Same question across reviews · CL0264

intervention :: Silver diamine fluoride (SDF) -> Other outcome

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
6
Questions
71
current versions
GRADE rated
20
Review overlap (CCA)
0.013
over all included studies of these reviews, not this question only
QuestionEffectEvidenceStatus / GRADE
Fluoride agent (silver diamine fluoride, SDF) vs No biomimetic remineralization (control)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + biological ACAD
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025)
Only 1 in vitro study (de Siqueira et al., 2020) assessed Self-Etch adhesive with biological ACAD; insufficient to perform a network meta-analysis, so no pooled estimate is reported.1 studyUngraded
Fluoride agent (e.g., NaF/SDF/KF/CaF2) vs No biomimetic remineralization (control)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Etch-and-Rinse + biological ACAD
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025)
MD 4.197 [1.080, 7.314]4 studiesModerate
Fluoride agent (e.g., NaF/SDF/KF/CaF2) vs No biomimetic remineralization (control)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Etch-and-Rinse + chemical ACAD
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025)
MD -0.120 [-3.783, 3.544]8 studiesVery low
Fluoride agent (e.g., NaF/SDF/KF/CaF2) vs No biomimetic remineralization (control)
Immediate (24 h) resin-dentin bond strength (MPa) · Artificial caries-affected dentin (ACAD) in extracted permanent human teeth (in vitro) · 24 h (immediate), Self-Etch + chemical ACAD
Biomimetic Remineralization Strategies for Dentin Bond Stability-Systematic Review and Network Meta-Analysis. (2025)
MD -0.601 [-2.932, 1.730]8 studiesModerate
Silver diamine fluoride (SDF) vs Glass ionomer cement (GIC) plus fluoride varnish
Secondary prevention of caries · 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 Fluoride varnish
Aesthetics · Children and adults (with or without carious lesions) · 12 months, Children
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 0.68 [0.41, 1.11]1 study · 263 participantsVery low
Silver diamine fluoride (SDF) vs Chlorhexidine varnish
Secondary prevention of caries · 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 Silver nitrate plus fluoride varnish
Primary caries prevention · 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
SDF (given at a particular frequency, concentration, or duration) vs SDF (given at a different frequency, concentration, or duration)
Aesthetics · Children and adults (with or without carious lesions) · 24 months, Children
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
1 study (119 children) reported that 45% parents were satisfied with child's dental appearance (data not reported by study group)1 study · 119 participantsVery low
Silver diamine fluoride (SDF) vs Glass ionomer cement (GIC) plus fluoride varnish
Aesthetics · 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
Secondary prevention of caries · Children and adults (with or without carious lesions) · 24 months, Primary dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 2.76 [0.67, 11.43]1 study · 75 participantsUngraded
Silver diamine fluoride (SDF) vs Restoration (restorative treatment)
Aesthetics · Children and adults (with or without carious lesions) · 6 to 12 months, Children
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
Cleary 2022 reported no significant differences (P > 0.05) in parental acceptability, satisfaction, and preference between treatments at 6 and 12 months; at 12 months children in the restoration arm felt happier with…1 studyVery low
Silver diamine fluoride (SDF) plus fluoride varnish vs Sealants plus fluoride varnish (with or without restorations)
Aesthetics · 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 Atraumatic restorative treatment (ART) with glass ionomer cement (GIC) or glass ionomer material
Secondary prevention of caries · 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 this outcome0 studiesNo studies
Silver diamine fluoride (SDF) vs Sealants or resin infiltration
Aesthetics · 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 outcome0 studiesNo studies
Silver diamine fluoride (SDF) vs Sealants or resin infiltration
Primary caries prevention · 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 Sealants or resin infiltration
Primary caries prevention · Children and adults (with or without carious lesions) · 18 months, Permanent dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 1.76 [0.74, 4.20]1 study · 242 participantsVery low
Silver diamine fluoride (SDF) vs Sealants or resin infiltration
Primary caries prevention · Children and adults (with or without carious lesions) · Primary dentition
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 or no treatment
Secondary prevention of caries · 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 measured this outcome for root surfaces0 studiesNo studies
Silver diamine fluoride (SDF) vs Placebo or no treatment
Secondary prevention of caries · Children and adults (with or without carious lesions) · 24 months, Permanent dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
Peto OR 44.22 [33.12, 59.04]1 study · 663 participantsVery low
Silver diamine fluoride (SDF) vs Fluoride varnish
Primary caries prevention · Children and adults (with or without carious lesions) · 36 months, Permanent dentition (root)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD -0.20 [-0.91, 0.51]1 study · 100 participantsVery low
Silver diamine fluoride (SDF) vs Placebo or no treatment
Primary caries prevention · Children and adults (with or without carious lesions) · 36 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD -1.14 [-1.58, -0.70]1 study · 373 participantsVery low
Silver diamine fluoride (SDF) vs Fluoride varnish
Secondary prevention of caries · 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 or no treatment
Primary caries prevention · Children and adults (with or without carious lesions) · 24 to 36 months, Permanent dentition (root)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD -0.79 [-1.40, -0.17]3 studies · 439 participantsModerate
Silver diamine fluoride (SDF) vs Atraumatic restorative treatment (ART) with glass ionomer cement (GIC) or glass ionomer material
Primary caries prevention · 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 this outcome0 studiesNo studies
Silver diamine fluoride (SDF) vs Glass ionomer cement (GIC) plus fluoride varnish
Primary caries prevention · 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 Chlorhexidine varnish
Primary caries prevention · Children and adults (with or without carious lesions) · 36 months, Permanent dentition (root)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD -0.40 [-0.95, 0.15]1 study · 99 participantsVery low
Silver diamine fluoride (SDF) vs Restoration (restorative treatment)
Secondary prevention of caries · 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 Silver nitrate plus fluoride varnish
Secondary prevention of caries · 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 Fluoride varnish
Secondary prevention of caries · 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 0.04 [-0.30, 0.38]1 study · 309 participantsVery low
Silver diamine fluoride (SDF) vs Chlorhexidine varnish
Aesthetics · 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 Fluoride varnish
Primary caries prevention · Children and adults (with or without carious lesions) · 24 months, Permanent dentition (coronal)
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 0.95 [0.44, 2.05]1 study · 237 participantsVery low
Silver diamine fluoride (SDF) vs Fluoride varnish
Primary caries prevention · Children and adults (with or without carious lesions) · 12 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
MD 0.00 [-0.26, 0.26]1 study · 434 participantsLow
Silver diamine fluoride (SDF) plus fluoride varnish vs Sealants plus fluoride varnish (with or without restorations)
Secondary prevention of caries · 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) plus fluoride varnish vs Sealants plus fluoride varnish (with or without restorations)
Primary caries prevention · 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
SDF (given at a particular frequency, concentration, or duration) vs SDF (given at a different frequency, concentration, or duration)
Secondary prevention of caries · 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 -0.10 [-0.61, 0.41]1 study · 203 participantsVery low
Silver diamine fluoride (SDF) vs Placebo or no treatment
Aesthetics · Children and adults (with or without carious lesions) · 30 months, Adults
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
1 study reported that "only 19 (7%) [older adult participants] raised a complaint about the interventions at the 30-mo [month] examination, and half of them complained of black stain on the treated root surfaces." No…1 study · 43 participantsVery low
Silver diamine fluoride (SDF) vs Restoration (restorative treatment)
Primary caries prevention · 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 Placebo or no treatment
Primary caries prevention · 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 -0.69 [-0.97, -0.41]1 study · 373 participantsVery low
Silver diamine fluoride (SDF) vs Silver nitrate plus fluoride varnish
Aesthetics · 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 Placebo or no treatment
Secondary prevention of caries · Children and adults (with or without carious lesions) · 18 months, Primary dentition
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
OR 1.08 [0.52, 2.23]1 study · 128 participantsVery low
Silver diamine fluoride (SDF) vs Fluoride varnish
Secondary prevention of caries · 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
SDF (given at a particular frequency, concentration, or duration) vs SDF (given at a different frequency, concentration, or duration)
Primary caries prevention · 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 outcome0 studiesNo studies
Silver diamine fluoride (SDF) vs Atraumatic restorative treatment (ART) with glass ionomer cement (GIC) or glass ionomer material
Aesthetics · Children and adults (with or without carious lesions) · 24 months, Children
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane
1 study reported that 45% of parents were satisfied with appearance of their child's teeth; data not reported by study group. 1 study reported that 1 of 34 caregivers in SDF group were "annoyed with teeth appearance",…2 studies · 248 participantsVery low
38% SDF vs Atraumatic restorative treatment (ART)
Caries/restoration status in permanent molars · Children with dental caries in permanent (first) molars · 9 months, Satyarup 2022 (school setting, India)
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Satyarup et al. (2022): 38% SDF vs ART; SDF group 5.6% carious teeth with partly lost restorations vs ART 16.7% carious with partly lost and 8.9% carious with completely lost restorations (p=0.004, favoring SDF).1 study · 190 participantsUngraded
38% SDF plus oral health instruction vs oral health instruction plus tonic water
new root-surface carious lesions or restorations · community-dwelling older adults with root caries · 30 months
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Preventative fraction (%) 621 study · 323 participantsUngraded
38% SDF plus potassium iodide and oral health instruction vs oral health instruction plus tonic water
new root-surface carious lesions or restorations · community-dwelling older adults with root caries · 30 months
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Preventative fraction (%) 521 study · 323 participantsUngraded
38% SDF (one-time application) vs Inactive control (water or no treatment)
New coronal carious lesions or fillings on permanent (first) molars (caries prevention) · Children with dental caries in permanent (first) molars · 18 months, Monse 2012 (SDF one-time, with toothbrushing programme)
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Mean new caries increment (surfaces) 0.091 study · 1016 participantsUngraded
38% SDF every 6 months vs no treatment
new active or inactive carious lesions · schoolchildren with caries in permanent first molars · 36 months
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Preventative fraction (%) 721 study · 452 participantsUngraded
38% SDF every 12 months vs water every 12 months
new carious lesions or fillings at tooth level · children with caries in permanent molars · 24 months
A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent… (2023)
Preventative fraction (%) 411 study · 501 participantsUngraded

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