Trial Outcomes & Findings for Silver Diamine Fluoride Pilot Study (SDF) (NCT NCT02591147)

NCT ID: NCT02591147

Last Updated: 2023-03-14

Results Overview

Determine if there is a change in the size of the dental cavity from baseline to 12 months after blinded treatment with either Silver Diamine Fluoride 38% or placebo (sterile water). This measurement will be assessed using radiographic examination to determine if there is either evidence of no radiographic change, radiographic progression, or radiographic regression.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

41 participants

Primary outcome timeframe

Baseline, 12 months after blinded treatment with either Silver Diamine Fluoride 38% or placebo (sterile water)

Results posted on

2023-03-14

Participant Flow

Participant milestones

Participant milestones
Measure
Silver Diamine Fluoride 38%
Group 1 (SDF 38%) will receive the application of silver diammine fluoride (38% SDF solution) in addition to 5% sodium fluoride varnish to each approximal carious lesion (scores RA1,RA2,RA3) in a posterior tooth (premolar or molar) that is in contact with an adjacent tooth, using super floss, for a duration of 3 minutes under rubber dam isolation. Silver Diamine Fluoride 38%: Group 1 (SDF group) subjects will receive the application of silver diamine fluoride (38% SDF solution) in addition to 5% Fluoride varnish to each approximal incipiency, using super floss, for a duration of 3 minutes under rubber dam isolation.
Placebo (Sterile Water)
Group 2 Placebo (control) will receive the application of sterile water (placebo) in addition to 5% sodium fluoride varnish to each approximal carious lesion (scores RA1,RA2,RA3) in a posterior tooth (premolar or molar) that is in contact with an adjacent tooth, using super floss, for a duration of 3 minutes under rubber dam isolation. Group 2 (Placebo): Group 2 (Placebo) subjects will receive application of sterile water (placebo) in addition to 5% Fluoride varnish to each approximal incipiency, using super floss, for a duration of 3 minutes under rubber dam isolation.
Overall Study
STARTED
20
21
Overall Study
COMPLETED
18
16
Overall Study
NOT COMPLETED
2
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Silver Diamine Fluoride 38%
n=20 Participants
Group 1 (SDF 38%) will receive the application of silver diammine fluoride (38% SDF solution) in addition to 5% sodium fluoride varnish to each approximal carious lesion (scores RA1,RA2,RA3) in a posterior tooth (premolar or molar) that is in contact with an adjacent tooth, using super floss, for a duration of 3 minutes under rubber dam isolation. Silver Diamine Fluoride 38%: Group 1 (SDF group) subjects will receive the application of silver diamine fluoride (38% SDF solution) in addition to 5% Fluoride varnish to each approximal incipiency, using super floss, for a duration of 3 minutes under rubber dam isolation.
Placebo (Sterile Water)
n=21 Participants
Group 2 Placebo (control) will receive the application of sterile water (placebo) in addition to 5% sodium fluoride varnish to each approximal carious lesion (scores RA1,RA2,RA3) in a posterior tooth (premolar or molar) that is in contact with an adjacent tooth, using super floss, for a duration of 3 minutes under rubber dam isolation. Group 2 (Placebo): Group 2 (Placebo) subjects will receive application of sterile water (placebo) in addition to 5% Fluoride varnish to each approximal incipiency, using super floss, for a duration of 3 minutes under rubber dam isolation.
Total
n=41 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=20 Participants
0 Participants
n=21 Participants
0 Participants
n=41 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=20 Participants
21 Participants
n=21 Participants
41 Participants
n=41 Participants
Age, Categorical
>=65 years
0 Participants
n=20 Participants
0 Participants
n=21 Participants
0 Participants
n=41 Participants
Sex: Female, Male
Female
13 Participants
n=20 Participants
13 Participants
n=21 Participants
26 Participants
n=41 Participants
Sex: Female, Male
Male
7 Participants
n=20 Participants
8 Participants
n=21 Participants
15 Participants
n=41 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Baseline, 12 months after blinded treatment with either Silver Diamine Fluoride 38% or placebo (sterile water)

Determine if there is a change in the size of the dental cavity from baseline to 12 months after blinded treatment with either Silver Diamine Fluoride 38% or placebo (sterile water). This measurement will be assessed using radiographic examination to determine if there is either evidence of no radiographic change, radiographic progression, or radiographic regression.

Outcome measures

Outcome measures
Measure
Silver Diamine Fluoride 38%
n=18 Participants
Group 1 (SDF 38%) will receive the application of silver diammine fluoride (38% SDF solution) in addition to 5% sodium fluoride varnish to each approximal carious lesion (scores RA1,RA2,RA3) in a posterior tooth (premolar or molar) that is in contact with an adjacent tooth, using super floss, for a duration of 3 minutes under rubber dam isolation. Silver Diamine Fluoride 38%: Group 1 (SDF group) subjects will receive the application of silver diamine fluoride (38% SDF solution) in addition to 5% Fluoride varnish to each approximal incipiency, using super floss, for a duration of 3 minutes under rubber dam isolation.
Placebo (Sterile Water)
n=16 Participants
Group 2 Placebo (control) will receive the application of sterile water (placebo) in addition to 5% sodium fluoride varnish to each approximal carious lesion (scores RA1,RA2,RA3) in a posterior tooth (premolar or molar) that is in contact with an adjacent tooth, using super floss, for a duration of 3 minutes under rubber dam isolation. Group 2 (Placebo): Group 2 (Placebo) subjects will receive application of sterile water (placebo) in addition to 5% Fluoride varnish to each approximal incipiency, using super floss, for a duration of 3 minutes under rubber dam isolation.
Assessment of Radiographic Change in Dental Cavity
No radiographic change
9 Participants
11 Participants
Assessment of Radiographic Change in Dental Cavity
Radiographic progression
3 Participants
2 Participants
Assessment of Radiographic Change in Dental Cavity
Radiographic regression
6 Participants
3 Participants

Adverse Events

Silver Diamine Fluoride 38%

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo (Sterile Water)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Justine Kolker

University of Iowa College of Dentistry

Phone: (319) 335-7583

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place