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CTRI Number  CTRI/2020/11/028914 [Registered on: 05/11/2020] Trial Registered Prospectively
Last Modified On: 27/08/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Silver diamine fluoride to understand the caries status in children 
Scientific Title of Study   EFFECT OF SILVER DIAMINE FLUORIDE ON STREPTOCOCCUS MUTANS COLONIZATION IN CHILDREN WITH EARLY CHILDHOOD CARIES – A REAL TIME PCR STUDY 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rahul C 
Designation  Post Graduate 
Affiliation  Rajarajeswari Dental College and Hospital 
Address  Department Of Pediatric and Preventive Dentistry No.14, Ramohalli Cross, Mysore Road, Kumbalgodu,

Bangalore
KARNATAKA
560074
India 
Phone  9535383738  
Fax    
Email  nayakrahul444@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rahul C 
Designation  Post Graduate 
Affiliation  Rajarajeswari Dental College and Hospital 
Address  Department Of Pediatric and Preventive Dentistry No.14, Ramohalli Cross, Mysore Road, Kumbalgodu,

Bangalore
KARNATAKA
560074
India 
Phone  9535383738  
Fax    
Email  nayakrahul444@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rahul C 
Designation  Post Graduate 
Affiliation  Rajarajeswari Dental College and Hospital 
Address  Department Of Pediatric and Preventive Dentistry No.14, Ramohalli Cross, Mysore Road, Kumbalgodu,

Bangalore
KARNATAKA
560074
India 
Phone  9535383738  
Fax    
Email  nayakrahul444@gmail.com  
 
Source of Monetary or Material Support  
Rajarajeswari Dental College and Hospital 
 
Primary Sponsor  
Name  Dr RAHUL C  
Address  DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY No.14, Ramohalli Cross, Mysore Road, Kumbalgodu, Bengaluru, Karnataka 560074 
Type of Sponsor  Other [SELF FUNDED] 
 
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 Nagarathna C  Rajarajeswari Dental College and Hospital  Department Of Pediatric and Preventive Dentistry No.14, Ramohalli Cross, Mysore Road, Kumbalgodu,
Bangalore
KARNATAKA 
9845581779

shaanrathna@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RAJARAJESWARI DENTAL COLLEGE AND HOSPITAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 4||Measurement and Monitoring,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Silver diamine fluoride 38% as topical agent  Base line sample - pre treatment follow up sample - after 1 day and 1 month  
Comparator Agent  TOPICAL APPLICATION (SINGLE TIME)  SILVER DIAMINE FLUORIDE 38% Base line sample - taken during pre treatment follow up sample - after 1 day and 1 month. 
 
Inclusion Criteria  
Age From  3.00 Year(s)
Age To  6.00 Year(s)
Gender  Both 
Details  1) Children aged between 3-6 years from either
gender.
2) Early Childhood Caries with active dentinal
carious lesion in children.
3) At least one tooth with soft cavitated dentine surfaces received scores 5 (Distinct cavitation with visible dentin, involving less than half of a tooth surface) or 6 (Extensive cavitation with visible dentin, where the cavity is wide involving more than half of a tooth surface) of the ICDAS criteria. 
 
ExclusionCriteria 
Details  1)Children who received fluoride topical
application during last 48 hours.
2)Children with special health care needs.
3)Tooth with an abscess, symptoms of irreversible pulpitis, or a mobile tooth.
4)Children who were on antibiotic therapy within past 3 months.
5)Children with known sensitivity to silver or other heavy-metal ion were excluded 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Black stains on the SDF applied tooth surface, This hardened surface indicates of arrest of caries  After one month SDF applied tooth surface is checked for black stains, this hardened surface indicates of arrest of caries 
 
Secondary Outcome  
Outcome  TimePoints 
EFFECT OF SDF ON INHIBITION OF STREPTOCOCCUS MUTANS COLONIZATION USING REAL TIME PCR STUDY  1 day and 1 MONTH 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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 2/ Phase 3 
Date of First Enrollment (India)   13/11/2020 
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="2"
Months="1"
Days="10" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is randomized parallel group trial comparing the effect of silver diamine fluoride on streptococcus mutans in saliva sample of children with early childhood caries in 1 month period of time. 30 patients with early childhood caries are taken. Each child will be examined for carious status using international caries detection and assessment system. Teeth which received ICDAS score 5 or 6 are selected. Pre treatment unstimulated saliva samples are taken as follows paper point is dipped in saliva for 30 seconds in the floor of the mouth. Silver diamine fluoride procedure will be carried out as per manufacture instruction, post treatment unstimulated saliva samples will be collected at 24hrs and during follow up at 1 month. All the above samples will be transferred aseptically and sent for microbial analysis. The primary outcome will be change of SDF treated tooth color to black stain which indicates of hardened dentin surface. The secondary outcome will be the effect of SDF on inhibition of streptococcus mutans colonization using real time PCR study 
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