Prior application of silver diamine fluoride (SDF), with or without a rinsing step vs No prior SDF application (untreated dentin control)
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 Systematic Review… 2022 All outcomesImmediate bond strength · In vitro (laboratory bond-strength testing) · Overall (all dentin conditions and rinsing protocols)MD 7.12 [1.38, 12.85]11 studies · 526 participantsGRADE not reported