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Trial registered on ANZCTR
Registration number
ACTRN12611000473965
Ethics application status
Approved
Date submitted
5/05/2011
Date registered
6/05/2011
Date last updated
11/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Is silver fluoride effective in managing deciduous caries?
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Scientific title
Children in remote Aboriginal communities with silver fluoride applications compared with conventional atraumatic restorative technique in managing deciduous dental caries
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Secondary ID [1]
262118
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Nil
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Universal Trial Number (UTN)
U1111-1121-1782
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dental caries
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Condition category
Condition code
Oral and Gastrointestinal
265950
265950
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Application of silver fluoride on tooth surfaces affected by dental decay.
Silver fluoride (40% AgF and stannous fluoride 10%) in liquid form.
A small amount of silver fluoride is painted onto tooth surfaces with a small brush.
Applications are performed once every 8 months, ie, at the baseline , 8 months and 16 months.
Maximum three applications per child during the study period.
The follow-up examination is at 24 months.
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Intervention code [1]
264534
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Treatment: Other
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Intervention code [2]
264543
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Prevention
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Comparator / control treatment
Standard treatment:
Conventional atraumatic restorative technique with Glass-Iono-Cement (GIC) dental materials.
GICs are common dental materials that attach to tooth surfaces by chemical bonding. It can release fluoride.
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Control group
Active
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Outcomes
Primary outcome [1]
266701
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Failure of treatment: % with pain, abscess, extractions, mean number of tooth surfaces with failure of treatment.
Outcome will be assessed by clinical assessment and information collection from patients' case notes.
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Assessment method [1]
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Timepoint [1]
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2 years
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Secondary outcome [1]
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Number of new carious lesions.
Estimated by comparing the information collected in clinical assessments at baseline and follow-up.
Net caries increment will be estimated using the standard method in longitudinal dental caries research (Slade et al, Community Dent Oral Epidemiol 1999; 27: 236-48).
New carious events are defined as change from perviously sound tooth surface to decayed, filled or missing because of decay tooth surfaces.
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Assessment method [1]
276220
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Timepoint [1]
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2 years
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Eligibility
Key inclusion criteria
Age 4 to 8 years.
Having at least one deciduous tooth with decay.
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Minimum age
4
Years
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Maximum age
8
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Severe general health condition;
Suspected allergy to components of the intervention
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Clustered randomised controlled trial:
Children will be randomly assigned by community to receive one of the two interventions.
Communities will be matched by size and randomly allocated at The University of Adelaide into the AgF and ART intervention communities.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using procedures like coin-tossing and dice-rolling
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/07/2011
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Actual
2/07/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
304
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Accrual to date
271
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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Level 1
16 Marcus Clarke Street
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Adelaide
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Address
North Terrace
Adelaide, SA 5000
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Country
Australia
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Secondary sponsor category [1]
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Other
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Name [1]
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Nganampa Council
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Address [1]
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3 Wilkinson Street,
PO Box 2232, Alice Springs, NT, 0871
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Country [1]
264116
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Australia
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Secondary sponsor category [2]
264123
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Other
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Name [2]
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Maari Ma Council
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Address [2]
264123
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443 Argent Street Broken Hill NSW 2880.
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Country [2]
264123
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Adelaide Human Research Ethics Committee
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Ethics committee address [1]
267002
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North Terrace Adelaide, SA 5005
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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01/02/2011
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Approval date [1]
267002
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21/02/2011
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Ethics approval number [1]
267002
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H-018-2011
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Summary
Brief summary
The study aims to address the lack of high level evidence to support the use of silver fluoride application as an accepted community treatment intervention for deciduous dental caries. Hypotheses: That silver fluoride and atraumatic restorative treatment (ART) are equally effectively in successfully managing untreated cavitated dental caries in the primary dentition. That silver fluoride has an additional benefit of reducing future development of new dental caries relative to ART. Aim: 1. To evaluate the effectiveness of silver fluoride applications in minimizing negative sequelae of dental caries in young children compared with ART. 2. To evaluate the preventive effect on the development of new carious lesions of silver fluoride compared with ART.
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Trial website
Nil
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Trial related presentations / publications
Nil
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Public notes
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Contacts
Principal investigator
Name
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Prof Kaye Roberts-Thomson
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Address
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Australian Research Centre for Population Oral Health,
The University of Adelaide, SA 5005
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Country
32575
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Australia
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Phone
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+61 8 8313 4454
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Fax
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Email
32575
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[email protected]
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Contact person for public queries
Name
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Professor Kaye Roberts-Thomson
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Address
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Australian Research Centre for Population Oral Health,
The University of Adelaide, SA 5005
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Country
15822
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Australia
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Phone
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+61 8 8313 4454
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Fax
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+61 8 8313 3070
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Email
15822
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[email protected]
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Contact person for scientific queries
Name
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Professor Kaye Roberts-Thomson
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Address
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Australian Research Centre for Population Oral Health,
The University of Adelaide, SA 5005
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Country
6750
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Australia
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Phone
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+61 8 8313 4454
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Fax
6750
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+61 8 8313 3070
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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