Could a simple silver liquid stop Kids' tooth decay without drilling?
NCT ID NCT07658690
First seen Jun 27, 2026 · Last updated Sep 01, 2026 · Updated 5 times
Summary
This study tests whether one or two applications of 38% silver fluoride can stop cavities in the baby teeth of children aged 4 to 6 years. Researchers compare a single treatment against two treatments given three months apart, and also measure how the children's oral health affects their quality of life. The goal is to find a simple, non-invasive way to manage tooth decay in young children.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- 38% Silver Fluoride (Riva Star Aqua)
- What this could lead to
- If successful, this could show that a simple, painless silver fluoride treatment effectively stops cavities in young children, reducing the need for drilling or fillings.
- What could go wrong
- This is a small, short-term study (6 months) in one country, so results may not apply broadly. Silver fluoride can stain teeth black, which may be a cosmetic concern.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 148 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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4 to 6 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Children aged 4-6 years enrolled in selected preschools. 2. Presence of at least one active dentinal caries lesion. 3. Parental or guardian consent obtained. 4. Asymptomatic cavitated dentine carious lesions in primary teeth. 5. Parents/caregivers who understand the Malay language. Exclusion Criteria: 1. Clinical signs or symptoms of irreversible pulpitis or dental abscess/fistula. 2. Systemic illness or medical contraindications for SF use. 3. Developmental abnormalities of tooth structure, including amelogenesis imperfecta or dentinogenesis imperfecta. 4. History of allergy or sensitivity to dental materials, including silver or fluoride contained in silver fluoride (SF). 5. Children who have received professionally applied fluoride within the past three months at the time of recruitment. 6. Arrested caries lesion. 7. Children presenting with oral ulceration or mucositis. 8. Uncooperative behaviour precluding oral examination. 9. Children with pre-shedding tooth mobility
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Preschools in Perak
Tapah, Perak, 35000, Malaysia