Effectiveness Silver Diamine Fluoride Versus Sodium Fluoride in Arresting Caries Around Crown Margins in Older Adults
Status:
Recruiting
Trial end date:
2024-01-03
Target enrollment:
Participant gender:
Summary
Dental caries is a multifactorial, progressive disease which is the major causes of dental
pain, infection and tooth loss. Dental caries can substantially compromise the quality of
life in older adults 1 2. As the number of older adults in the US increases, the dental
professionals have become increasingly concerned with the dental need of elderly and
preventive regimes to reduce the incidence of caries3 .
Prevention becomes an area of paramount importance. Many studies have advocated nonsurgical
intervention for shallow dentin caries lesion.The most effective method for prevention to
date is considered to be fluoride. In the United states fluoride has been incorporated in
many ways like water fluoridation, fluoride mouth wash, dentifrices and professionally
applied fluoride varnishes . The American Dental Association (ADA) recommended the use of
fluoride for patients of all ages who are at risk of developing dental caries7 . With the
high success of fluoride, another treatment method using Silver Diamine Fluoride (SDF) is
gaining popularity in the United States. SDF has been used in many countries like Japan,
Australia, China, and Cuba for treatment of caries . Successful treatment data from other
countries is promising, and promoting the use of SDF in the United States. SDF is available
in the United States as 38% aqueous solution and approved as a desensitizing agent. American
Dental Association published an evidence-based clinical practice guideline on nonrestorative
treatments for caries teeth and recommended use of SDF on a carious cavitated lesion on
permanent teeth9 . Clinical studies have shown the effectiveness of SDF in arresting root
caries in older adults.