 30/03/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Not published 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

The study was conducted in the Department of Pediatric & Preventive Dentistry, ESIC Dental College, Rohini, Delhi. Children in the age group of 4-8 years, presenting to the departmental clinic for dental treatment were screened, and those presenting clinically cavitated carious lesion involving dentin having soft caries in primary molar without pulp exposure were considered for participation in the study. Informed consent was obtained from each subject’s parents before enrolling them in study. Each child was randomly assigned to treatment group A or B by envelope method.

The two groups divided were as follows:   a)  GROUP-A : (n=25) Control- Complete caries removal done and tooth restored with Stainless steel crown (SSC)

                 b)  GROUP-B: (n=25) Silver diamine fluoride applied followed by SSC using Hall technique.                          Follow up was done at 1 month, 3,6,12 months interval and treatment success or failure was determined by a combination of clinical and radiographic findings by an investigator blinded to the treatment groups. Radiographs were taken at 3months, 6 months and 12 months follow up visit. The differences in both the groups for clinical and radiographic parameters was statistically analysed- qualitative data using chi square test.

Results: Combining clinical and radiological results for major failures, there was no statistically significant difference in both the groups.

 
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