Evidence map›Paper›PMID 38890627›Full record

Trial reportBMC oral health2024

Effectiveness of nanosilver fluoride and silver diamine fluoride in arresting early childhood caries: a randomized controlled clinical trial.

Maryam Quritum, Ahmed Abdella, Hala Amer, Lubna M El Desouky, Maha El Tantawi

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05255913 (Effectiveness of Nano-silver Fluoride and Silver Diamine Fluoride for Arresting Early Childhood Caries), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05255913 nacompletednot on this map

Effectiveness of Nano-silver Fluoride and Silver Diamine Fluoride for Arresting Early Childhood Caries (a Randomized Clinical Trial)

TypeinterventionalSponsorAlexandria UniversityRan2022 to 2023Enrolled360ConditionsEarly Childhood CariesArmsNanosilver, Silver diamine fluoride
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Maryam QuritumDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Champolion St, 21527, Azarita, Alexandria, Egypt. mariam.koraytam@alexu.edu.eg.
Ahmed AbdellaDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Champolion St, 21527, Azarita, Alexandria, Egypt.
Hala AmerDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Champolion St, 21527, Azarita, Alexandria, Egypt.
Lubna M El DesoukyDepartment of Pharmaceutics, Faculty of Pharmacy, Alexandria University, Alexandria, Egypt.
Maha El TantawiDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Champolion St, 21527, Azarita, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the most prevalent health problems affecting children worldwide is untreated caries in primary teeth. Agents to arrest caries are used to manage untreated decay in children in disadvantaged communities. Nano Silver Fluoride (NSF) overcomes the staining problems of Silver Diamine Fluoride (SDF). This study compared the clinical cariostatic effect of NSF to 38% SDF for arresting caries lesions.

methodsThe study included 360 children younger than 4 years, with at least one active lesion, ICDAS score ≥ 3, recruited from nurseries in a rural area in Alexandria, Egypt, in 2022. They were randomly assigned to receive a single application of NSF at baseline, or two applications of SDF at baseline and after 6 months. The arrest of active carious lesions was assessed after 6 and 12 months using ICDAS criteria, and parents' satisfaction with child appearance was also assessed. Chi-Square test was used to compare the groups and multi-level multiple logistic regression was used to assess the effect of the intervention on caries arrest at lesion level and binary logistic regression was used to assess the effect at patient level.

results1853 active lesions were included in children whose mean (SD) age was 42.3 (8.2) months. The arrest rate was significantly higher in the NSF than the SDF group at lesion level (78.4% and 65.0% at 6 months and 71.3% and 56.3% at 12 months, p < 0.001). In regression analysis, NSF had significantly higher odds of caries arrest than SDF at lesion level (at 6 months, AOR = 2.57, 95% CI: 1.55, 4.26 and at 12 month, AOR = 3.27, 95% CI: 1.89, 5.67). Parents of children receiving NSF had significantly greater satisfaction with their children's dental appearance than those receiving SDF: (97.2% and 76.1%, respectively, p < 0.001).

conclusionNSF demonstrated greater effectiveness in arresting caries in preschool children without inducing black staining of teeth and with greater parental satisfaction than SDF. NSF can be an alternative to SDF in arresting caries especially in underprivileged communities.

trial registrationThe trial was registered in the clinicaltrials.gov registry (#NCT05255913)-16/02/2022.

Indexed as

Cariostatic AgentsDental CariesFluorides, TopicalQuaternary Ammonium CompoundsSilver CompoundsChild, PreschoolFemaleFluoridesHumansInfantMaleTreatment OutcomeCariostatic AgentsFluoridesFluorides, TopicalQuaternary Ammonium CompoundsSilver Compoundssilver diamine fluoridesilver fluorideCaries arrestChildrenEarly childhood cariesNano silver fluoridePrimary teethSilver diamine fluoride

Identifiers

PMID38890627
PMCPMC11184862

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.