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Purpose: The purpose of this study was to evaluate the effect of silver diamine fluoride (SDF) on microhardness and microleakage of composite and glass ionomer cement restorations.
Materials And Methods: Cavities were prepared in 28 extracted teeth and restored according to four regimens (GIC, composite, GIC and SDF conditioned, composite and SDF conditioned). The restored teeth were and autoclaved and then exposed to cariogenic challenge (inoculated with and ) for 30 days. The restored teeth were sectioned mesio-distally. One half was subjected to microleakage testing (dye penetration using 2% methylene blue) and the other to Vickers hardness test.
Results: Group 4 SDF + Composite had the highest mean microleakage at 1.59 ± 0.02 (mm), and Group 1 (GIC) and Group 3 (Composite) had the lowest mean microleakage (0.63 ± 0.009 mm and 0.63 ± 0.02 mm, respectively). The highest mean microhardness (HV) was observed in Group 3 (Composite) at 327 ± 2.16 and lowest in Group 2 (GIC + SDF) at 283 ± 1.95. Results were statistically significant with a value < 0.05.
Conclusion: SDF conditioning negatively impacted microhardness and increased microleakage, which could negatively impact the longevity of restorations. Therefore, in this study, SDF was not suitable as a treatment to decrease the occurrence of secondary caries.
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http://dx.doi.org/10.2340/biid.v12.43074 | DOI Listing |
J Dent
September 2025
Faculty of Dentistry, National University of Singapore, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
Objective: To assess the cost-effectiveness of silver diamine fluoride (SDF) relative to sodium fluoride (NaF) and traditional resin-modified glass ionomer cements (RMGIC) restorations for the management of root caries in older adults aged 60 and above.
Methods: A Markov model design was chosen and two models were constructed: 1) Clinic-based model - with access to dental facility that allows for placement of traditional restorations, 2) Community-based model - without access to dental facility due to mobility, lack of executive function, or financial barriers. Modelling was done over a 10-year time horizon with a cycle length of one year.
JDR Clin Trans Res
September 2025
Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide, SA, Australia.
Introduction: Silver diamine fluoride (SDF) is an effective cariostatic agent that has reemerged globally in recent years. Its resurgence is timely as dental caries remains prevalent, necessitating an affordable and simple treatment option. Its implementation in Australia has been slow, with inconsistent views on its use among practitioners, but is likely imminent given the recent global uptake.
View Article and Find Full Text PDFInt J Paediatr Dent
September 2025
Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Background: The amount of fluoride maintained in the oral cavity aids in the remineralization process.
Hypothesis/aim: To evaluate and compare plaque and salivary fluoride levels following applications of silver diamine fluoride (SDF), sodium fluoride varnish (NaFV), or both.
Design: Sixty preschoolers randomly received 38% SDF, 5% NaFV, or both (SDF + NaFV).
Materials (Basel)
August 2025
Department of Basic and Clinical Translational Sciences, Tufts University School of Dental Medicine, Boston, MA 02111, USA.
: Dental caries is a prevalent dental problem affecting primary and permanent teeth. Early demineralization of enamel lesions can be reversed through remineralization. Many studies have focused on caries prevention and disease progression arrest using silver diamine fluoride (SDF).
View Article and Find Full Text PDFIntroduction: The WHO's Global Oral Health Action Plan towards 2030 suggests prioritizing cost-effective preventive and minimally invasive (MI) dental caries interventions as essential oral health care services. Given the high prevalence of dental caries among children, raising awareness of the limitations and research gaps of the existing economic evaluations assessing preventive and MI procedures is crucial.
Objective: This scoping review aimed to identify and map the relevant literature on economic evaluations for preventive and MI dental caries procedures among children under 12 years of age.