Dilute Silver Diamine Fluoride (1:10) Versus Light Cure Calcium Hydroxide as Indirect Pulp Capping Agents in Primary Molars – A Randomized Clinical Trial

Abstract

To evaluate the clinical and radiographic outcomes of diluted silver diamine fluoride (1:10) and light cure calcium hydroxide as indirect pulp capping agents in primary molars. Study design: Fifty-six primary molars requiring indirect pulp treatment were randomly allocated to two groups: Dilute SDF (one drop of SDF mixed with 9 drops of distilled water giving a 1:10 dilution) and light cure calcium hydroxide. The indirect pulp treatment was followed by glass ionomer cement restoration and all primary molars received stainless steel crown as full coverage restoration. The teeth were followed up both clinically and radiographically at 1,6-and 12-months' time interval using a pre-determined criterion. The results were statistically analyzed using Chi square analysis. The significance level was set at p ≤0.05. Results: Overall clinical and radiographic success rate of indirect pulp treatment with SDF was 96% and with light cure calcium hydroxide was 91.6% respectively at the end of 12 months but the difference was not statistically significant (p>0.05). Conclusion: Dilute silver diamine fluoride (1:10) can be advocated as potential indirect pulp capping agent in primary molars with deep carious lesions.

Effectiveness of silver diamine fluoride in indirect pulp capping in primary molars: A systematic review and meta-analysis

“…The children were aged from 4 to 10 years. Three RCTs [ [20] , [21] , [22] ] and one non-RCT study [ 23 ] were included in the systematic review. The sample sizes ranged from 75 teeth (25 in each group) to 34 teeth (17 in each group).…”

“…The sample sizes ranged from 75 teeth (25 in each group) to 34 teeth (17 in each group). Three studies compared SDF with CaOH [ 20 , 22 , 23 ]and only one study included SDF, CaOH, and MTA [ 21 ]. The follow-up period ranged from 1 to 12 months.…”

“…The follow-up period ranged from 1 to 12 months. The RCT by Shafi et al, 2022 [ 20 ] included diluted SDF, which is one drop of SDF mixed with nine drops of distilled water giving a 1:10 dilution and used light cure CaOH.…”

“…Three randomized clinical trials [ [20] , [21] , [22] ] were included for Cochrane risk of bias assessment and were assessed by two authors. The inter-rater agreement for the evaluation of the Cochrane risk of bias was very good (kappa score = 82).…”

Current Approach to Silver-Containing Materials Used in Dentistry: Traditional Review

“…da GDF'nin 1:10 seyreltilerek (1 damla GDF, 9 damla distile su) indirekt pulpa kaplamasında kullanılabileceğini belirtmişlerdir. 33 GDF'nin içeriğindeki gümüş partikülleri ve oluşan kalsiyum florür bileşiği dentin tübül çapını daraltarak ve tübüler sıvı hareketini önemli ölçüde azaltarak dentin hassasiyetini giderebilmesi nedeniyle dentin hassasiyetinin tedavisinde kullanılabilecek güvenilir bir ajan olduğu belirtilmektedir. 10,34 GDF'nin renklenme etkisini azaltmak amacıyla birlikte kullanılabilen potasyum iyodürün (KI) de dentin geçirgenliğinin azaltılmasındaki yararını artırabileceği belirtilmektedir.…”