International Journal of Clinical Pediatric Dentistry

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VOLUME 15 , ISSUE S2 ( Special Issue-2 (Cariology), 2022 ) > List of Articles


Evaluation of Effect of Silver Diamine Fluoride in Arresting Dental Caries Using International Caries Classification and Management System (ICCMS): An In Vivo Study

Mahema Sharma, Avantika Tuli, Aditi Singh, Nitin Khanduri

Keywords : Caries arrest, Dental caries, Primary teeth, Silver diamine fluoride

Citation Information :

DOI: 10.5005/jp-journals-10005-2146

License: CC BY-NC 4.0

Published Online: 16-03-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Background: In terms of maintaining esthetics and function, reducing pain, and encouraging wellness, primary dentition care is just as important as permanent tooth care. The purpose of this research was to see how efficient silver diamine fluoride is at preventing tooth decay. Materials and method: The 3- month clinical experiment included a sample size of 30 children (both males and females) aged 4–8 years by applying silver diamine fluoride on the carious tooth to evaluate the efficacy of silver dimaine fluoride in arresting the caries. The children were kept on follow-up and IOPA's were taken to check the arrest of caries at baseline, 1 month and after 3 months. To assess the progression of caries radiographic interpretation of IOPA X-rays was done using ICCMS scores at baseline, 1 month and 3 months. Results and conclusion: The current study found that topical 38% silver diamine fluoride arrest tooth decay and was effective for treating dental caries in school-aged children in the short term.

  1. Fejerskow O, Thylstrup A. Textbook of Craiology. 2nded. Denmark: Editorial Munksgaard;1994.
  2. Beltrán-Aguilar ED, Barker LK, Canto MT, et al. Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis--United States. Centers for Disease Control and Prevention (CDC). 1988;54(3):1–43.
  3. Punyanirun K, Yospiboonwong T, Kunapinun T, et al. Silver diamine fluorideremineralized artificial incipient caries in permanent teeth after bacterial pH-cycling in-vitro. Int J Pediatr Dent 2017;58(2):52–59. DOI: 10.1016/j.jdent.2017.09.005
  4. WrightJ T, White A. Silver diamine fluoride changing the caries management paradigm and potential, N C Med J 2017;78(6):394–397. DOI: 10.18043/ncm.78.6.394
  5. Mei Ml, Lo EC, Chu CH, Clinical use of silver diamineFluoride in dental treatment, Compend Contin Educ Dent 2016;37(2);93–98.
  6. HorstJA Ellenikiotos H, Milgrom PL. UCSF protocol for caries arrest using silver diamine fluoride. Rationale indications and consent. J Calif Dent Assoc 2016;5(1);16–28.
  7. Crystal Yo, Janal MN, J Aam Dent Assoc Hamilton DS, et al. Silver diamine fluoride staining is acceptable for posterior primary teeth and is preferred advanced pharmacological behaviour management bymany parents. 2017;148(7):510–518.
  8. Chibinski AC, Wambier LM, Feltrin J, et al. The efficacy of silver diamine fluoride in arresting caries in children: a systemic review and meta analysis. Caries Res 2017;51:527–541. DOI: 10.1159/000478668
  9. Lou YL, Botelho MG, Darvell BW. Reaction of silver diamine fluoride with hydroxyapatite and protein. J Dent 2011;39(9):612–618. DOI: 10.1016/j.jdent.2011.06.008
  10. Suzuki T, Sobue S, Suginaka H. Mechanism of antiplaque action of diamine silver fluoride. J Osaka Univ Dent Sch 1976; 16: 87–95.
  11. Edelstein BL. Pediatric caries worldwide: implications for oral hygiene products. Compend Contin Educ Dent 2005;26: 4–9.
  12. Yamaga R, Nishino M, Yoshida S, et al. Diamine silver fluoride and its clinical application. J Osaka Univ Dent Sch 1972 12:1–20.
  13. Fung MTH, Duangthip D, Wong MCM, et al. Randomized clinical trial of 12% and 38% silver diamine fluoride treatment. J Dent Res2018;97(2):171–178. DOI: 10.1177/0022034517728496
  14. Chu CH, Mei ML, Lo EC. Use of fluorides in dental caries management. Gen Dent 2010;58(1):37–43.
  15. Milgrom P, Horst A. J, Ludwig S, et al. Silver diamine fluoridefor dental caries arrest in preschool children: a randomized control trial and microbiological analysis of caries associated microbes and resistance gene expression. J Dent 2018;68:72–78. DOI: 10.1016/j.jdent.2017.08.015
  16. Cortes A, Ekstrand K R, Gamboa L F, et al. Caries status in young Colombian children expressed by the ICCMS visual \ radiographic combined caries staging system. Acta Odontol Scand 2017;75(1):12–20. DOI: 10.1080/00016357.2016.1242154
  17. Llodra JC, Rodriguez A, Ferrer S, et al. Efficacy of silver diamine fluoride for caries reduction in primary teeth and first permanent molars of school children:39-month clinical trial. J Dent Res 2005;84(8):721–724 DOI: 10.1177/154405910508400807
  18. Crystal YO, Niederman R. Silver diamine fluoride treatment considerations in children caries management brief communication and commentary. Pediatr Dent 2016;38(7):466–471.
  19. Nguyen V, Neill C, FelsenfeldJ, et al. Potassium iodide. The solution to silver diamine fluoride discoloration. Adv Oral Health 2017;5(1):123–129. DOI: 10.19080/ADOH.2017.05.5555655
  20. Patel J, Anthonappa RP, King NM. Evaluation of the staining potential of silver diamine fluoride. Int J Paed Dent 2018:212–216. DOI: 10.1111/ipd.12401
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