Effectiveness of Silver Diamine Fluoride in Arresting Dental Caries

Effectiveness of Silver Diamine Fluoride in Arresting Dental Caries in Deciduous Molars: a Controlled and Randomized Clinical Trial

The present study aims to evaluate, through a controlled clinical randomized study,the effectiveness of silver diamine fluoride in arresting dentin caries lesions in primary molars when compared to atraumatic restorative treatment.

The present controlled clinical randomized study aiming at evaluating the effectiveness of silver diamine fluoride (SDF) in arresting dentin caries lesions on the occlusal surface of primary molars when compared to atraumatic restorative treatment (ART). For this, 118 healthy children aged 2-5 years with at least one active dentin carious lesion, with no signs of pain or pulp involvement. The participants will be allocated randomly to one of two treatment groups: (1) Test Group - SDF and (2) Control Group - ART. The International Caries Detection and Assessment System (ICDAS) will be used to determine caries diagnosis and activity. In both groups, the guardians and children will receive oral hygiene instructions and will be advised about eating habits and fluoride dentifrice use.The clinical success will be verified through examinations performed by a blinded operator, after 3, 6 and 12 months, with clinical evaluations to detect caries arresting, representing the primary outcome of the study.

Tooth, Deciduous, Dental Caries, Glass Ionomer Cements, Dental Atraumatic Restorative Treatment, Cariostatic Agents, Fluorides

The main outcome of the study will be the observation of the proportion of arrested caries lesions in the test group, compared to the control group.

Information on aesthetic perception will be obtained through a questionnaire, addressed to parents / guardians.

A facial imaging scale will be used to assess the degree of anxiety of children 3 years of age or older. before and after first exam and treatment appointments.

Information about quality of life will be obtained through the questionnaire Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS), addressed to parents / guardians.

Inclusion Criteria: CHILDREN aged 2 to 5 years; who are in good general health; have at least one active dentin carious lesion on the occlusal surface of primary molars corresponding to ICDAS codes 5 or 6. Exclusion Criteria: CHILDREN with systemic or neurological diseases; whose families intend to move from Rio de Janeiro next year; with a history of allergy to silver or any substance present in the different materials to be used for treatment. TEETH with spontaneous or provoked pain, dental mobility or radiographic signs of involvement or possible pulp involvement; shows possible pulp involvement by radiographic examination