Question · asked by 1 review

Silver diamine fluoride (SDF) vs Fluoride varnish: Primary caries prevention

Population
Children and adults (with or without carious lesions)
Intervention
Silver diamine fluoride (SDF)
Comparison
Fluoride varnish
Outcome
Primary caries prevention

It is very uncertain whether silver diamine fluoride (SDF) changes primary caries prevention compared with fluoride varnish (very low certainty).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 0 · 0%Very low 2 · 66.7%Low 1 · 33.3%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Silver diamine fluoride (SDF) vs Fluoride varnish
Primary caries prevention · Children and adults (with or without carious lesions) · 36 months, Permanent dentition (root)
It is very uncertain whether silver diamine fluoride (SDF) changes primary caries prevention compared with fluoride varnish (very low certainty).
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane All outcomes
MD -0.20 [-0.91, 0.51]1 study · 100 participantsVery low
Silver diamine fluoride (SDF) vs Fluoride varnish
Primary caries prevention · Children and adults (with or without carious lesions) · 24 months, Permanent dentition (coronal)
It is very uncertain whether silver diamine fluoride (SDF) changes primary caries prevention compared with fluoride varnish (very low certainty).
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane All outcomes
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
Silver diamine fluoride (SDF) showed no clear difference in primary caries prevention compared with fluoride varnish (low certainty).
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults (2024) · Cochrane All outcomes
MD 0.00 [-0.26, 0.26]1 study · 434 participantsLow

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

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Topical silver diamine fluoride (SDF) for preventing and managing dental caries in children and adults
2024 · Cochrane All outcomes
2023-06Not listedNot assessed

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

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.