Treatment of Interproximal Cavities on Primary Molar Teeth With Silver Diamine Fluoride
Dental Caries in Children, Dental Caries Class II, Dental Caries
About this trial
This is an interventional treatment trial for Dental Caries in Children
Eligibility Criteria
Inclusion Criteria:
- ASA I and ASA II children, aged 3-12
- Behavior of 3 or 4 on Frankl scale
- Radiographic decay within enamel or extending to the dentin-enamel junction based on International Caries Classification and Management System (ICCMS) Categories 1, 2 and 3 "Initial stages".
- Target interproximal lesion does not have existing restoration, recurrent decay, or adjacent teeth with existing restorations.
Exclusion Criteria:
- Children who are not ASA I or ASA II
- Children who are allergic to or intolerant of SDF
- Children who have known sensitivity to silver or heavy metal-ions, or have abnormal skin sensitization.
- Children who have ulcerative gingivitis or stomatitis.
- Carious interproximal lesions on primary molars in ICCMS Category 4, 5, or 6 18 , which signify the extent of the carious lesion radiographically reaching the middle 1/3 of dentin, inner 1/3 of dentin, and into the pulp respectively.
- Behavior of a child within the Frankl 1 or 2 category, indicating a "Definitely Negative" and "Negative" behavior, which may compromise safe application of SDF.
Sites / Locations
- Childrens Hospital Los AngelesRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Experimental
Experimental
Fluoride Varnish alone
SDF with Super Floss
SDF without Super Floss
5% sodium fluoride varnish will be applied to all teeth the day of acceptance into the study and then at 3 months, 6 months, and 12 months.
SDF will be applied to target interproximal lesions with the use of Super Floss for 1 minute. 5% sodium fluoride varnish will then be applied to all teeth. Both will occur the day of acceptance into the study and then at 3 months, 6 months, and 12 months.
SDF will be applied to around the (buccal, lingual, and occlusal) embrasures of the target interproximal lesions with the use of a microbrush for 1 minute. 5% sodium fluoride varnish will then be applied to all teeth. Both will occur the day of acceptance into the study and then at 3 months, 6 months, and 12 months.