Effectiveness of Single and Dual Silver Fluoride Application
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: 38% Silver Fluoride (Riva Star Aqua), Normal Saline (Placebo).
- Кому может быть актуально
- Состояния в реестре: Dentine Caries. Базовые параметры: 4 лет — 6 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Малайзия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
The Effectiveness of Single and Dual Silver Fluoride (SF) Applications on Dentine Caries Among Malaysian Preschool Children: A Randomised Controlled Trial
Обзор
This is a community-based, parallel-group, double-blinded randomised controlled trial aimed at evaluating the effectiveness of single and dual applications of 38% Silver Fluoride (SF) in arresting dentinal caries among Malaysian preschool children aged 4 to 6 years. The main questions this study aims to answer are: i) Does dual application of 38% Silver Fluoride differ from single application in arresting dentinal caries lesions after 6 months? ii) How does SF application influence oral health-related quality of life (OHRQoL) among preschool children, as measured by the Malay-ECOHIS questionnaire? iii) Is there a correlation between caries arrest and changes in Oral Health-Related Quality of Life (OHRQoL) measured using the Malay-ECOHIS questionnaire? Researchers will compare children receiving a single application of 38% Silver Fluoride with those receiving dual applications to determine whether more frequent application improves caries arrest outcomes. Participants will: i) Undergo oral examination for assessment of dentinal caries using ICDAS criteria. ii) Receive 38% Silver Fluoride application at baseline, with the dual-application group receiving an additional application at 3 months. iii) Attend follow-up assessments at 3 and 6 months to evaluate caries arrest status. iv) Have parents or guardians complete the Malay-ECOHIS questionnaire to assess changes in OHRQoL.
Вмешательства
- Препарат 38% Silver Fluoride (Riva Star Aqua)
Topical application of 38% silver fluoride will be apply onto dentinal caries lesions using a micro-brush at baseline and 3 months follow up. One drop (0.05 mL) treats up to five surfaces. Maximum dose per visit does not exceed 260 µL. - Другое Normal Saline (Placebo)
Participants receive a single application of 38% silver fluoride at dentinal carious lesion at baseline and followed by placebo (normal saline) at 3 months
Первичные конечные точки
- Caries arrest at tooth surface level [Срок оценки: 6 months]
- Proportion of arrested lesions [Срок оценки: 6 months]
Вторичные конечные точки (2)
- Change in OHRQoL (Malay-ECOHIS score) [Срок оценки: Baseline to 6 months]
- To determine correlation between caries arrest rate and change in total Malay-ECOHIS score [Срок оценки: 0-6 months]
Критерии участия
Критерии включения
- Children aged 4-6 years enrolled in selected preschools.
- Presence of at least one active dentinal caries lesion.
- Parental or guardian consent obtained.
- Asymptomatic cavitated dentine carious lesions in primary teeth.
- Parents/caregivers who understand the Malay language.
Критерии исключения
- Clinical signs or symptoms of irreversible pulpitis or dental abscess/fistula.
- Systemic illness or medical contraindications for SF use.
- Developmental abnormalities of tooth structure, including amelogenesis imperfecta or dentinogenesis imperfecta.
- History of allergy or sensitivity to dental materials, including silver or fluoride contained in silver fluoride (SF).
- Children who have received professionally applied fluoride within the past six months at the time of recruitment.
- Arrested caries lesion.
- Children presenting with oral ulceration or mucositis.
- Uncooperative behaviour precluding oral examination.
- Children with pre-shedding tooth mobility
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Двойное слепое
- Основная цель
- Лечение
Центры проведения
Малайзия · 1 центр
- Preschools in Perak — Tapah
Публикации
- Yan IG, Zheng FM, Gao SS, Duangthip D, Lo ECM, Chu CH. A Review of the Protocol of SDF Therapy for Arresting Caries. Int Dent J. 2022 Oct;72(5):579-588. doi: 10.1016/j.identj.2022.06.006. Epub 2022 Jul 14. PMID 35843730
Идентификаторы
NCT: NCT07658690 · DF CO2505/0018 (P)