Question · asked by 1 review

Prior application of silver diamine fluoride (SDF), with or without a rinsing step vs No prior SDF application (untreated dentin control): Immediate bond strength (MPa)

Population
Dental adhesives/resin composite bonded to dentin (in vitro), sound or caries-affected
Intervention
Prior application of silver diamine fluoride (SDF), with or without a rinsing step
Comparison
No prior SDF application (untreated dentin control)
Outcome
Immediate bond strength (MPa)

Prior SDF application significantly reduces the immediate bond strength of adhesives to dentin overall (MD 7.12 MPa favoring untreated dentin, 95% CI 1.38 to 12.85; ungraded), with very high heterogeneity (I2=98%).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Prior application of silver diamine fluoride (SDF), with or without a rinsing step vs No prior SDF application (untreated dentin control)
Immediate bond strength (MPa) · Dental adhesives/resin composite bonded to dentin (in vitro), sound or caries-affected · Immediate bond strength, In vitro (laboratory bond-strength testing), Overall (all dentin conditions and rinsing protocols)
Prior SDF application significantly reduces the immediate bond strength of adhesives to dentin overall (MD 7.12 MPa favoring untreated dentin, 95% CI 1.38 to 12.85; ungraded), with very high heterogeneity (I2=98%).
Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated… (2022) All outcomes
MD 7.12 [1.38, 12.85]11 studies · 526 participantsGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Bonding of Glass-Ionomer Cement and Adhesives to Silver Diamine Fluoride-treated Dentin: An Updated Systematic Review and Meta-Analysis.
2022 All outcomes
Up to September 202034Critically Low / Critically Low

The same intervention and outcome, asked in another population or against another comparator.

Studies behind the findings

The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.