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Clinical and Cost-Effectiveness of Silver Diamine Fluoride and Silver Fluoride, With or Without Application of LED, in Arresting Incipient Permament Molar Caries

Clinical Efficacy and Cost-Effectiveness of Silver Diamine Fluoride and Silver Fluoride to Arrest Incipient Carious Lesions in Permanent Molar Teeth With or Without Application of LED Light: A Randomized Clinical Trial

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07366645
Acronym
SDF and AgF
Enrollment
366
Registered
2026-01-26
Start date
2026-03-01
Completion date
2027-07-01
Last updated
2026-01-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Incipient Caries

Brief summary

The study aims to compare the effect of international brand ammonia based 38% SDF, water based silver fluoride solution (AgF), an aqueous silver fluoride solution, and local brand ammonia based SDF with and without LED light application on caries arrest of initial enamel pits and fissure caries for permanent teeth of young adults

Interventions

OTHERInternational Sliver Diamine Fluoride

It is the gold standard; it is an international brand, it is ammonia-based, and it is a remineralizing agent with an application time of 60 seconds.

OTHERLocal brand Egyptian Silver Diamine Fluoride

It is a new Egyptian brand of SDF; it is ammonia-based, and it is a remineralizing agent with an application time of 60 seconds.

It is a water-based remineralizing agent with an application time of 60 seconds.

OTHERInternational Sliver Diamine Fluoride with LED light

It is an international brand, it is ammonia-based, and it is a remineralizing agent with an application time of 10 seconds, followed by LED light application for 20 seconds.

OTHERLocal brand Egyptian Silver Diamine Fluoride with LED light

It is a new Egyptian brand of SDF; it is ammonia-based, and it is a remineralizing agent with an application time of 10 seconds, followed by LED application for 20 seconds.

OTHERSilver Fluoride with LED light

It is a water-based remineralizing agent with an application time of 10 seconds, followed by LED light application for 20 seconds.

Sponsors

Cairo University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 25 Years
Healthy volunteers
No

Inclusion criteria

* high caries risk dental students * Males or females * Medically free * Not taking medication * At least had one active carious tooth * Posterior permanent teeth * ICDAS 2

Exclusion criteria

* non-Egyptian students * Lack of compliance * Allergic reaction to the materials used * Pregnancy * Dental students cannot give consent * Teeth that will be extracted for orthodontic reasons * Dental fluorosis * Hypo calcified teeth * Systemic diseases affecting teeth, such as amelogenesis imperfecta * Severe periodontal affection

Design outcomes

Primary

MeasureTime frameDescription
Caries arrestAfter 3, 6, and 12 months.Lesion activity will be assessed by caries status (active/inactive) using visual and tactile inspection for surface discontinuities and texture. The participants will be examined under unit light using a 0.5 mm ball-ended (CPI) probe and a dental mirror. The teeth will be cleaned and dried by a water-air spray syringe before the examination.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026