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Randomized clinical trial on effectiveness of silver diamine fluoride and glass ionomer in arresting dentine caries in preschool children

Open access
Zhi, Qing Hui, Lo, Edward Chin Man, Lin, Huan Cai·2012·Journal of Dentistry

Abstract

OBJECTIVE To compare the effectiveness of annual topical application of silver diamine fluoride (SDF) solution, semi-annual topical application of SDF solution, and annual application of a flowable high fluoride-releasing glass ionomer in arresting active dentine caries in primary teeth. METHODS A total of 212 children, aged 3-4 years, were randomly allocated to one of three groups for treatment of carious dentine cavities in their primary teeth: Gp1-annual application of SDF, Gp2-semi-annual application of SDF, and Gp3-annual application of glass ionomer. Follow-up examinations were carried out every six months to assess whether the treated caries lesions had become arrested. RESULTS After 24 months, 181 (85%) children remained in the study. The caries arrest rates were 79%, 91% and 82% for Gp1, Gp2 and Gp3, respectively (p=0.007). In the logistic regression model using GEE to adjust for clustering effect, higher caries arrest rates were found in lesions treated in Gp2 (OR=2.98, p=0.007), those in anterior teeth (OR=5.55, p<0.001), and those in buccal/lingual smooth surfaces (OR=15.6, p=0.004). CONCLUSION Annual application of either SDF solution or high fluoride-releasing glass ionomer can arrest active dentine caries. Increasing the frequency of application to every 6 months can increase the caries arrest rate of SDF application. CLINICAL SIGNIFICANCE Arrest of active dentine caries in primary teeth by topical application of SDF solution can be enhanced by increasing the frequency of application from annually to every 6 months, whereas annual paint-on of a flowable glass ionomer can also arrest active dentine caries and may provide a more aesthetic outcome.

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Metadata

Authors
Zhi, Q. H., Lo, E. C. M., & Lin, H. C.
Venue
Journal of Dentistry
Publisher
Elsevier BV
Published
2012-11
Volume
40
Issue
11
Pages
962-967
ISSN
0300-5712 (ISSN-L)
OpenAlex
W2068631969
Cited by
269
References
21
FWCI
8.71
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Randomized clinical trial on effectiveness of silver diamine fluoride and glass ionomer in arresting dentine caries in preschool children. https://app.cochat.ai/papers/10.1016/j.jdent.2012.08.002
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Zhi, Q. H., Lo, E. C. M., & Lin, H. C. (2012). Randomized clinical trial on effectiveness of silver diamine fluoride and glass ionomer in arresting dentine caries in preschool children. Journal of Dentistry. https://doi.org/10.1016/j.jdent.2012.08.002

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