Silver Diamine Fluoride in Preventing Caries: A Review of Current Trends

Surendranath, Padmapriya; Krishnappa, Srinath; Srinath, Sahana

doi:10.5005/jp-journals-10005-2167

Cited by 15 publications

(8 citation statements)

References 46 publications

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“…Unfortunately, the blackish discolouration of the tooth attributed to the formation of silver was the most discouraging drawback, irrespective of the concentration used [15]. The black staining is a potential disadvantage, but the parents favourably select SDF over invasive technique as it is painless and safe [16]. Younger children are relatively more receptive to SDF use than older children [17].…”

Section: Discussionmentioning

confidence: 99%

Improving esthetics after Silver Diamine Fluoride (SDF) treatment –Need of the Time!

Goswami,

Singh

2024

IJDM

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Background:Silver diamine fluoride (SDF) is a non-invasive, low-cost, antibacterial solution that has been introduced to potentially arrest active carious lesions. However, poor aesthetics is the main disadvantage, as it causes black staining on treated teeth.Aim:This study aimed to compare the ability of two different materials, Glass Ionomer Cement (GIC) and Giomer, to mask the discolouration caused by SDF on extracted deciduous molars. Materials and methods:Twenty carious primary molars indicated for extraction were selected and allocated to two groups. The samples in Groups 1 and 2 were restored with GIC and giomer, respectively, after SDF application. Colour measurement was done using a Spectrophotometer and compared between the two groups. The data were subjected to statistical analysis. The level of significance was assessed at p value less than 0.05.Results: A statistically significant difference (p=0.001) was observed in the colour masking efficacy of Group 1 and Group 2, and the intergroup comparison also revealed statistically significant findings.Conclusion:This study found that both materials had significant masking abilities and reduced the discolouration caused by SDF application

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Section: Discussionmentioning

confidence: 99%

Improving esthetics after Silver Diamine Fluoride (SDF) treatment –Need of the Time!

Goswami,

Singh

2024

IJDM

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“…All other extracted teeth have been removed due to inadequate tooth structure to hold permanent restoration, presence of a limited mouth opening due to syndromic condition, and presence of severe periodontitis rendering a tooth grade III mobility. In primary dentition, the effectiveness of 38% silver diamine fluoride has been studied and proven repetitively [ 16 , 17 ]. A one-year research studied the effect of 38% SDF on primary teeth with proximal lesions that are confined to dentin-enamel junction and found an 84% arresting rate of the lesions [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a systematic review has proven the efficacy of 38% SDF on both primary and permanent molars with a higher cariostatic success when compared to different topical fluoride products [ 12 ]. However, some suggested further research to confirm its equal results on permanent molars [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

A Wider Scope of Analysis on 38% Silver Diamine Fluoride

AlKhodier,

Molla,

AlAjaji

et al. 2023

Cureus

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This research was conducted to further support previous studies on the effectiveness of 38% silver diamine fluoride on caries arrest. In addition, the number of applications, time between subsequent applications, type of teeth (primary vs. permanent), final restoration following treatment, and the type of restoration, if any, were assessed. It is a retrospective longitudinal study that was conducted using a chart review technique for which a waiver of informed consent was obtained. The research participants’ privacy was ensured and protected. All participants’ identities remained anonymous and confidential. Furthermore, consent was collected from participants' sitters during their appointments as a protocol prior to applying 38% silver diamine fluoride (SDF). The current research was reviewed and approved by the Research Ethics Committee at King Faisal Specialist Hospital and Research Center (KFSH&RC). All investigators abided by the rules and regulations of the Government of Saudi Arabia, KFSH&RC, and the Research Advisory Council. A population of pediatric patients with primary and/or mixed dentition at a tertiary care hospital who were treated at the dental office between the period from March 2020 to December 2022 were recruited. A consecutive non-random sampling technique was used. The inclusion criteria include cavitated, asymptomatic, and teeth with no signs or symptoms of pulpal involvement. The sample size estimation was done by considering different percentages of success in arresting dental carries by using 38% SDF, with different levels of precision of 95% confidence intervals and with 0.05 level of significance. A 95% success was assumed in arresting dental carries by using 38% SDF, with a precision of ±5%, and with α=0.05, the required teeth sample size was 101. Anticipating some incomplete information and documentation, the sample size may be dynamic. Nighty-seven teeth both primary and permanent were included in this study. Data were analyzed using IBM SPSS Statistical software version 26.0 (Armonk, NY: IBM Corp.) for Windows. Descriptive statistics (mean standard deviation, frequencies, and percentages) were used to describe the quantitative and categorical outcome variables. Pearson’s chi-square test and Fisher’s exact test were used to compare the proportion success of 38% SDF in relation to the characteristics of study subjects. The odds ratios were used to quantify the measure of association between the success and other categorical study variables. A binary multiple logistic regression was used to identify the independent variables associated with the success of 38% SDF in arresting dental caries. A p-value of <0.05 and 95% confidence intervals were used to report the statistical significance and precision of results. Our current research concluded that different variables associated with 38% SDF, such as the number of applications and the time-lapse between applications, had no significant effect on the successful results of the application....

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“…Silver diamine fluoride (SDF) has been used as an effective treatment for caries arrest (Slayton et al 2018; Surendranath et al 2022). SDF contains both silver and fluoride, forming a complex with ammonia in a colorless alkaline solution (Greenwall-Cohen et al 2020).…”

Section: Introductionmentioning

confidence: 99%

A Remineralizing and Antibacterial Coating for Arresting Caries

Lu,

Li,

Zhao

et al. 2023

J Dent Res

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Dental caries is a dynamic disease induced by the unbalance between demineralization of dental hard tissues caused by biofilm and remineralization of them; however, although various effective remineralization methods have been well documented, it is a challenge to reestablish the balance by enhancing remineralization alone while ignoring the antibacterial therapy. Therefore, the integration of remineralizing and antibacterial technologies offers a promising strategy to halt natural caries progression in clinical practice. Here, the conception of interrupting dental caries (IDC) was proposed based on the development of dual-functional coating with remineralizing and antibacterial properties. In this study, bovine serum albumin (BSA) loaded octenidine (OCT) successfully to form a BSA-OCT composite. Subsequently, through fast amyloid-like aggregation, the phase-transited BSA-OCT (PTB-OCT) coating can be covered on teeth, resin composite, or sealant surfaces in 30 min by a simple smearing process. The PTB-OCT coating showed satisfactory effects in promoting the remineralization of demineralized enamel and dentin in vitro. Moreover, this coating also exerted significant acid-resistance stability and anti-biofilm properties. Equally importantly, this coating exhibited promising abilities in reducing the microleakage between the tooth and resin composite in vitro and preventing primary and secondary caries in vivo. In conclusion, this novel dual-functional PTB-OCT coating could reestablish the balance between demineralization and remineralization in the process of caries, thereby potentially preventing or arresting caries.

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Silver Diamine Fluoride in Preventing Caries: A Review of Current Trends

Cited by 15 publications

References 46 publications

Improving esthetics after Silver Diamine Fluoride (SDF) treatment –Need of the Time!

Improving esthetics after Silver Diamine Fluoride (SDF) treatment –Need of the Time!

A Wider Scope of Analysis on 38% Silver Diamine Fluoride

A Remineralizing and Antibacterial Coating for Arresting Caries

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