Dental Caries
Conditions
Keywords
dental caries, permanent teeth, silver diamine fluoride, tooth eruption
Brief summary
This study aims to evaluate the cost-effectiveness of 30% silver diammine fluoride in the treatment of clinically caries lesions in enamel, on occlusal surfaces in first permanent molars compared to a control group that performs only the cross-toothbrushing technique and evaluate the acceptability and satisfaction of patients and responsible for the application of the solution cariostatic.
Detailed description
The sample will be comprised of 183 patients between 4 to 7 year-old, who present at least occlusal surface with initial caries lesion (ICDAS 1, 2, 3). Patients will be randomly allocated to treatments, according to the technique to be employed: (I) 30% diamine silver fluoride, (II) cross-toothbrushing technique. Will also be guided and motivated individual, where these children will be taught the technique of brushing conventional. It will be given to all patients a toothbrush. In times of reassessment, the degree of wear of the bristles of these brushes will be evaluated in order to infer the use of the same. The teeth will be evaluated by clinical and exams at baseline and after 3, 6, 12, 18 and 24 months.
Interventions
The 30% silver diamine fluoride (Cariestop, Biodinamica) will be applied with a disposable microbrush for 3m. Then the surface will be washed for 30s. Anteroposterior toothbrushing technique will be explained to the children.
BEHAVIORALOral hygiene
With the patient's own brush, supervised brushing the erupting molar with fluoridated toothpaste will be guided using the cross-toothbrushing technique
Sponsors
University of Sao Paulo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 7 Years
Healthy volunteers
Yes
Inclusion criteria
* erupting permanent molars (that are not in full occlusion) * not special children * children who present at least occlusal surface with initial caries lesion (ICDAS 1, 2, 3)
Exclusion criteria
* presence of cavitated caries lesions * presence of enamel defects (hypoplasias)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Caries progression | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| cost | 24 months |
| patient's satisfaction | 24 months |
| patient's discomfort | 24 months |
| duration | 24 months |
Countries
Brazil
Outcome results
None listed