International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 14 , ISSUE 6 ( November-December, 2021 ) > List of Articles


Effectiveness and Parental Perception of Silver Diamine Fluoride toward Treatment of Dental Caries in Primary Teeth

Upasana Shrivastava, Khushboo Barjatya, Bharath B AK, Ankur Vatsal, Rahul Shrivastava, Abhilasha Manker, Binti R Chand, Preene Juneja

Keywords : Dental caries, Esthetics, Parental perception, Primary teeth, Silver diamine fluoride

Citation Information : Shrivastava U, Barjatya K, AK BB, Vatsal A, Shrivastava R, Manker A, Chand BR, Juneja P. Effectiveness and Parental Perception of Silver Diamine Fluoride toward Treatment of Dental Caries in Primary Teeth. Int J Clin Pediatr Dent 2021; 14 (6):790-794.

DOI: 10.5005/jp-journals-10005-1810

License: CC BY-NC 4.0

Published Online: 06-01-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aim: Silver diamine fluoride (SDF) is taken into account as one among the effective measures for caries arrest and prevention in youngsters, due to the fact it proffers marginally invasive but cost-effective alternative to time-commemorated restorative caries control. The study was carried out to appraise the effectiveness of SDF (38%) in arresting active carious lesions and to gauge parental perception toward the treatment of cavities with SDF in the primary teeth. Materials and methods: A total of 36 children in the age range 2–10 years, having active caries lésions, based on ICDAS criteria, in primary teeth were selected following the baseline examination. After four dropouts and refusal by two patients, 30 patients were treated with 1–2 topical applications of SDF (38%). Lesions were reassessed at 1 week and 3 months taking into account to assess the color and amend inconsistency (soft/hard). Parents have been mentioned regarding features of pain or infection and have been surveyed with regard to subjective feelings regarding SDF. Results: Quantitative variables have been subjected to the Chi-square test. All the 30 participants within the present study at baseline were reported to possess active caries lesion. About 80% of carious lesions were found to be arrested at first recall and 93.3% after 3 months. No occurrence of pain or infection was documented. Parental perception for simple application, taste, and esthetics became statistically significant. Conclusion: Study outcomes endorse SDF to be effective in preventing active carious lesions in deciduous dentition in youngsters, and treatment outcomes were affirmative by the parents. Clinical significance: SDF has been a possible management option for a noninvasive remedy to inhibit active carious lesions in deciduous dentition without causing any psychological trauma to children.

  1. Twetman S. Prevention of dental caries as a non-communicable disease. Eur J Oral Sci 2018;126(S1):19–25. DOI: 10.1111/eos.12528
  2. Moynihan P, Petersen PE. Diet, nutrition, and the prevention of dental diseases. Public Health Nutr 2004;7(1a):201–226. DOI: 10.1079/PHN2003589
  3. Shah S, Bhaskar V, Venkatraghavan K, et al. Silver diamine fluoride: a review and current applications. J Adv Oral Res 2014;5(1):25–35. DOI: 10.1177/2229411220140106
  4. Shounia TY, Atwan S, Alabduljabbar R. Using silver diamine fluoride to arrest dental caries: a new approach in the US. J Dent Oral Biol 2017;2(18):1105.
  5. Clemens J, Gold J, Chaffin J. Effect and acceptance of silver diamine fluoride treatment on dental caries in primary teeth. J Pub Health Dent 2018;78(1):63–68. DOI: 10.1111/jphd.12241
  6. Dikmen B. ICDAS II criteria (international caries detection and assessment system). J Istanbul Uni Facul Dent 2015;49(3):63–72. DOI: 10.17096/jiufd.38691
  7. Alshammari AF, Almuqrin AA, Aldakhil AM, et al. Parental perceptions and acceptance of silver diamine fluoride treatment in the Kingdom of Saudi Arabia. Int J Health Sci 2019;13(2):25.
  8. Mei ML, Ito L, Cao Y, et al. Inhibitory effect of silver diamine fluoride on dentine demineralization and collagen degradation. J Dent 2013;41(9):809–817. DOI: 10.1016/j.jdent.2013.06.009
  9. Chu CH, Lo EC. Promoting caries arrest in children with silver diamine fluoride: a review. Oral Health Prevent Dent 2008;6(4):315–321.
  10. Rosenblatt A, Stamford TC, Niederman R. Silver diamine fluoride: caries “silver-fluoride bullet”. J Dent Res 2009;88(2):116–125. DOI: 10.1177/0022034508329406
  11. Zhi QH, Lo EC, Lin HC. Randomized clinical trial on the effectiveness of silver diamine fluoride and glass ionomer in arresting dentine caries in preschool children. J Dent 2012;40(11):962–967. DOI: 10.1016/j.jdent.2012.08.002
  12. Horst JA, Ellenikiotis H, Milgrom PM. UCSF silver caries arrest committee. UCSF protocol for caries arrest using silver diamine fluoride: rationale, indications, and consent. J Califor Dent Associat 2016;44(1):16.
  13. Sharma G, Puranik MP. Approaches to arresting dental caries: an update J Clin Diagnos Res: JCDR 2015;9(5):ZE08. DOI: 10.7860/JCDR/2015/12774.5943
  14. Bagher SM, Sabbagh HJ, AlJohani SM, et al. Parental acceptance of the utilization of silver diamine fluoride on their child's primary and permanent teeth. Patient Prefer Adher 2019;13:829. DOI: 10.2147/PPA.S205686
  15. Chu CH, Lo EC, Lin HC. Effectiveness of silver diamine fluoride and sodium fluoride varnish in arresting dentin caries in Chinese pre- school children. J Dent Res 2002;81(11):767–770. DOI: 10.1177/0810767
  16. Yee R, Holmgren C, Mulder J, et al. Efficacy of silver diamine fluoride for arresting caries treatment. J Dent Res 2009;88(7):644–647. DOI: 10.1177/0022034509338671
  17. Llodra JC, Rodriguez A, Ferrer B, et al. Efficacy of silver diamine fluoride for caries reduction in primary teeth and first permanent molars of schoolchildren: A 36-month clinical trial. J Dent Res 2005;84(8): 721–724. DOI: 10.1177/154405910508400807
  18. Hihara T, Nishino M, Yasutomi Y, et al. Effects of diamine silver fluoride on arrestment and prevention of caries in primary teeth. Dent Jpn (Tokyo) 1994;31:93–95.
  19. Crystal YO, Janal MN, Hamilton DS, et al. Parental perceptions and acceptance of silver diamine fluoride staining. The Journal of the American Dental Association 2017;148(7):510–518. DOI: 10.1016/j.adaj.2017.03.013
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.