ClinicalTrials.gg
CompletedNCT05638217Updated Nov 18, 2023

Efficacy of the Use of Silver Diamine Fluoride and Sodium Fluoride Varnish for the Treatment of Caries in Children

An observational study in Dental Caries in Children, sponsored by Universidad Mayor de San Simón. Completed at 1 site in Bolivia. Open to participants aged 4 Years to 12 Years. Per ClinicalTrials.gov, last updated 2023-11-18.

Sponsored by Universidad Mayor de San Simón · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
199
Ages
4 Years to 12 Years
Sex
All
01

Study summary

The goal of this observational study is to identify the efficacy of silver diamine fluoride 38% followed by sodium fluoride varnish 5% in a population with untreated dental caries age range 4 to 12 years old. The main questions to answer are

  • Efficacy of treatment of active tooth decay with the treatment protocol of 38% silver diamine fluoride and 5% sodium fluoride varnish.
  • Clinical evaluation of tooth decay treated with 38% silver diamine fluoride and 5% sodium fluoride varnish in quality of hardness, color change and caries progression.
  • Explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with: i. Reduction of oral pain caused by the presence of carious lesions. ii. Improvement in gingival oral health. iii. Changes in general nutritional status through measurements of height, weight, hemoglobin levels and nutritional survey. The participants will be identified, charted (with nutritional surveys and parameters), as well as treated and compared in a six- and twelve-month period, where researchers will clinically identify the association between the use of this protocol and the efficacy of such, as well as other related nutritional aspects.
02

Conditions studied

  • Dental Caries in Children

Browse trials for

Keywords

  • Oral Health
  • Dental Caries
  • Silver Diamine Fluoride
  • Caries in Children
  • CaviGuard®
03

In context

Dental Caries

1,171 studies on the registry are indexed under Dental Caries; 209 are open to participants now.

This study's enrollment of 199 is above the median of 174 across 187 observational studies indexed under Dental Caries.

Browse Dental Caries studies →

Lead sponsor

Universidad Mayor de San Simón is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This study will be carried out in the city of Cochabamba, Bolivia, specifically at the Bolivian Food Bank Foundation located on Calle Francisco Prada between Aurelio Melean and J. Arauco 1120, from November 2022 to November 2023. This is a prospective cohort with a single assignment group (children aged 4 to 12 years) where a sample of 100-150 patients will be evaluated before, during and after their treatment.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The patient must be able to receive all necessary treatments and may be followed up for additional treatments and/or record follow-ups at each time point and for the duration of the study.
  • Children within the age range mentioned above.
  • Require a completed form and completed nutritional survey record for anyone who will participate in the program.
  • According to the evaluation of the dentist Caries grade I and grade II
  • In the case of patients with disabilities, at least one parent or legal guardian must be present at all times during the study.

Exclusion criteria

Exclusion Criteria:

  • Patients who, after assessment, identify a pulp condition or abscess in any of the teeth, this affected piece will be excluded from receiving treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish (in these cases, the Patient Coordinator will refer to a dentist outside the study for their treatment)
  • Patients with caries with grade III or grade IV
  • Patients with a known allergy to any of the active ingredients ( 38% silver diamine fluoride and 5% sodium fluoride varnish)
  • Patients who were unable to give their or complete the nutritional survey.
  • Patients who cannot participate during the entire program (12 months).
  • Patients with other oral treatments (Orthodontics).
  • Patients who are not present with at least one parent or legal guardian at the time of treatment.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
199 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients of 4 to 12 years old eligible to received dental cavity treatment

    Patients of 4 to 12 years old that are eligible to received dental cavity treatment. The goal of this observational study is to identify the efficacy of silver diamine fluoride 38% followed by sodium fluoride varnish 5%, using "CaviGuard®" as delivery method, in a population with untreated dental caries age range 4 to 12 years old.

    Combination Product: Silver diamine fluoride 38% followed by Sodium fluoride varnish 5%

Interventions

  • Combination productSilver diamine fluoride 38% followed by Sodium fluoride varnish 5%

    Drug page: Silver diamine fluoride

    1)Completely drying of the affected area 2)10 microliters of silver diamine fluoride 38% (CaviGuard®) will be placed on the affected area 3)The affected area should be immediately covered with 20 microliters of fluoride varnish 5% (CaviGuard®) 4)Repeat steps 1-3 one or two more times for large caries at intervals of at least 2 days apart 5)Follow up evaluation of treatment success visits will be conducted at 6 and 12 months from the initial treatment. NOTE: This is a single intervention using the device registered as Caviguard® to apply both products (Silver diamine fluoride 38% followed by Sodium fluoride varnish 5% (®)) in sequence.

    Also known as: CaviGuard®, Silver Diamine Fluoride (SDF)

06

What researchers measure

Primary outcomes

  1. Ratio of arrested cavity lesions after treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish

    The investigators will evaluate the efficacy of treatment of active cavity lesions arrested after using the treatment protocol with 38% silver diamine fluoride and 5% sodium fluoride varnish. This evaluation will be performed by a trained dentist conducting an evaluation of multiple clinical findings including signs and symptoms of an active or arrested cavity.The clinical evaluation will be recorded in an odontograph for each patient.

    Time frame: 6 months from initial treatment

  2. Ratio of arrested cavity lesions after treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish

    The investigators will evaluate the efficacy of treatment of active cavity lesions after using the treatment protocol with 38% silver diamine fluoride and 5% sodium fluoride varnish. This evaluation will be performed by a trained dentist conducting an evaluation of multiple clinical findings including signs and symptoms of an active or arrested cavity.The clinical evaluation will be recorded in an odontograph for each patient.

    Time frame: 12 months from treatment

Secondary outcomes

  1. Evaluate hardness

    The investigators will evaluate the efficacy of treatment of active cavity lesions after using the treatment protocol with 38% silver diamine fluoride and 5% sodium fluoride varnish. This evaluation will be performed by a trained dentist, conducting an evaluation of clinical finding that include hardness. The clinical evaluation will be recorded in an odontograph for each patient and include dichotomous variables (yes/no) for the variable hardness.

    Time frame: 6 months from treatment

  2. Evaluate color change

    The investigators will evaluate the efficacy of treatment of active cavity lesions after using the treatment protocol with 38% silver diamine fluoride and 5% sodium fluoride varnish. This evaluation will be performed by a trained dentist, conducting an evaluation of clinical finding that include color change.The clinical evaluation will be recorded in an odontograph for each patient and include dichotomous variables (yes/no) for the variable color change.

    Time frame: 6 months from treatment

  3. Evaluate cavity progression of cavity treated

    The investigators will evaluate the efficacy of treatment of active cavity lesions after using the treatment protocol with 38% silver diamine fluoride and 5% sodium fluoride varnish. This evaluation will be performed by a trained dentist, conducting an evaluation of clinical finding that include cavity progression.The clinical evaluation will be recorded in an odontograph for each patient and include dichotomous variables (yes/no) for the variable cavity progression.

    Time frame: 6 months from treatment

  4. Evaluation the reduction of oral pain caused by the presence of carious lesions.

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the reduction of oral pain caused by the presence of carious lesions. The clinical evaluation will be recorded in an odontograph for each patient and include dichotomous variables (yes/no) for the variable reduction of oral pain.

    Time frame: 6 months from treatment

  5. Evaluate Improvement in gingival oral health.

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the Improvement in gingival oral health. The clinical evaluation will be recorded in an odontograph for each patient and include dichotomous variables (yes/no) for the variable gingival oral health.

    Time frame: 6 months from treatment

  6. Evaluate changes in height and weight

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the patient nutritional status through measurements of height and weight that will be combined with height and weight for age in child grow standards from the world health organization.

    Time frame: 6 months from treatment

  7. Evaluate changes in hemoglobin levels

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the patient nutritional status through measurements of hemoglobin levels recorded as (g/dl).

    Time frame: 6 months from treatment

  8. Evaluate changes in a nutritional survey

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the patient nutritional status through a 59 question nutritional survey developed by the research team.

    Time frame: 6 months from treatment

  9. Evaluate hardness

    The investigators will evaluate the efficacy of treatment of active cavity lesions after using the treatment protocol with 38% silver diamine fluoride and 5% sodium fluoride varnish. This evaluation will be performed by a trained dentist, conducting an evaluation of clinical finding that include hardness. The clinical evaluation will be recorded in an odontograph for each patient and include dichotomous variables (yes/no) for the variable hardness.

    Time frame: 12 months from initial treatment

  10. Evaluate color change

    The investigators will evaluate the efficacy of treatment of active cavity lesions after using the treatment protocol with 38% silver diamine fluoride and 5% sodium fluoride varnish. This evaluation will be performed by a trained dentist, conducting an evaluation of clinical finding that include color change.The clinical evaluation will be recorded odontograph for each patient and include dichotomous variables (yes/no) for the variable color change.

    Time frame: 12 months from initial treatment

  11. Evaluate cavity progression of cavity treated

    The investigators will evaluate the efficacy of treatment of active cavity lesions after using the treatment protocol with 38% silver diamine fluoride and 5% sodium fluoride varnish. This evaluation will be performed by a trained dentist, conducting an evaluation of clinical finding that include cavity progression.The clinical evaluation will be recorded odontograph for each patient and include dichotomous variables (yes/no) for the variable cavity progression.

    Time frame: 12 months from initial treatment

  12. Evaluation of the reduction of oral pain caused by the presence of carious lesions

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the reduction of oral pain caused by the presence of carious lesions. The clinical evaluation will be recorded in an odontograph for each patient and include dichotomous variables (yes/no) for the variable reduction of oral pain.

    Time frame: 12 months from initial treatment

  13. Evaluate Improvement in gingival oral health.

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the Improvement in gingival oral health. The clinical evaluation will be recorded in an odontograph for each patient and include dichotomous variables (yes/no) for the variable gingival oral health.

    Time frame: 12 months from initial treatment

  14. Evaluate changes in height and weight

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the patient nutritional status through measurements of height and weight that will be combined with height and weight for age in child grow standards from the world health organization.

    Time frame: 12 months from treatment

  15. Evaluate changes in hemoglobin levels

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the patient nutritional status through measurements of hemoglobin levels recorded as (g/dl).

    Time frame: 12 months from treatment

  16. Evaluate changes in a nutritional survey

    The investigators will explore the association of treatment with 38% silver diamine fluoride and 5% sodium fluoride varnish with the patient nutritional status through a 59 question nutritional survey developed by the research team.

    Time frame: 12 months from treatment

07

Study locations

1 site
  • Bolivian Food Bank Foundation
    Cochabamba, 00000, Bolivia
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2022 to primary completion in Nov 2023, 12 months.

Of 46 non-industry observational studies under Dental Caries, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 32. This study's 12 months is close to that.

Counting every sponsor, half of 47 studies reached it within 12 months; a quarter within 7 and three quarters within 32.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 10, 2022
First posted
Dec 6, 2022
StartActual
Nov 7, 2022
Primary completionActual
Nov 15, 2023
CompletionActual
Nov 15, 2023
Last update
Nov 18, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05638217
Lead sponsor
Universidad Mayor de San Simón
Collaborators
Universidad Privada del Valle, Sede Cochabamba, Industria Química Farmacéutica SIGMA CORP S.R.L. Cochabamba, Bolivia, NODK LLC, Oregón, EE. UU., Food Bank Bolivia
Responsible party
Rodrigo Arce Cardozo (Associate Research Professor, Universidad Mayor de San Simón) — Principal investigator
First posted
Dec 6, 2022
Start date
Nov 7, 2022
Primary completion
Nov 15, 2023
Completion
Nov 15, 2023
Last update
Nov 18, 2023

Study contacts

Nathaly Campero Ferrufino, DDS
principal investigator · Private University of the Valley
Ximena Claros Martinez, DDS
principal investigator · Private University of the Valley
Edwin Guarayo Molina, DDS
principal investigator · Private University of the Valley
Rodrigo k Arce Cardozo, MD, MPH,
principal investigator · Universidad Mayor de San Simon
Steve Duffin, DDS
principal investigator · NODK LLC

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion