Caries/restoration status in permanent molars · Children with dental caries in permanent (first) molars
SDF gave significantly better caries/restoration outcomes than ART over 9 months in children's permanent molars (p=0.004; ungraded).
1 finding from 1 review
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 participants
GRADE not reported
new active or inactive carious lesions · Children with dental caries in permanent (first) molars
SDF had a 72% preventative fraction; no pooled estimate or GRADE rating was reported.
1 finding from 1 review
new carious lesions or fillings at tooth level · children with caries in permanent molars
SDF had a 41% preventative fraction at tooth level; no pooled estimate or GRADE rating was reported.
1 finding from 1 review
Caries prevention (preventive fraction, SDF vs GIC+5% fluoride varnish) · intellectually disabled individuals with caries in permanent posterior teeth
SDF had a 45% preventative fraction versus glass ionomer cement plus fluoride varnish; no pooled estimate or GRADE rating was reported.
1 finding from 1 review
restoration and caries status · children with caries in permanent molars
The review reported SDF was beneficial for arresting caries; no effect estimate or GRADE rating was reported.
1 finding from 1 review
Remineralization/arrest of early enamel carious lesions · Patients with early enamel carious lesions on permanent molars
For early enamel lesions, annual SDF+KI was significantly less effective than twice-daily CPP-ACP (54.8% vs 100% arrested; p<0.001; ungraded).
1 finding from 1 review
Inactive (arrested) carious lesions on permanent first molars · Children with dental caries in permanent (first) molars
Six-monthly SDF produced significantly more inactive (arrested) lesions than no treatment in children's permanent molars (0.3 vs 0.1; p<0.05; ungraded).
1 finding from 1 review
new carious lesions or fillings at fissure-site level · children with caries in permanent molars
SDF had a 52% preventative fraction at fissure-site level; no pooled estimate or GRADE rating was reported.
1 finding from 1 review
Root carious lesions arrest · Older adults with root carious lesions (exposed root surfaces)
One review reported SDF may reduce progression of root caries, with no numeric result (ungraded).
3 findings from 1 review
One systematic review found that SDF can be efficacious to decrease progression of root carious lesions (no numeric results reported) [24].
Studies not reported
GRADE not reported
Prevented Fraction 100–725
2 studies
GRADE not reported
One low risk of bias systematic review reported that 38% SDF was significantly more effective than placebo in arresting root carious lesions (pooled results were not calculated) [31].
Studies not reported
GRADE not reported
Coronal carious lesions arrest · Children with dental caries in permanent (first) molars
One review reported a 100% prevented fraction for 38% SDF for arresting coronal caries in permanent first molars (one study; ungraded).
1 finding from 1 review
Prevented Fraction 100
1 study
GRADE not reported
Root carious lesions prevention · Older adults with root carious lesions (exposed root surfaces)
38% silver diamine fluoride reduced root-caries increment (DMFRS/DFRS) versus placebo, MD −0.33 (95% CI −0.39 to −0.28) (ungraded).
3 findings from 1 review
Coronal carious lesions arrest · Children with coronal carious lesions (primary dentition)
One review reported prevented fractions of 55 to 96% favouring 38% SDF over fluoride varnish or placebo for arresting coronal caries in primary teeth (two studies; ungraded).
1 finding from 1 review
Prevented Fraction 55–96
2 studies
GRADE not reported
Coronal carious lesions arrest · Children with coronal carious lesions (primary dentition)
One review reported a risk ratio of 2.54 favouring SDF over placebo/no treatment for arresting coronal caries in primary teeth (no CI; ungraded).
1 finding from 1 review
RR 2.54
2 studies
GRADE not reported
Coronal carious lesions arrest · Children with coronal carious lesions (primary dentition)
One review reported a risk ratio of 1.66 favouring SDF over fluoride varnish or ART for arresting coronal caries in primary teeth (no CI; ungraded).
1 finding from 1 review
RR 1.66
2 studies
GRADE not reported
Coronal carious lesions arrest · Children with coronal carious lesions (primary dentition)
Across three reviews, 38% SDF arrested 65 to 91% of coronal lesions in primary teeth, outperforming fluoride varnish (38 to 44%), glass ionomer cement (39 to 82%), and placebo (34%) (ungraded).
1 finding from 1 review
Arrest rate 65–91
6 studies
GRADE not reported
Coronal carious lesions prevention · Children with coronal carious lesions (primary dentition)
Reported prevented fractions for 38% SDF versus placebo for coronal-caries prevention in primary teeth ranged 70 to 78% (two reviews, two studies; ungraded).
1 finding from 1 review
Prevented Fraction 70–78
2 studies
GRADE not reported
Coronal carious lesions prevention · Children with dental caries in permanent (first) molars
One review reported a 64% prevented fraction for 38% SDF versus placebo for preventing coronal caries in permanent first molars (one study; ungraded).
1 finding from 1 review
Prevented Fraction 64
1 study
GRADE not reported
Arrest of advanced cavitated carious lesions on any coronal surface · Primary teeth with advanced cavitated carious lesions on any coronal surface
38% SDF solution biannually compared with 12% SDF solution biannually: RR 1.29 (95% CI 1.21 to 1.38); High certainty.
1 finding from 1 review
new carious lesions or fillings · Children with dental caries in permanent (first) molars
SDF had a 57% preventative fraction; the comparator was not reported.
1 finding from 1 review
New coronal carious lesions or fillings on permanent (first) molars (caries prevention) · Children with dental caries in permanent (first) molars
One-time SDF within a brushing programme did not significantly reduce caries vs control (p>0.05; ungraded).
2 findings from 1 review