International Journal of Clinical Pediatric Dentistry

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VOLUME 16 , ISSUE 4 ( July-August, 2023 ) > List of Articles


Evaluation of Microtensile Bond Strength between SMART Technique and Conventional Glass Ionomer Cement-treated Carious Primary Dentin

Daneswari Velagala, Anusha Reddy, Venugopal N Reddy, Nanditha B Ramavath

Keywords : Carious primary dentin, Glass ionomer cement, Silver diamine fluoride

Citation Information : Velagala D, Reddy A, Reddy VN, Ramavath NB. Evaluation of Microtensile Bond Strength between SMART Technique and Conventional Glass Ionomer Cement-treated Carious Primary Dentin. Int J Clin Pediatr Dent 2023; 16 (4):582-586.

DOI: 10.5005/jp-journals-10005-2651

License: CC BY-NC 4.0

Published Online: 11-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: Silver diamine fluoride (SDF) solution has been used clinically to prevent and arrest dental caries. To evaluate the microtensile bond strength between silver-modified atraumatic restorative technique (SMART) and glass ionomer cement (GIC) applied to carious primary teeth and also the mode of restoration failure. Materials and methods: A total of 40 carious primary molars were equally allocated into test and control groups after sectioning through the middle of the carious lesion. The test specimens were treated with one drop of 38% SDF and the control with deionized water. The samples were stored in artificial saliva for 14 days at 37° C and the dentin surfaces were conditioned and restored with Fuji IX GP Extra. After 24 hours storage in artificial saliva, the specimens were prepared for testing of microtensile bond strength. Paired t-test was used to compare the mean bond strengths. The mode of failure was assessed with a stereomicroscope under 40× magnification. Results: The mean microtensile strength for the test group was 7.39 MPa [standard deviation (SD ± 2.3)] and 7.20 MPa (SD ± 1.98) for the control group (p > 0.05). The most common mode of failure was the mixed failure mode in both groups. Conclusion: Silver diamine fluoride (SDF) does not adversely affect the bond strength between GIC applied to carious dentin.

  1. Wakhloo T, Reddy SG, Sharma SK, et al. Silver diamine fluoride versus atraumatic restorative treatment in pediatric dental caries management: a systematic review and meta-analysis. J Int Soc Prevent Communit Dent 2021;11(4):367–375. DOI: 10.4103/jispcd.JISPCD_83_21
  2. Vollú AL, Rodrigues GF, Rougemount Teixeira V, et al. Efficacy of 30% silver diamine fluoride compared to atraumatic restorative treatment on dentin caries arrestment in primary molars of preschool children: a 12-months parallel randomized controlled clinical trial. J Dent 2019;88:103165. DOI: 10.1016/j.jdent.2019.07.003
  3. Dorri M, Martinez-Zapata MJ, Walsh T, et al. Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries. Cochrane Database Syst Rev 2017;12(12):CD008072. DOI: 10.1002/14651858.CD008072.pub2
  4. Duangthip D, Chen KJ, Gao SS, et al. Managing early childhood caries with atraumatic restorative treatment and topical silver and fluoride agent. Int J Environ Res Public Health 2017;14(10):1204. DOI: 10.3390/ijerph14101204
  5. Modasia R, Modasia D. Application of silver diamine fluoride as part of the atraumatic restorative technique. BDJ Student 2021;28(2):42–43.
  6. Palma-Dibb RG, de Castro CG, Ramos RP, et al. Bond strength of glass-ionomer cements to caries-affected dentin. J Adhes Dent 2003;5(1):57–62.
  7. Rosenblatt A, Stamford TC, Niederman R. Silver diamine fluoride: a caries “silver fluoride bullet”. J Dent Res 2009;88:116–125. DOI: 10.1177/0022034508329406
  8. Uchil SR, Suprabha BS, Suman E, et al. Effect of three silver diamine fluoride application protocols on the microtensile bond strength of resin-modified glass ionomer cement to carious dentin in primary teeth. J Indian Soc Pedod Prev Dent 2020;38(2):138–141. DOI: 10.4103/JISPPD.JISPPD_159_20
  9. Fung MHT, Wong MCM, Lo ECM, et al. Arresting early childhood caries with silver diamine fluoride-a literature review. J Oral Hyg Health 2013;1(3):1–5.
  10. Firouzmandi M, Mohaghegh M, Jafarpisheh M. Effect of silver diamine fluoride on the bond durability of normal and carious dentin. J Clin Exp Dent 2020;12(5):468–473. DOI: 10.4317/jced.56303
  11. Zhao IS, Gao SS, Hiraishi N, et al. Mechanisms of silver diamine fluoride on arresting caries: a literature review. Int Dent J 2018;68(2):67–76. DOI: 10.1111/idj.12320
  12. Mabangkhru S, Duangthip D, Chu CH, et al. A randomized clinical trial to arrest dentin caries in young children using silver diamine fluoride. J Dent 2020;99:103375. DOI: 10.1016/j.jdent.2020.103375
  13. Fernandes Jr VVB, Oliani MG, Nogueira Jr L, et al. Analysis and comparison of different bond strength tests. JSM Dent 2016;4(5):1–6.
  14. Mohan M, Chidsey C, Rosivack R. Comparison of microtensile bond strength of glass ionomer to carious primary dentin after treatment with SDF and SDF/KI. J Dent Mater Tech 2020;9(4):203–210.
  15. Zhao IS, Chu S, Yu OY, et al. Effect of silver diamine fluoride and potassium iodide on shear bond strength of glass ionomer cements to caries-affected dentin. Int Dent J 2019;69(5):341–347. DOI: 10.1111/idj.12478
  16. Quock RL, Barros JA, Yang SW, et al. Effect of silver diamine fluoride on microtensile bond strength to dentin. Oper Dent 2012;37(6):610–616. DOI: 10.2341/11-344-L
  17. Kim T, Patel K, Comisi JC. Effect of SDF and SDF/KI. Treatment on microtensile bond strength of bioactive materials. Am J Biomed Sci Res 2019;6(4):294–298. DOI: 10.34297/AJBSR.2019.06.001045
  18. Ng E, Saini S, Schulze KA, et al. Shear bond strength of glass ionomer cement to silver diamine fluoride-treated artificial dentinal caries. Pediatr Dent 2020;42(3):221–225.
  19. Knight GM, McIntyre JM. The effect of silver fluoride and potassium iodide on the bond strength of auto cure glass ionomer cement to dentin. Aust Dent J 2006;51(1):42–45. DOI: 10.1111/j.1834-7819.2006.tb00399
  20. Koizumi H, Hamama HH, Burrow MF. Effect of a silver diamine fluoride and potassium iodide-based desensitizing and cavity cleaning agent on bond strength to dentin. Int J Adhes Adhes 2016;68:54–61. DOI:
  21. Lutgen P, Chan D, Sadr A. Effects of silver diamine fluoride on bond strength of adhesives to sound dentin. Dent Mater J 2018;37(6)1006–1009. DOI: 10.4012/dmj.2017-401
  22. Kucukyilmaz E, Savas S, Akcay M, et al. Effect of silver diamine fluoride and ammonium hexafluorosilicate applications with and without Er:YAG laser irradiation on the microtensile bond strength in sound and caries-affected dentin. Lasers Surg Med 2016;48(1):62–69. DOI:
  23. Soeno K, Taira Y, Matsumura H, et al. Effect of desensitizers on bond strength of adhesive luting agents to dentin. J Oral Rehabil 2001;28:1122–1128.
  24. Soliman N, Bakry NS, Mohy ElDin MH, et al. Effect of silver diamine fluoride pretreatment on microleakage and shear bond strength of resin modified glass ionomer cement to primary dentin (in-vitro study). Alex Dent J 2021;46(3):151–156. DOI: 10.21608/ADJALEXU.2020.35954.1085
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