Silver Diamine Fluoride After Minimal Caries Removal Technique in Asymptomatic Young Permanent Teeth With Deep Caries

Cairo University (CU)

Status and phase: Unknown; Phase 4

Conditions: Deep Caries

Treatments: Drug: Glass Ionomer; Drug: Silver Diamine Fluoride

Study type: Interventional

Funder types: Other

Identifiers

NCT03568474

Egypt Cairo University

Details and patient eligibility

About

This study is comparing between the Silver Diamine Fluoride after minimal caries removal versus glass ionomer in permanent teeth with open apex

Full description

The study will be carried on young permanent molars with open apices & with deep caries. Incomplete caries removal and application of indirect pulp capping materials where Silver Diamine Fluoride (Group I) will be compared with glass ionomer only (group II). Then final restoration with composite resin for both groups. Children will be followed up for 9 months.

Enrollment: 40 estimated patients

Sex: All

Ages: 6 to 9 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patients free from any systematic diseases.
2. Young permanent molars with incompletely formed roots having deep carious lesions according to clinical and radiographic examination and at risk of pulp exposure if complete caries is removed.
3. Absence of clinical pathologic signs (fistula, swelling and abnormal tooth mobility)
4. The absence of clinical symptoms of irreversible pulpitis.
5. Absence of adverse radiographic findings (interradicular or periapical radiolucencies, thickening of the periodontal space, internal and external root resorption).
6. Compliant patient/ parent.

Exclusion criteria

1. Teeth with previous restorative treatment.
2. Unrestorable teeth.
3. Uncooperative patients.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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40 participants in 2 patient groups

Silver Diamine Fluoride

Experimental group

Description:

Silver Diamine fluoride will be applied after after minimal caries removal then glass ionomer over it followed by composite resin restoration.

Treatment:

Drug: Silver Diamine Fluoride

Drug: Glass Ionomer

Glass Ionomer

Active Comparator group

Description:

Glass ionomer will be applied after minimal caries removal followed by composite resin restoration.

Treatment:

Drug: Glass Ionomer