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Trial registered on ANZCTR
Registration number
ACTRN12613000839707
Ethics application status
Approved
Date submitted
23/07/2013
Date registered
30/07/2013
Date last updated
30/07/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Evaluation of Fluoride Varnish on the Control of Dental Decay in the Temporary Teeth of Children Younger than 5 years of Age
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Scientific title
Efficacy and Safety of a Twice-Yearly Fluoride Varnish Application versus Placebo Varnish Application used to Decrease Dental Caries Incidence in Preschool Children
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Secondary ID [1]
282884
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Nil
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Universal Trial Number (UTN)
U1111-1131-5934
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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
289702
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Condition category
Condition code
Oral and Gastrointestinal
290024
290024
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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
Fluoride varnish (5% Sodium Fluoride) was applied every six months, during two years, to the primary teeth of the children who were randomly allocated to the test group.
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Intervention code [1]
287587
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Prevention
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Comparator / control treatment
Placebo varnish was applied every six months, during two years, to the primary teeth of the children who were randomly allocated to the control group.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Caries incidence as measured by the proportion of children who developed new dentine caries lesions during the follow-up period. Dental caries assessment was performed by two trained Pediatric Dentists.
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Assessment method [1]
290075
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Timepoint [1]
290075
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At two years after baseline caries assessment.
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Primary outcome [2]
290076
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Caries increment as measured by subtracting the number of decayed, filled and extracted tooth surfaces at baseline from the number of decayed, filled and extracted tooth surfaces at the end of the follow-up.
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Assessment method [2]
290076
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Timepoint [2]
290076
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At two years after baseline caries assessment.
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Secondary outcome [1]
303890
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Safety and acceptability of the intervention as measured by the number of children/caretakers with complaints regarding the intervention (e.g., children: burning sensation in the mouth, nausea, altered taste, allergies or avoided smiling because of the yellowish color of the teeth after varnish application; caretakers: felt bothered by the yellowish color of the child's teeth after varnish application). In order to assess the safety and acceptability of the intervention parents were interviewed by telephone after the first varnish application.
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Assessment method [1]
303890
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Timepoint [1]
303890
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At seven to ten days after the first varnish application.
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Eligibility
Key inclusion criteria
Living in Rio de Janeiro city for at least one year and planning to reside in the city for the following two years, having a fixed address, and owning a telephone or having a close relative who owned a telephone.
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Minimum age
1
Years
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Maximum age
4
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Having received a professional fluoride application in the previous six months, presenting more than ten dentine caries lesions, having a dental abscess or a systemic disease that could be aggravated by a dental problem (i.e., diabetes, rheumatic fever, heart disease or HIV infection).
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Study design
Purpose of the study
Prevention
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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)
Allocation was decided after contacting the holder of the allocation schedule who was not involved in examining the children or interviewing their caretakers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation used a computer generated sequence of random numbers.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Sample size was planned to detect caries incidences of 33% and 15% in the control and test groups, respectively, with alpha=0.05 and power=0.80.Considering an attrition rate of 15%, sample size was increased from 170 to 200 subjects: 100 in each group. The absolute and relative risk reductions and the caries prevented fractions (with their 95% Confidence Intervals) were calculated using a statistical software. The Student T Test was used to compare the caries increment in the test and control groups after 2 years of follow-up.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
18/07/2006
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Actual
18/07/2006
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Date of last participant enrolment
Anticipated
18/07/2007
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Actual
10/07/2007
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5240
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Brazil
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State/province [1]
5240
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Rio de Janeiro
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Funding & Sponsors
Funding source category [1]
287670
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University
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Name [1]
287670
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Rio de Janeiro State University/Piquet Carneiro Poyclinic/Faculty of Dentistry
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Address [1]
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157, 28 de Setembro Blvd, Vila Isabel, Rio de Janeiro.
20551-030, Brazil.
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Country [1]
287670
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Brazil
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Primary sponsor type
Individual
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Name
Branca Heloisa de Oliveira
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Address
157, 28 de Setembro Blvd, Vila Isabel, Rio de Janeiro.
20551-030, Brazil.
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Country
Brazil
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Secondary sponsor category [1]
286406
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University
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Name [1]
286406
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Rio de Janeiro State University/Faculty of Dentistry
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Address [1]
286406
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157, 28 de Setembro Blvd, Vila Isabel, Rio de Janeiro.
20551-030, Brazil.
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Country [1]
286406
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Brazil
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289634
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Research Ethics Committee of Pedro Ernesto Hospital/Rio de Janeiro State University
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Ethics committee address [1]
289634
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77, 28 de Setembro Boulevard, Vila Isabel, Rio de Janeiro. 20551-030, Brazil.
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Ethics committee country [1]
289634
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Brazil
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Date submitted for ethics approval [1]
289634
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Approval date [1]
289634
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22/03/2006
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Ethics approval number [1]
289634
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1422
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Summary
Brief summary
The objective of this two-year randomized placebo-controlled trial was to assess whether the application of Fluoride varnish in preschool children at six-months intervals decreases the number of new caries lesions in their primary dentition. We also investigated whether this procedure is safe and well-accepted by the children themselves and their caretakers. At the beginning of the study, two hundred 1 to 4-year old children were allocated to the test (Fluoride varnish) or control (Placebo varnish) groups. The participants, their caretakers, examining dentists and the clinical staff did not know to each group each child was allocated. After the first varnish application, 183 children's caretakers were interviewed by telephone in order to know if they or their children had any complaints regarding the varnish application. Two years later, 181 children showed-up for dental examination (89 in the test group and 92 in the placebo group).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Branca Heloisa de Oliveira
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Address
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Faculty of Dentistry/Rio de Janeiro State University (UERJ)
157, 28 de Setembro Blvd, Vila Isabel, Rio de Janeiro
22551-030, Brazil.
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Country
41654
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Brazil
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Phone
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552128688272
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Fax
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Email
41654
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[email protected]
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Contact person for public queries
Name
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Branca Heloisa de Oliveira
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Address
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Faculty of Dentistry/Rio de Janeiro State University (UERJ)
157, 28 de Setembro Blvd, Vila Isabel, Rio de Janeiro
22551-030, Brazil.
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Country
41655
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Brazil
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Phone
41655
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552128688272
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Fax
41655
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Email
41655
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[email protected]
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Contact person for scientific queries
Name
41656
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Branca Heloisa de Oliveira
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Address
41656
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Faculty of Dentistry/Rio de Janeiro State University (UERJ)
157, 28 de Setembro Blvd, Vila Isabel, Rio de Janeiro
22551-030, Brazil.
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Country
41656
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Brazil
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Phone
41656
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552128688272
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Fax
41656
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Email
41656
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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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