Medical Management of Caries in the Primary Dentition Using Silver Nitrate

This is a two-arm, parallel group, patient-randomized controlled pilot trial. Children with
at least one primary tooth where caries extends into dentine. Children will be randomized and
treated according to one of two treatment approaches;(1) conventional caries management with
best practice prevention, or (2) medical management of caries using silver nitrate with best
practice prevention.

Baseline measures and outcome data (at treatment/review during two year follow-up) are
assessed through direct reporting, clinical examination including blinded radiographic
assessment, and child/parent questionnaires.

Inclusion Criteria:

- Presense of one or more cavitated carious lesions in the primary dentition, extending
into dentin but not encroaching on the pulp.

- Absense of any spontaneous or elicited pain due to caries, or signs of pulpal
infection in response to any of the carious lesions in the primary dentition to be
included in the study

Exclusion Criteria:

- Hereditary developmental defects of the teeth such as Amelogenesis Imperfecta and
Dentinogenesis Imperfecta

- Medical conditions that prevent treatment of the child in the outpatient clinic. These
conditions include severe bleeding disorders, cardiac problems and mental disabilities
that prevent child from communication with the research team.

- Known allergy/sensitivity to any of the dental materials.