Effect of Discoloration of Silver Diamine Fluoride versus Sodium Fluoride Varnish in Treatment of Carious Primary Teeth: ARandomized Clinical Trial
Keywords:Black discoloration, Pain free, Taste acceptability, Silver Diamine Fluoride and Sodium Fluoride Varnish.
Background: Identifying successful and affordable method to manage decayed tooth in children with high
risk caries or with difficulty to obtain proper dental care is very important to avoid probable complications
and to decrease caries subsequent problems. Silver diamine fluoride (SDF) has been identified as an anticaries
agent that successfully arrests dental decay and has the potential to address the epidemic of untreated decay
in young children.
Aim: Evaluation of discolorationand failure of silver diamine fluoride and comparing it with sodium fluoride
Methodology: Sample size 62 Children with 298 carious primary teeth were selected following eligibility
criteria and randomization was performed 1:1 allocation ratio: Group I: (38%) Silver Diamine Fluoride
and group II: (5%) Sodium Fluoride Varnish. All patients recalled after 3,6,9 and 12 months to evaluate
discoloration and failure.
Results: Comparison between both groups was performed using Chi square test which revealed that, group
I was significantly higher regarding Black discoloration after 12 months, Group II was significantly higher
than group I after 6- and 12-months regarding failure. Also, correlation between discoloration and failure
revealed significant strong positive correlation in both groups.
Conclusion: Black discoloration is higher in group I, while failure is higher in group II.
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