Cariostatic efficacy and children acceptance of nano-silver fluoride versus silver diamine fluoride: a randomized controlled clinical trial

Abstract

Introduction: Untreated caries in primary teeth is considered one of the most common epidemic problems around the world. Objectives: The aim of this study was to evaluate the cariostatic efficacy and patient acceptance of nano-silver fluoride (NSF) compared to silver diamine fluoride (SDF) 38% in primary teeth in preschool children. Material and methods: 119 children, with a total of 244 active dentin lesions were randomly assigned into two groups: NSF group included 60 children with 122 lesions, and SDF group consisted of 59 children with 122 lesions. Outcome assessments were performed at 3 weeks and 6 months after treatment using Nyvad criteria to assess the activity of carious lesions. Wong-Baker® faces pain rating scale was used to assess children acceptance for the treatment. Results: After 3 weeks, 94 (77%) lesions in NSF group were arrested, while 110 (90%) lesion were arrested in SDF group (p > 0.05). After six months, the arrest rate in NSF and SDF groups was 67.2% and 79.5%, respectively (p > 0.05). However, the arrest rate of single surface lesions on anterior teeth was higher after six months in both groups (p < 0.05). Furthermore, patient acceptance scores were not statistically different in both groups (p > 0.05). Conclusions: Both SDF and NSF were effective in arresting carious dentine lesions and were accepted by preschool children.

Parental Satisfaction and Acceptance of Silver Diamine Fluoride Treatment for Molar Incisor Hypomineralization in Pediatric Dentistry: A Cross-Sectional Study

“…It should be noted that the sample population for this study had previously participated in a Randomized Controlled Trial (RCT) comparing the preventive e cacy of SDF and MI Varnish on molars affected by MIH in children. 9 A total of 100 participants met the eligibility criteria and consented to participate in the study.…”

“…7 One such innovation that has garnered considerable attention in the pediatric dentistry community is the utilization of Silver Diamine Fluoride (SDF). 8,9 This minimally invasive and cost-effective treatment has emerged as a beacon of hope for dental practitioners faced with the task of managing MIH. 10 SDF's unique properties make it a promising tool in the ght against dental caries, particularly in cases involving MIH-affected molars.…”

Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic Review and Metanalysis

“…The remaining 29 papers were obtained in the full-text format (Figure 1) and were assessed; 18 were discarded with a percentage of agreement of 97.53% between the raters (Cohen's k= 0.93; Table S3 supplementary file). Nine studies were finally included in this systematic review [35][36][37][38][39][40][41][42][43][44]. From the ten studies initially considered eligible, one was excluded due to bias in data reporting (Table 1) [44].…”

“…Nine studies were finally included in this systematic review [35][36][37][38][39][40][41][42][43][44]. From the ten studies initially considered eligible, one was excluded due to bias in data reporting (Table 1) [44]. All the papers, except one [35], were published between 2018 and 2021.…”

“…All the papers, except one [35], were published between 2018 and 2021. Nine studies were finally included in this systematic review [35][36][37][38][39][40][41][42][43][44]. From the ten studies initially considered eligible, one was excluded due to bias in data reporting (Table 1) [44].…”