Silver Diamine Fluoride for Caries in Baby Teeth in Routine Dental Care
Official title: Efficacy and Safety of Silver Diamine Fluoride in Clinical Practice for the Treatment of Caries in Children With Primary Dentition
Run by Consorci Sanitari de l'Alt Penedès i Garraf · NCT07926828 · Data updated 2026-11-12
This study tests whether applying 38% silver diamine fluoride in everyday dental practice can stop decay in primary teeth of children 14 and younger.
Quick facts
| Study type | Observational |
|---|---|
| Ages | Any age to 14 Years |
| Sex | All |
| Enrollment | 101 (estimated) |
| Sponsor | Consorci Sanitari de l'Alt Penedès i Garraf Academic / other |
| Locations | 1 site (Vilanova i la Geltrú, Barcelona) |
| Status | Recruiting |
| Started | September 17, 2026 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT07926828 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children aged 14 years or younger with caries in primary teeth who need SDF treatment as per local guidelines and have informed consent from a parent/guardian.
✕Probably not a fit
Patients with advanced lesions near the pulp, allergies to silver/ammonia/iodine, or those who object to tooth staining may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective single-cohort observation conducted in a public primary care dental clinic. Children with caries in their baby teeth who need SDF treatment will receive it according to local guidelines and be followed for 12 months with check-ups at 1, 6, and 12 months. Outcomes include whether caries progress stops, the frequency of side effects like staining or discomfort, and parent satisfaction. Assessments combine clinical exam findings, patient-reported information, and, when needed, radiographs. The study aims to provide real-world evidence on effectiveness and safety of current SDF formulations in routine practice.
Why it matters
Potential benefit: If successful, the approach could support wider use of SDF in routine care to arrest caries in primary teeth with minimal invasiveness.
How similar studies have gone: Previous controlled trials have shown high arrest rates with SDF, but evidence in routine clinical practice remains limited and this study adds real-world data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Boys and girls aged 14 years or younger * Caries in primary teeth with an indication for SDF treatment according to section 4 of the Catalan Health Department guideline "Implementation of silver diamine fluoride treatment in primary and community care dental clinics: rationale and protocol for use" * Signed informed consent from the parent or legal representative * For participants aged 12 years or older, signed informed assent adapted to their level of understanding, in addition to the consent of their legal representatives Exclusion Criteria: * Spontaneous or provoked pain associated with the caries lesion * Deep caries lesion close to the dental pulp, according to the investigator's judgment * Objection by the parents or the child to the black staining caused by SDF * Irreversible pulpitis or pulp necrosis * Active oral ulcers or gingivostomatitis * History of allergy to silver, ammonia, or iodine * Participation in another study involving an experimental intervention during the period of this study and/or with a visit schedule incompatible with this study
Where it's running
-
Baix a Mar Integrated Primary Care Center
Vilanova i la Geltrú, Barcelona, Spain Recruiting
Study contacts
- Study coordinator: Noemí Casaponsa
- Email: recerca@csapg.cat
- Phone: 0034938960025
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.