None listed
Conditions
Brief summary
This study is testing whether a fluoride treatment called Silver Diamine Fluoride (SDF) works better when it is followed by a short burst of light from a dental LED lamp. The treatment will be used on weakened (hypomineralised) molars in children that are planned for removal. We will assess whether using the light reduces sensitivity more than that without the light.
Interventions
All paediatric dental registrars will receive a face to face workshop on Silver Diamine Fluoride (SDF) use and application. Initial consultation will be a 45minute appointment in a hospital (Perth Children's Hospital) or university dental clinic (The Oral Health Centre of Western Australia) completed by the aforementioned registrars discussing the removal of the hypomineralised molars. All eligible patients will have already received information about this study prior to the consultation appoint
All paediatric dental registrars will receive a face to face workshop on Silver Diamine Fluoride (SDF) use and application. Initial consultation will be a 45minute appointment in a hospital (Perth Children's Hospital) or university dental clinic (The Oral Health Centre of Western Australia) completed by the aforementioned registrars discussing the removal of the hypomineralised molars. All eligible patients will have already received information about this study prior to the consultation appointment. Parents interested will for their children to participate will then complete consent process prior to application of SDF as detailed below. Application will require protective personal equipment (this includes safety glasses, a bib and vaseline applied to the lips of the patient). The tooth to be treated will be isolated using two cotton wool rolls placed buccally and lingually. Preoperative photographs will be taken using an intra oral photography mirror and DSLR camera. One standard drop of SDF will be dispensed in a dappen dish using the supplied dropper bottle. A microbrush will then be used to apply SDF onto the selected tooth for 60 seconds. This process will be the same for both groups. The intervention group will subsequently receive a 20 second light cure using a light emitting diode (Valo Grand Cordless LED) on standard mode (900mW/cm2). Any residual SDF will be blot dried using a cotton wool roll. A post operative photograph will then be taken and the child will then be instructed to not eat or drink for 30mins as per standard SDF protocols.
Sponsors
UWA Dental School
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
6 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
Children aged 6 to 15 years Diagnosed with Molar Incisor Hypomineralisation (MIH) affecting permanent first molars Referred to the Oral Health Centre of Western Australia (OHCWA) or Perth Children’s Hospital (PCH) At least one hypomineralised permanent molar that is scheduled for extraction under general anaesthesia Tooth must exhibit signs of sensitivity, post-eruptive breakdown, or structural compromise Child and parent/guardian able to provide assent and informed consent
Exclusion criteria
Teeth with irreversible pulpitis or carious lesions involving the pulp Children with a known allergy to silver, ammonia, or fluoride-containing products (e.g., SDF) Presence of ulcerative gingival conditions or other significant oral mucosal lesions Children who are unable or unwilling to cooperate with the treatment procedure Teeth with gross structural damage that precludes effective application of the intervention EDIT: tick no
Outcome results
None listed