Clinical and Radiographical Evaluation Of Cariostatic Effect Of Silver Diamine Fluoride Individually And In Combination With Chemo-Mechanical Caries Removal Method: An In-Vivo Follow Up Study
Keywords:
Silver diamine fluoride, Cariostatic, Chemo-mechanical caries removal, Early Childhood CariesAbstract
Early childhood caries remains a significant problem in pediatric population and to treat this young population with conventional drilling method is sometimes challenging. An In-vitro study by Hamama et al stated that Silver Diamine Fluoride following Chemo mechanical caries removal may have a synergistic antibacterial effect. So, the aim of present In-Vivo study was to evaluate clinically and radiographically cariostatic effect of Silver Diamine Fluoride individually and in combination with Chemo-mechanical Caries Removal (CMCR) method. A total 150 primary mandibular molars with proximal caries without pulpal involvement, in 3 to 6 years age group children were included and randomly and equally divided into 3 groups. In Group 1, caries was excavated with hand instrument and then restored with GIC. In Group 2, After caries removal using hand instrument, SDF was applied prior to restoration with GIC. In Group 3, Caries was removed with CMCR material then SDF was applied prior to restoration with GIC. Clinical and radiographical evaluation was done at 4, 8 and 12 months interval. At 12 months, clinical success of group 1 ,2 and 3 was 85.71%, 93.75% and 95.92% respectively and radiographic success was 85.71 %, 93.75% and 97.96%. There was difference in result between groups but no statistically significant difference found between Group 2 and Group 3 as p value was > 0.05. So, we can conclude that SDF alone and combination of CMCR and SDF has similar cariostatic effect but CMCR has added advantage of patient comfort and less anxiety.
Downloads
References
Early Childhood Caries: IAPD Bangkok declaration. Int J Paediatr Dent. 2019;29(3):384-386.
Zou, J., Du, Q., Ge, L. et al. Expert consensus on early childhood caries management. Int J Oral Sci 14, 35 (2022).https://doi.org/10.1038/s41368-022-00186-0
Rimalovska SI, Kondeva VK, Dimitrova MM. Caries associated with restorations in primary molars – an 18-months follow-up study. J of IMAB. 2022 Apr-Jun;28(2):4535-4540. DOI: https://doi.org/10.5272/jimab.2022283.4535
Hamama HH, Yiu CK, Burrow MF. Effect of silver diamine fluoride and potassium iodide on residual bacteria in dentinal tubules. Aust Dent J. 2015 Mar;60(1):80-7. doi: 10.1111/adj.12276. PMID: 25721282
Roeleveld AC, van Amerongen WE, Mandari GJ (2006) Influence of residual caries and cervical gaps on the survival rate of class II glass ionomer restorations. Eur Arch Paediatr Dent 7:85–91
Tinanoff N, Baez RJ, Diaz Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019;29(3):238-248.
Ganesh, A., Muthu, M.S., Mohan, A. et al. Prevalence of Early Childhood Caries in India – A Systematic Review. Indian J Pediatr 86, 276–286 (2019). https://doi.org/10.1007/s12098-018-2793-y
Ending childhood dental caries: WHO implementation manual. Geneva: World Health Organization; 2019. Licence: CC BY-NC-SA 3.0IGO.
Natarajan D. Silver Modified Atraumatic Restorative Technique: A way towards “SMART” Pediatric Dentistry during the COVID-19 Pandemic. Front Dent. 2022;19:12.
Fröhlich TT, Botton G, Rocha RO. Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated Systematic Review and Meta-Analysis. J Adhes Dent. 2022 Mar 1;24(1):29-38. doi: 10.3290/j.jad.b2701679. PMID: 35227044.
Knight, Geoffrey & McIntyre, J & Craig, Graham & Mulyani,. (2006). Ion uptake into demineralized dentine from glass ionomer cement following pretreatment with silver fluoride and potassium iodide. Australian dental journal. 51. 237-41. 10.1111/j.1834-7819.2006.tb00435.x.
Mulder R, Potgieter N, Noordien N. Penetration of SDF and AgF from the infected dentine towards the unaffected tooth structure. Front Oral Health. 2023 Dec 11;4:1298211. doi: 10.3389/froh.2023.1298211. PMID: 38152408; PMCID: PMC10752593.
Mei ML, Zhao IS, Ito L, Lo EC, Chu CH. Prevention of secondary caries by silver diamine fluoride. Int Dent J. 2016 Apr;66(2):71-7. doi: 10.1111/idj.12207. Epub 2015 Dec 22. PMID: 26689611; PMCID: PMC9376532.
Frencken JE. Atraumatic restorative treatment and minimal intervention dentistry. Br Dent J. 2017 Aug 11;223(3):183-189. doi: 10.1038/sj.bdj.2017.664. PMID: 28798450.
Patel MC, Makwani DA, Bhatt RK, Raj V, Patel C, Patel F. Evaluation of silver modified atraumatic restorative technique versus conventional pulp therapy in asymptomatic deep carious lesion of primary molars – A comparative prospective clinical study. J Indian Soc Pedod Prev Dent 2022;40:383-90
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
