Abstract | OBJECTIVE: METHODS: Three-year-old children with active cavitated carious lesions were recruited and randomly assigned to two intervention groups. Children in Group A received semi-annual applications of 25 % AgNO3 solution followed by 5 % NaF varnish on carious lesions. Children in Group B received semi-annual applications of 38 % SDF solution followed by a placebo varnish. One trained dentist assessed ECC status at baseline and in all follow-up examinations. An independent operator performed the interventions. The dentist, the children, and their caretakers were blinded to the intervention allocation. Data were analysed using a non-inferiority test. Group A's non-inferiority would be accepted if the lower limit of the 95 % confidence interval (CI) for the difference in the mean number of arrested decayed surfaces (ds) was greater than -0.5. RESULTS: At baseline, 1,070 children were recruited, and 535 children were assigned to each group. After 30 months, the mean arrested ds in Groups A (n = 447) and B (n = 433) were 3.7 ± 3.6 and 3.6 ± 3.7, respectively (p = 0.694). The difference in the mean arrested ds between the two groups was 0.088 (95 % CI: -0.351 to 0.526). CONCLUSION: Semi-annual application of 25 % AgNO3 followed by 5 % NaF is at least as effective as the semi-annual application of 38 % SDF in arresting ECC. CLINICAL SIGNIFICANCE:
Silver and fluoride products are effective in arresting caries. As a simple, non-invasive, and inexpensive strategy, it can be used in young children, elderly adults, and people with special needs.
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Authors | Sherry Shiqian Gao, Kitty Jieyi Chen, Duangporn Duangthip, May Chun Mei Wong, Edward Chin Man Lo, Chun Hung Chu |
Journal | Journal of dentistry
(J Dent)
Vol. 103
Pg. 103522
(12 2020)
ISSN: 1879-176X [Electronic] England |
PMID | 33166594
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved. |
Chemical References |
- Cariostatic Agents
- Fluorides, Topical
- Quaternary Ammonium Compounds
- Silver Compounds
- Sodium Fluoride
- Fluorides
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Topics |
- Aged
- Cariostatic Agents
(therapeutic use)
- Child
- Child, Preschool
- Dental Caries
(prevention & control)
- Dental Caries Susceptibility
- Fluorides
- Fluorides, Topical
(therapeutic use)
- Humans
- Quaternary Ammonium Compounds
(therapeutic use)
- Silver Compounds
- Sodium Fluoride
(therapeutic use)
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