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BackgroundDental caries is a significant global health concern, impacting around 2.5 billion people worldwide. Conventional methods for managing dental caries have evolved to prioritize preventive measures and minimally invasive treatment alternatives. One of these approaches involves the application of silver diamine fluoride. Although effective, the limited use of SDF is attributed to concerns about potential long-term complications and other adverse effects.ObjectiveThis systematic review aims to assess the role of SDF in preventing and managing dental caries, evaluating its efficacy and adverse reactions.Material and methodsThis review adheres to PRISMA guidelines. An electronic search was performed on PubMed, Google Scholar, and CENTRAL to include peer-reviewed randomized controlled trials published between 2014 and 2024. The Cochrane risk of bias and GRADE tools were employed to evaluate the trials and ensure the certainty of the evidence. Statistical analysis was conducted to examine the effectiveness of SDF at the individual, tooth, and surface levels.ResultsFindings from 20 randomized controlled trials, which met the inclusion criteria, revealed that participants aged 1–50 showed promising results with follow-up intervals ranging from 1 to 30 months. The caries arrestment rate of silver diamine fluoride (SDF) varied from 25% to 99%.ConclusionThese results indicate that SDF could be an invaluable tool in combating dental caries, providing a less invasive and potentially more cost-effective alternative to traditional treatment methods. Nonetheless, further research is essential to comprehensively understand the potential of SDF in various settings and to optimize its application in clinical practice.Systematic Review Registrationhttps://www.crd.york.ac.uk/, PROSPERO (CRD42024559853)
BackgroundDental caries is a significant global health concern, impacting around 2.5 billion people worldwide. Conventional methods for managing dental caries have evolved to prioritize preventive measures and minimally invasive treatment alternatives. One of these approaches involves the application of silver diamine fluoride. Although effective, the limited use of SDF is attributed to concerns about potential long-term complications and other adverse effects.ObjectiveThis systematic review aims to assess the role of SDF in preventing and managing dental caries, evaluating its efficacy and adverse reactions.Material and methodsThis review adheres to PRISMA guidelines. An electronic search was performed on PubMed, Google Scholar, and CENTRAL to include peer-reviewed randomized controlled trials published between 2014 and 2024. The Cochrane risk of bias and GRADE tools were employed to evaluate the trials and ensure the certainty of the evidence. Statistical analysis was conducted to examine the effectiveness of SDF at the individual, tooth, and surface levels.ResultsFindings from 20 randomized controlled trials, which met the inclusion criteria, revealed that participants aged 1–50 showed promising results with follow-up intervals ranging from 1 to 30 months. The caries arrestment rate of silver diamine fluoride (SDF) varied from 25% to 99%.ConclusionThese results indicate that SDF could be an invaluable tool in combating dental caries, providing a less invasive and potentially more cost-effective alternative to traditional treatment methods. Nonetheless, further research is essential to comprehensively understand the potential of SDF in various settings and to optimize its application in clinical practice.Systematic Review Registrationhttps://www.crd.york.ac.uk/, PROSPERO (CRD42024559853)
Early childhood caries (ECC) is not merely a problem of the tooth; rather, it has negative impacts on the child’s growth and development and oral health-related quality of life. The prevalence of ECC varies widely, and more variance is observed between countries than continents, and it changes over time. The current cross-sectional study aimed to determine ECC’s prevalence, associated factors, and severity. This study was conducted in the Dental Clinic Complex, North Riyadh, KSA. The study sample included 306 participants between 36 and 71 months of age. A questionnaire was developed to collect information from participants. The decaying and filled teeth (DMFT) index was used to estimate the prevalence of caries. The study results revealed the prevalence of ECC to be 76% among 36- to 71-month-old children in North Riyadh. ECC is influenced by socioeconomic factors like maternal occupation, education, oral hygiene habits, and dietary patterns. Also, it was found that exclusively breastfed children have lower ECC odds (68.1% vs. 83.6%, p = 0.001), while the intake of more than three between-meal sugar-containing snacks/beverages per day increases the likelihood of ECC (63.5% vs. 79.8%, p = 0.006). The researchers recommend encouraging breastfeeding as it correlates with lower ECC prevalence, in addition to establishing effective oral hygiene practices for preschool children.
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