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Review
. 2024 Apr 22;11(4):499.
doi: 10.3390/children11040499.

Silver Diamine Fluoride in Pediatric Dentistry: Effectiveness in Preventing and Arresting Dental Caries-A Systematic Review

Alexandrina Muntean  1 , Soundouss Myriam Mzoughi  1 , Mariana Pacurar  2 , Sebastian Candrea  1 , Alessio Danilo Inchingolo  3 , Angelo Michele Inchingolo  3 , Laura Ferrante  3 , Gianna Dipalma  3 , Francesco Inchingolo  3 , Andrea Palermo  4 , Ioana Roxana Bordea  5
Affiliations
Review

Silver Diamine Fluoride in Pediatric Dentistry: Effectiveness in Preventing and Arresting Dental Caries-A Systematic Review

Alexandrina Muntean et al. Children (Basel). .

Abstract

Background: Tooth decay is considered a global scourge by the World Health Organization (WHO) starting at an early age. In recent years, silver diamine fluoride (SDF) has regained interest, particularly in pediatric dentistry, used to prevent the development of carious lesions or arrest their progression.

Objective: The aim of this study was to assess, through a systematic review of the literature, the effectiveness of SDF, used in pedodontics, in temporary teeth, in preventing or arresting dental caries.

Material and methods: An electronic search was conducted on PubMed, Web of Science and Scopus. The effect of SDF on both temporary and permanent teeth has been considered.

Results: The inclusion criteria identified 16 randomized controlled trials involving patients aged 18 months to 13 years and followed over a period of 12-30 months.

Conclusions: SDF is a practical, accessible and effective non-invasive way to prevent and arrest caries in temporary and permanent teeth. Its application requires regular monitoring. The resulting black spot is diminished by immediate application of potassium iodide but this may affect its effectiveness.

Keywords: caries arrest; cariostatic agents; dental caries; pediatric dentistry; prevention; silver diamine fluoride.

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Conflict of interest statement

The authors declare no conflict of interests.

Figures

Figure 1
Figure 1
SDF treatment protocols.
Figure 2
Figure 2
Prisma flow chart.
Figure 3
Figure 3
Bias assessment [8,11,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,60,61,64].
See this image and copyright information in PMC

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