Dental remineralization with a silver nanoparticle compound

ISRCTN ISRCTN18357873
DOI https://doi.org/10.1186/ISRCTN18357873
Secondary identifying numbers FESZ -CE/21-208-05
Submission date
25/07/2024
Registration date
19/08/2024
Last edited
18/08/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Dental caries (tooth decay) is the most frequent oral disease in children. Silver diamine fluoride can prevent caries with the adverse effect of tissue pigmentation. The main of the present study is to evaluate the effectiveness of a compound of silver nanoparticles with a fluoride varnish to mineralize dentine affected by tooth decay.

Who can participate?
Healthy schoolchildren aged 6 to 9 years old with caries in primary molars (milk teeth)

What does the study involve?
Primary molars are distributed into two groups: Group A is treated with a compound based on silver nanoparticles and Group B with a silver diamine fluoride compound as a control treatment. All participants receive a clinical oral examination and radiographic diagnosis at the beginning of the study and the application of the treatments every 6 months for one and a half years.

What are the possible benefits and risks of participating?
The children participating in the study are included in an oral health program for diagnosis and preventive treatments and receive a painless and easy treatment to stop their caries lesions. There are minimal possible risks because the treatments are safe and carried out under safety measures by experienced pediatric dentists. The secondary effect of pigmentation of the cavities treated with diamine fluoride silver could be observed.

Where is the study run from?
Reforma Multidisciplinary Clinic of the Faculty of Superior Studies of Zaragoza (Mexico)

When is the study starting and how long is it expected to run for?
April 2021 to March 2024

Who is funding the study?
Universidad Nacional Autónoma de México (Mexico)

Who is the main contact?
Maria Lilia Adriana Juarez Lopez, marialiliajuarez_0403@comunidad.unam.mx, lilia.juarez@zaragoza.unam.mx

Contact information

Dr Maria Lilia Adriana Juarez Lopez
Public, Scientific, Principal Investigator

Saturno 32
Mexico City
14370
Mexico

ORCiD logoORCID ID 0000-0001-6470-3168
Phone +52 (0)5554342362
Email lilia.juarez@zaragoza.unam.mx

Study information

Study designNon-randomized study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)School
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleEffectiveness of remineralization with compound silver nanoparticles and fluoride varnish in caries lesions
Study objectivesSilver nanoparticle compound is a conservative treatment to stop the progression of dental caries
Ethics approval(s)

Approved 29/07/2021, Research Committee of Faculty of High Studies of Zaragoza, Mexican National University (Campus 2 Batalla 5 de mayo S/N, Iztapalapa, 09230, Mexico; +52 (0)5556230724; div.posgrado.investigacion@zaragoza.unam.mx), ref: FESZ -CE/21-208-05

Health condition(s) or problem(s) studiedDental caries
InterventionPrimary molars were distributed into two groups: Group A was treated with a compound based on silver nanoparticles and Group B with silver diamine fluoride compound as control treatment. Laser fluorescence was used for evaluation, with follow-up examinations at 15 days, 6 and 12 months. Also, a clinical examination for the detection of active or arrest caries lesions was performed at baseline and 12 months.

This study was conducted in a convenience sample of school children aged 6 to 9 years with at least two carious lesions in primary molars. The selected molars were assigned to each study group, taking care that both treatments were applied to one of the carious molars of the same patient.
Intervention typeProcedure/Surgery
Primary outcome measureRemineralization measured for each caries lesion using the Diagnodent pen test (laser fluorescence) and data will be recorded at baseline and after each application: 15 days, 6 and 12 months
Secondary outcome measuresThe arrest of caries lesions measured by considering the texture and colour of the caries lesions by clinical inspection with the aid of a WHO probe to classify them as active or arrested lesions at baseline and 12 months
Overall study start date24/04/2021
Completion date15/03/2024

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Years
Upper age limit9 Years
SexBoth
Target number of participants40
Total final enrolment40
Key inclusion criteria1. Children with caries lesions
2. Children agree to participate in the study
Key exclusion criteria1. Children with general disease
2. Molars with non-reversible pulpitis, abscesses
Date of first enrolment26/08/2022
Date of final enrolment30/10/2022

Locations

Countries of recruitment

  • Mexico

Study participating centre

Lazaro Cardenas School
Norte 10 Col. Reforma
C.P. 57840
Ciudad Nezahualcóyotl
Estado de México
Mexico City
09230
Mexico

Sponsor information

Universidad Nacional Autónoma de México
University/education

Campus 2 Batalla 5 de mayo col ejercito de oriente
Mexico City
09230
Mexico

Phone +52 (0)5556230725
Email div.posgrado.investigacion@zaragoza.unam.mx
Website https://www.zaragoza.unam.mx/
ROR logo "ROR" https://ror.org/01tmp8f25

Funders

Funder type

Government

Dirección General de Asuntos del Personal Académico, Universidad Nacional Autónoma de México
Government organisation / Local government
Alternative name(s)
Dirección General de Asuntos del Personal Académico, General Direction of Academic Staff Affairs, UNAM - Dirección General Asuntos del Personal, General Directorate of Academic Personal Affairs, DGAPA, UNAM, DGAPA
Location
Mexico

Results and Publications

Intention to publish date30/09/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in non-publicly available repository, Published as a supplement to the results publication
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during the current study will be stored in a non-public repository of the Mexican National University

Editorial Notes

15/08/2024: Study's existence confirmed by the Zaragoza Faculty of Mexican National University.