Same question across reviews · CL0263

intervention :: Silver diamine fluoride (SDF) -> Lesion arrest/remineralization

ProposalThis cluster groups questions by review type, intervention category and outcome domain. It is a proposal pending human validation, so questions in it may differ in population, comparator or timing.
Reviews
10
Questions
83
current versions
GRADE rated
50
Review overlap (CCA)
0.023
over all included studies of these reviews, not this question only
QuestionEffectEvidenceStatus / GRADE
Silver diamine fluoride (SDF) vs Placebo
Treatment success (caries lesion arrest or restoration survival) · Children (aged 3-11 y) with cavitated caries lesions in primary teeth · 6 months, 6-month follow-up
Comparative success of minimally invasive treatments for cavitated caries in primary teeth: a network… (2025)
OR 33.62 [3.01, 375.92]44 studiesUngraded
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Other methods (pooled: ART/glass ionomer cement, nano-silver fluoride, placebo)
Caries arrestment at the individual (patient) level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 3 weeks to 12 months, Overall (all comparators pooled)
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 3.86 [0.34, 43.96]5 studies · 720 participantsLow
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Atraumatic restorative treatment / glass ionomer cement (ART/GIC)
Caries arrestment at the individual (patient) level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 3 weeks to 12 months, SDF vs ART(GIC)
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 18.03 [7.34, 44.28]1 study · 234 participantsUngraded
Silver diamine fluoride (SDF) vs Placebo, control, and/or other interventions
Caries arrestment at the surface level · Children and adults without systemic diseases affecting dental health · 12 months to 18 months
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.03 [0.47, 2.27]3 studies · 5394 participantsModerate
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Sodium fluoride varnish (5% NaF)
Caries arrestment at the tooth level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 6 to 12 months, SDF vs NAF
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 4.75 [1.57, 14.31]1 study · 62 participantsUngraded
SDF (given at a particular frequency, concentration, or duration) vs SDF (given at a different frequency, concentration, or duration)
Caries arrest · Children and adults (with or without carious lesions) · 12 to 30 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
In 1 study (45 children), 4 applications of 38% SDF at 1-monthly intervals resulted in fewer surfaces with active caries compared with 2 applications at 6-monthly intervals (MD 1.04 surfaces, 95% CI 0.23 to 1.85), and…4 studies · 1360 participantsVery low
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Sodium fluoride varnish (5% NaF)
Caries arrestment at the surface level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 12 to 18 months, SDF vs NAF
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.46 [0.71, 2.98]2 studies · 3541 participantsUngraded
Silver diamine fluoride (SDF) vs Chlorhexidine varnish
Caries arrest · Children and adults (with or without carious lesions)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data for this outcome in this comparison0 studiesNo studies
Silver diamine fluoride (SDF) vs Sealants or resin infiltration
Caries arrest · Children and adults (with or without carious lesions) · Primary and permanent dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data in either dentition type0 studiesNo studies
Silver diamine fluoride (SDF) vs Placebo or no treatment
Caries arrest · Children and adults (with or without carious lesions) · 36 months, Permanent dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD 0.20 [0.00, 0.40]1 study · 373 participantsVery low
Silver diamine fluoride (SDF) plus fluoride varnish vs Sealants plus fluoride varnish (with or without restorations)
Caries arrest · Children and adults (with or without carious lesions) · 24 months, Mixed dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD 0.11 [-0.01, 0.22]1 study · 413 participantsLow
Silver diamine fluoride (SDF) vs Placebo or no treatment
Caries arrest · Children and adults (with or without carious lesions) · 24 months, Permanent dentition (root)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD 0.24 [0.12, 0.36]1 study · 158 participantsVery low
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Nano-silver fluoride (NSF; with or without green tea extract)
Caries arrestment at the surface level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 12 to 18 months, SDF vs NSF
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 0.52 [0.43, 0.63]1 study · 1853 participantsUngraded
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Nano-silver fluoride (NSF; with or without green tea extract)
Caries arrestment at the individual (patient) level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 3 weeks to 12 months, SDF vs NSF
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 0.39 [0.26, 0.60]2 studies · 384 participantsUngraded
Silver diamine fluoride (SDF) vs Placebo or no treatment
Caries arrest · Children and adults (with or without carious lesions) · 24 to 36 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD 0.86 [0.39, 1.33]2 studies · 841 participantsLow
Silver diamine fluoride (SDF) vs Restoration (restorative treatment)
Caries arrest · Children and adults (with or without carious lesions) · 12 months, Primary dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 0.03 [0.01, 0.10]1 study · 98 participantsVery low
Silver diamine fluoride (SDF) vs Placebo, control, and/or other interventions
Caries arrestment at the individual level · Children and adults without systemic diseases affecting dental health · 3 weeks to 12 months
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 3.86 [0.34, 43.96]5 studies · 720 participantsLow
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Other methods (pooled: ART/glass ionomer cement, nano-silver fluoride, sodium fluoride varnish)
Caries arrestment at the tooth level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 6 to 12 months, Overall (all comparators pooled)
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.74 [0.88, 3.46]5 studies · 743 participantsModerate
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Placebo (inactive control)
Caries arrestment at the individual (patient) level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 3 weeks to 12 months, SDF vs placebo
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 18.10 [3.89, 84.15]2 studies · 102 participantsUngraded
Silver diamine fluoride (SDF) vs Glass ionomer cement (GIC) plus fluoride varnish
Caries arrest · Children and adults (with or without carious lesions) · 6 months, Primary dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 1.89 [0.61, 5.87]1 study · 69 participantsVery low
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Other methods (pooled: nano-silver fluoride, sodium fluoride varnish)
Caries arrestment at the surface level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 12 to 18 months, Overall (all comparators pooled)
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.03 [0.47, 2.27]3 studies · 5394 participantsModerate
Silver diamine fluoride (SDF) vs Fluoride varnish
Caries arrest · Children and adults (with or without carious lesions) · Permanent dentition (root)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data in this dentition type0 studiesNo studies
Silver diamine fluoride (SDF) vs Placebo, control, and/or other interventions
Caries arrestment at the tooth level · Children and adults without systemic diseases affecting dental health · 6 months to 12 months
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.74 [0.88, 3.46]5 studies · 743 participantsModerate
Silver diamine fluoride (SDF) vs Fluoride varnish
Caries arrest · Children and adults (with or without carious lesions) · Permanent dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported data in this dentition type0 studiesNo studies
Silver diamine fluoride (SDF) vs Silver nitrate plus fluoride varnish
Caries arrest · Children and adults (with or without carious lesions) · 18 months, Primary dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD -0.10 [-0.51, 0.31]1 study · 1070 participantsLow
Silver diamine fluoride (SDF) vs Atraumatic restorative treatment (ART) with glass ionomer cement (GIC) or glass ionomer material
Caries arrest · Children and adults (with or without carious lesions) · Permanent dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
No studies reported this outcome in this dentition type0 studiesNo studies
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Nano-silver fluoride (NSF; with or without green tea extract)
Caries arrestment at the tooth level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 6 to 12 months, SDF vs NSF
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.47 [0.93, 2.33]2 studies · 408 participantsUngraded
Silver diamine fluoride (SDF) vs Fluoride varnish
Caries arrest · Children and adults (with or without carious lesions) · 30 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD -0.13 [-0.87, 0.61]1 study · 309 participantsVery low
Silver diamine fluoride (SDF) vs Atraumatic restorative treatment (ART) with glass ionomer cement (GIC) or glass ionomer material
Caries arrest · Children and adults (with or without carious lesions) · 24 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 1.13 [0.52, 2.45]1 study · 143 participantsVery low
Silver diamine fluoride (SDF; 38% in most trials, 30% in three) vs Atraumatic restorative treatment / glass ionomer cement (ART/GIC)
Caries arrestment at the tooth level · Children and adults with active dental caries (aged 1-50; mostly preschool/school children with primary dentition) · 6 to 12 months, SDF vs ART(GIC)
The role of silver diamine fluoride as dental caries preventive and arresting agent: a systematic review and… (2024)
OR 1.22 [0.09, 16.34]2 studies · 273 participantsUngraded
SDF plus potassium iodide vs Split into two contrasts: (1) TCS paste (arrest 100%); (2) CPP-ACP (arrest 100%); SDF+KI arrest 54.8% at 24 months, p<.001
caries arrest · Patients with early enamel carious lesions on permanent molars (n=45) · 24 months
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Caries arrest (%) 54.81 study · 45 participantsUngraded
38% SDF plus KI (applied annually) vs Tricalcium silicate (TCS) paste (applied twice daily)
Remineralization/arrest of early enamel carious lesions · Patients with early enamel carious lesions on permanent molars · 24 months, Hamdi 2022 (early enamel lesions, Egypt)
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Proportion of lesions arrested (%) 54.81 study · 45 participantsUngraded
38% SDF plus KI (annual) vs CPP-ACP (casein phosphopeptide-amorphous calcium phosphate, twice daily)
Remineralization/arrest of early enamel carious lesions · Patients with early enamel carious lesions on permanent molars · 24 months, Hamdi 2022
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Proportion of lesions arrested (%) 54.81 study · 45 participantsUngraded
38% SDF (every 6 months) vs No treatment
Inactive (arrested) carious lesions on permanent first molars · Children with dental caries in permanent (first) molars · 36 months, Llodra 2005
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Mean inactive lesions per child 0.31 study · 452 participantsUngraded
SDF applied biannually (every 6 months) vs Other non/minimally-invasive treatment (ART or 5% NaF varnish)
Caries arrest · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Follow-up up to 12 months (biannual application), SDF application frequency: biannual (every 6 months)
Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022)
ES 0.39 [0.19, 0.60]2 studies · 381 participantsUngraded
38% SDF (applied every 6 or 12 months) vs 12% SDF
Caries arrest · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · 24-30 months, SDF application frequency: variable (Fung 2018; 38% vs 12% SDF)
Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022)
ES 0.37 [0.27, 0.47]1 study · 888 participantsUngraded
Silver diamine fluoride (SDF; 38% or 30%), applied at any frequency vs No treatment or another non-invasive/minimally-invasive treatment (ART, sodium fluoride or silver-based varnish, or 12% SDF)
Caries arrest · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Pooled across follow-up evaluations (1-36 months)
Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022)
ES 0.33 [0.26, 0.40]5 studies · 1386 participantsUngraded
38% silver diamine fluoride (SDF) vs No treatment / other preventive agents (GIC, 5% NaF varnish)
Caries arrest · Children with dentine carious lesions (ICDAS 4-5) in primary teeth · 18-30 months, 38% SDF vs 5% NaF varnish/water (Trieu et al. 2019 meta-analysis)
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
OR (caries arrest) OR 2.44-3.63 (range); 2.44 = Chu estimate including 30% SDF3 studiesUngraded
38% silver diamine fluoride (SDF) vs No treatment / other preventive agents (GIC, 5% NaF varnish)
Caries arrest · Children with dentine carious lesions (ICDAS 4-5) in primary teeth · 6-48 months, Pooled caries-arrest proportion (Gao et al. 2016 meta-analysis)
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
Proportion (caries arrest) 81 [68, 89]12 studiesUngraded
Silver diamine fluoride (SDF; 38% or 30%) vs Atraumatic restorative treatment (ART)
Caries arrest · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Pooled across 3-12 month follow-ups, Comparator: SDF vs ART (moderator analysis by treatment type)
Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022)
ES 0.05 [-0.42, 0.51]2 studies · 146 participantsUngraded
SDF applied once (single application, no re-application) vs Other non/minimally-invasive treatment (ART or silver-fluoride varnish)
Caries arrest · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Follow-up up to 12 months (single application), SDF application frequency: single (one-time) application
Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022)
ES -0.09 [-0.48, 0.29]2 studies · 117 participantsUngraded
Silver diamine fluoride (SDF >=30%, i.e. 30% or 38%), applied annually or biannually vs No treatment or another non-invasive/minimally-invasive treatment (ART, sodium fluoride or silver-based varnish, or 12% SDF)
Caries arrest rate (absolute proportion of lesions arrested) · Children (age 1-10 years) with active cavitated dentin caries lesions in primary molars · Follow-up >=12 months
Silver Diamine Fluoride (SDF) Efficacy in Arresting Cavitated Caries Lesions in Primary Molars: A Systematic… (2022)
Proportion 0.51625 studies · 1205 participantsUngraded
38% SDF applied twice yearly (biannual) vs 38% SDF applied once yearly (annual)
Caries arrest · Children with dentine carious lesions (ICDAS 4-5) in primary teeth · 24 months, Biannual vs annual application
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022)
Caries arrest rate (%) 91% (twice-yearly) vs 79% (once-yearly) at 24 monthsNRUngraded
38% SDF solution (applied biannually) vs 12% SDF solution (applied biannually)
Arrest of advanced cavitated carious lesions on any coronal surface · Preschool children with advanced cavitated carious lesions on any coronal surface (primary teeth) · 12 mo
Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis. (2019)
RR 1.3 [1.21, 1.41]1 study · 799 participantsHigh
38% SDF solution (applied annually) vs 5% NaF varnish
Arrest or reversal of noncavitated and cavitated root carious lesions · Adults (including institutionalized/older adults) with noncavitated and cavitated carious lesions on root surfaces… · 3-12 mo
Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis. (2019)
RR 0.64 [0.04, 9.66]7 studies · 1304 participantsVery low
38% SDF solution (applied biannually) vs 38% SDF solution (applied annually)
Arrest of advanced cavitated carious lesions on any coronal surface · Preschool children with advanced cavitated carious lesions on any coronal surface (primary teeth) · 12 mo
Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis. (2019)
RR 1.21 [1.12, 1.3]1 study · 799 participantsHigh
30% SDF solution (applied annually) vs 30% SDF solution (once weekly for 3 weeks)
Arrest of advanced cavitated carious lesions on any coronal surface · Preschool children with advanced cavitated carious lesions on any coronal surface (primary teeth) · 18 mo
Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis. (2019)
RR 1.13 [0.95, 1.34]1 study · 309 participantsModerate
38% SDF solution (applied annually) vs No treatment
Arrest or reversal of noncavitated and cavitated root carious lesions · Adults (including institutionalized/older adults) with noncavitated and cavitated carious lesions on root surfaces… · 3-12 mo
Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis. (2019)
RR 1.92 [0.52, 6.87]7 studies · 1304 participantsVery low
30% SDF solution (applied annually) vs 5% NaF varnish (once weekly for 3 weeks)
Arrest of advanced cavitated carious lesions on any coronal surface · Preschool children with advanced cavitated carious lesions on any coronal surface (primary teeth) · 30 mo
Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis. (2019)
RR 1.41 [1.2, 1.66]1 study · 309 participantsHigh
38% SDF solution (applied annually) vs 12% SDF solution (applied annually)
Arrest of advanced cavitated carious lesions on any coronal surface · Preschool children with advanced cavitated carious lesions on any coronal surface (primary teeth) · 12 mo
Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis. (2019)
RR 1.27 [1.16, 1.4]1 study · 799 participantsHigh

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