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

Baghlaf, Khlood; Sindi, Asrar Ehsan; Almughalliq, Fatimah Abdullah; Alarifi, Norah Khalid; Alquthami, Rahaf; alzahrani, Reema Abdullah; Alhaid, Sultana

doi:10.1016/j.heliyon.2023.e19462

Cited by 2 publications

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References 29 publications

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“…These along with the ease of use, and the fact that it can be applied in uncooperative patients and patients with special healthcare needs (SHCN) [ 62 ], make it a very attractive option among dentists. A recent systematic review by Baghlaf et al (2023) concluded that SDF showed comparable clinical and radiographic outcomes as CH as an indirect pulp material [ 65 ]. In 2020, an in vivo study aimed to compare SDF and CH as IPT materials; it found that the rate of clinical and radiographic success of using 38% SDF was 100% after one-month follow-up, with no noticeable difference between the two groups [ 66 ].…”

Section: Reviewmentioning

confidence: 99%

Silver Diamine Fluoride as a Medicament for the Indirect Pulp Therapy in Primary Teeth: A Review of the Literature

Barry,

Baghlaf,

Alamoudi

2024

Cureus

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Silver diamine fluoride (SDF) has been demonstrated to be effective in arresting caries lesions and, recently, clinical trials have assessed the effectiveness of SDF as a medicament for indirect pulp therapy (IPT) in primary teeth. This review aims to summarize the literature related to the use of SDF and find out if SDF can be used as an effective material for IPT. A literature search was undertaken on electronic databases including PubMed, MEDLINE, ScienceDirect, and Google Scholar, which elicited 50 studies employing different materials in the IPT of primary molars; however, of them, only four clinical trials used SDF as indirect pulp capping (IPC) material. SDF has the potential to be a useful material for IPT in primary teeth. It is a handy choice for pediatric dentists due to its minimum invasiveness, ease of application, and ability to stop the progression of caries. However, more studies are needed to determine whether SDF can be used routinely for IPT and whether it can even replace the currently available materials, as well as to fully realize its potential and establish criteria for its ideal application in IPT procedures.

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Section: Reviewmentioning

confidence: 99%

Silver Diamine Fluoride as a Medicament for the Indirect Pulp Therapy in Primary Teeth: A Review of the Literature

Barry,

Baghlaf,

Alamoudi

2024

Cureus

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“…Moreover, SDF can be used alongside atraumatic restorative treatment to manage dental caries as a same-day or multiple-appointment silver-modified atraumatic restorative treatment [ 11 – 13 ]. Other examples include using SDF as an indirect pulp capping material [ 14 , 15 ], and for managing dentine hypersensitivity or symptoms of molar-incisor hypomineralisation-affected teeth prior to restorative procedures [ 9 ]. In addition, SDF-treated teeth might be restored for enhancing esthetics [ 8 , 16 ], and/or restoring form and function [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Color change of tooth-colored restorative materials bonded to silver diamine fluoride-treated dentine: a systematic review

Sabbagh,

Movahhed,

Bagheri

et al. 2024

BMC Oral Health

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Background The desirable properties of silver diamine fluoride (SDF) make it an effective agent for managing dental caries and tooth hypersensitivity. There are several clinical instances that SDF application might precede the placement of direct tooth-colored restorations. On the other hand, SDF stains demineralized/carious dental tissues black, which might affect the esthetic outcomes of such restorations. Color is a key parameter of esthetics in dentistry. Therefore, this study aims to systematically review dental literature on color/color change of tooth-colored restorations placed following the application of SDF on dentine. Methods Comprehensive search of PubMed, Embase, Scopus and ISI Web of Science databases (until August 2023) as well as reference lists of retrieved studies was performed. In vitro studies reported color or color change of tooth-colored restorative materials applied on SDF-treated dentine were included. Methodological quality assessment was performed using RoBDEMAT tool. Pooled weighted mean difference (WMD) and 95% confidence interval (95% CI) was calculated. Results Eleven studies/reports with a total of 394 tooth-colored restorations placed following a) no SDF (control) or b) SDF with/without potassium iodide (KI)/glutathione dentine pre-treatments were included. Color change was quantified using ∆E formulas in most reports. The pooled findings for the comparison of resin-based composite (RBC) restorations with and without prior 38% SDF + KI application revealed no statistically significant differences in ∆E values at short- and long-term evaluations (~ 14 days: WMD: -0.56, 95% CI: -2.09 to 0.96; I2: 89.6%, and ~ 60 days: WMD: 0.11; 95% CI: -1.51 to 1.72; I2: 76.9%). No studies provided sufficient information for all the items in the risk of bias tool (moderate to low quality). Conclusions The limited evidence suggested comparable color changes of RBC restorations with and without 38% SDF + KI pre-treatment up to 60 days. The included studies lacked uniformity in methodology and reported outcomes. Further studies are imperative to draw more definite conclusions. Protocol registration The protocol of this systematic review was registered in PROSPERO database under number CRD42023485083.

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

Cited by 2 publications

References 29 publications

Silver Diamine Fluoride as a Medicament for the Indirect Pulp Therapy in Primary Teeth: A Review of the Literature

Silver Diamine Fluoride as a Medicament for the Indirect Pulp Therapy in Primary Teeth: A Review of the Literature

Color change of tooth-colored restorative materials bonded to silver diamine fluoride-treated dentine: a systematic review

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