CTRI Number |
CTRI/2023/07/055502 [Registered on: 21/07/2023] Trial Registered Prospectively |
Last Modified On: |
17/07/2023 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Dentistry |
Study Design |
Non-randomized, Multiple Arm Trial |
Public Title of Study
|
Anti caries effect of three different varnishes on Milk teeth |
Scientific Title of Study
|
Comparative cariostatic strategy of fluoride varnish, 38% silver diamine fluoride with 20% Potassium iodide solution in primary teeth - a clinical follow-up study |
Trial Acronym |
NIL |
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Shweta Kajjari |
Designation |
Reader |
Affiliation |
KLE V.K.Institute of Dental Sciences,Belagavi |
Address |
Dr Shweta Kajjari,Reader,Department of Pediatric and Preventive Dentistry,KLE V.K.Institute of Dental Sciences,Belagavi
Belgaum KARNATAKA 590010 India |
Phone |
9964525733 |
Fax |
|
Email |
drshwetakajjari@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Shivayogi M.Hugar |
Designation |
Professor and Head |
Affiliation |
KLE V.K.Institute of Dental Sciences,Belagavi |
Address |
Department of Pediatric and Preventive Dentistry,KLE V.K.Institute of Dental Sciences,Belagavi
Belgaum KARNATAKA 590010 India |
Phone |
9986436448 |
Fax |
|
Email |
dr.hugarsm@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Shweta Kajjari |
Designation |
Reader |
Affiliation |
KLE V.K.Institute of Dental Sciences,Belagavi |
Address |
Room no 6,Department of Pediatric and Preventive Dentistry,KLE V.K.Institute of Dental Sciences,Belagavi
Belgaum KARNATAKA 590010 India |
Phone |
9964525733 |
Fax |
|
Email |
drshwetakajjari@gmail.com |
|
Source of Monetary or Material Support
|
KLE Academy of Higher Education and Research, Nehru nagar,Belagavi |
|
Primary Sponsor
|
Name |
KLE Academy of Higher Education and ResearchBelagavi |
Address |
Department of Pediatric and Preventive Dentistry, KLE V.K.Institute of Dental Sciences, KLE Academy of Higher Education and Research,Nehru nagar,Belagavi |
Type of Sponsor |
Research institution and hospital |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Shweta Kajjari |
KAHERS KLE V.K Institute of Dental Sciences, Belagavi |
Department of Pediatric and Preventive Dentistry,Room no 6, KLE V.K.Institute of Dental Sciences, KLE Academy of Higher Education and Research,Nehru nagar,Belagavi Belgaum KARNATAKA |
9964525733
drshwetakajjari@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
KLE V. K. Institute of Dental Sciences,Belagavi |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: K029||Dental caries, unspecified, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
38% Silver Diamine Fluoride |
38% Silver Diamine Fluoride application orally to the cavities once at baseline and follow-up for 1month,3month and 6month |
Intervention |
38% Silver Diamine Fluoride with 20% Potassium Iodide Solution |
Application Of 38% Silver Diamine Fluoride and 20% Potassium Iodide Solution orally to all cavities once at baseline and follow-up for 1month,3month and 6month |
Comparator Agent |
Fluoride Varnish |
5% Sodium fluoride varnish application orally to all cavities once at baseline and follow-up for 1month,3month and 6month |
|
Inclusion Criteria
|
Age From |
3.00 Year(s) |
Age To |
8.00 Year(s) |
Gender |
Both |
Details |
1.Teeth having caries involving enamel and dentin of first and second deciduous molars in age group between 3years-8years of children with dental Caries
2.Children had to have at least 1 carious lesion as defined by the International Caries Detection and Assessment System II (ICDAS II). Using ICDAS II, Code 3,4 (Non-cavitated lesions) and code 5(cavitated lesion) will be included in the study
(Code 3- Localized enamel breakdown without clinical visual signs of dentinal involvement seen when wet and after prolonged drying, Code 4- Underlying dark shadow from dentine ,Code 5-Distinct cavity with visible dentine)
3.Absence of symptoms indicative of pulpal inflammation such as spontaneous pain and history of nocturnal pain
4.No clinical or radiographical evidence of pulp pathology.
|
|
ExclusionCriteria |
Details |
1.Children allergic to silver
2.Non-restorable grossly decayed teeth
3.Primary molars having spontaneous pain, swelling or fistula
4.Mobility of the tooth present
5.Teeth with pathological root resorption namely internal or external root resorption.
6.Developmental defects such as amelogenesis imperfecta or dentinogenesis imperfecta
7.Patients/ parents unwilling to participate in the study.
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Investigator Blinded |
Primary Outcome
|
Outcome |
TimePoints |
To determine the caries reduction after application of Fluoride Varnish, 38% Silver Diamine Fluoride, 38% Silver Diamine Fluoride with 20% Potassium Iodide Solution on primary teeth |
Caries reduction will be assessed after application of Fluoride Varnish, 38% Silver Diamine Fluoride, 38% Silver Diamine Fluoride with 20% Potassium Iodide Solution on primary teeth after baseline,1 month, 3 months and 6 months interval |
|
Secondary Outcome
|
Outcome |
TimePoints |
NIL |
NIL |
|
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
|
Phase 4 |
Date of First Enrollment (India)
|
01/08/2023 |
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 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
|
Early Childhood Caries is a major dental
disease affecting 60%-90% of children worldwide. The traditional way to manage
Early Childhood Caries involves removal of infected part followed by filling
the cavity to restore the function and aesthetics of the tooth. However, young or apprehensive
children are not able to cooperate for lengthy and complex restorative
procedures. When the literature search was carried out in past
three months, it was seen that there are a few studies carried out comparing
the effectiveness of Sodium Fluoride Varnish and Silver Diamine Fluoride in arresting
early childhood caries in children. Hence, with this lacunae the present study
is being designed to compare the
cariostatic strategy of fluoride varnish, 38% silver diamine fluoride
with 20% potassium iodide solution in primary teeth- a clinical follow-up
study. This is an in vivo, double-blinded, triple arm, randomized controlled study in
children. The study will be conducted in
different Schools of Belagavi, Karnataka. Participants who will fulfill the inclusion and
exclusion criteria shall be selected for the study. Data will be
Statistically Analyzed by ANOVA . Groups of samples
will be assessed clinically using tactile and visual inspection for 1month,3 month
and 6 month follow-up. Follow-up will be done for color of carious
lesion(yellow, brown and black),consistency(hard, medium and soft),arrested
lesions and new active lesions. |