What do systematic reviews say?

Interdental brushing plus toothbrushing vs Toothbrushing alone

The review found no eligible studies for this question.

• Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults 2013 · Cochrane All outcomes
  Not estimable. No included study assessed quality of life as an outcome. (See comment)
  0 studies
  No studies found

Interdental brushing plus toothbrushing vs Toothbrushing alone

It is very uncertain whether interdental brushing plus toothbrushing changes gingivitis (Loe-Silness gingival index, interproximal; scale 0 to 4) compared with toothbrushing alone (very low certainty).

• Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults 2013 · Cochrane All outcomes

  4 weeks (1 month)
  MD -0.53 [-0.83, -0.23]
  1 study · 62 participants
  Very low

Interdental brushing plus toothbrushing vs Flossing plus toothbrushing

The review found no eligible studies for this question.

• Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults 2013 · Cochrane All outcomes
  Not estimable. No included study assessed quality of life as an outcome. (See comment)
  0 studies
  No studies found

Interdental brushing plus toothbrushing vs Toothbrushing alone

The review found no eligible studies for this question.

• Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults 2013 · Cochrane All outcomes
  Not estimable. No included study assessed caries as an outcome. (See comment)
  0 studies
  No studies found

Interdental brushing plus toothbrushing vs Flossing plus toothbrushing

• Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults 2013 · Cochrane All outcomes
  Not estimable. 2 studies reported adverse outcomes in terms of problems with the use of the assigned interdental cleaning aids. We were unable to pool data. (See comment) Three further studies reported that no adverse…
  5 studies
  GRADE not reported

Interdental brushing plus toothbrushing vs Toothbrushing alone

The review found no eligible studies for this question.

• Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults 2013 · Cochrane All outcomes
  Not estimable. No included study assessed periodontitis as an outcome. (See comment)
  0 studies
  No studies found

Interdental brushing plus toothbrushing vs Toothbrushing alone

It is very uncertain whether interdental brushing plus toothbrushing changes plaque (Quigley & Hein plaque index, Turesky modification; scale 0… compared with toothbrushing alone (very low certainty).

• Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults 2013 · Cochrane All outcomes

  4 weeks (1 month)
  MD -0.95 [-1.34, -0.56]
  1 study · 62 participants
  Very low

Interdental brushing plus toothbrushing vs Flossing plus toothbrushing

The review found no eligible studies for this question.

• Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults 2013 · Cochrane All outcomes
  Not estimable. No included study assessed clinical attachment loss, a measure of progression of periodontitis. (See comment)
  0 studies
  No studies found

38% SDF plus oral health education vs oral health instruction plus tonic water

SDF had a 62% preventative fraction; no pooled estimate or GRADE rating was reported.

• A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent teeth. 2023 All outcomes

  30 months · Hong Kong
  Preventative fraction (%) 62
  1 study · 323 participants
  GRADE not reported

38% SDF plus potassium iodide and oral health instruction vs oral health instruction plus tonic water

SDF plus potassium iodide had a 52% preventative fraction; no pooled estimate or GRADE rating was reported.

• A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent teeth. 2023 All outcomes

  30 months · Hong Kong
  Preventative fraction (%) 52
  1 study · 323 participants
  GRADE not reported

38% SDF plus oral health education vs oral health instruction plus water

SDF plus oral health education had a 33% preventative fraction at 24 months; no pooled estimate or GRADE rating was reported.

• A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent teeth. 2023 All outcomes

  24 months · Hong Kong
  Preventative fraction (%) 33
  1 study · 266 participants
  GRADE not reported

38% SDF varnish plus oral health instruction vs oral health instruction plus water

SDF had a 71% preventative fraction at 36 months; no pooled estimate or GRADE rating was reported.

• A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent teeth. 2023 All outcomes

  36 months · Hong Kong
  Preventative fraction (%) 71
  1 study · 306 participants
  GRADE not reported

Sodium fluoride (NaF) varnish, applied every 3 months, plus OHI vs inactive control

In elders, sodium fluoride varnish gave a 64% prevented fraction for root caries vs water, lower than SDF (71%) (p<0.01; ungraded).

• A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent teeth. 2023 All outcomes

  36 months · Community/residential (older adults) · Tan 2010
  Prevented Fraction 64
  1 study · 306 participants
  GRADE not reported

OHI + 38% SDF (applied every 12 months) vs oral health instruction plus water

SDF had a 28% preventative fraction at 24 months; no pooled estimate or GRADE rating was reported.

• A systematic review on the effect of silver diamine fluoride for management of dental caries in permanent teeth. 2023 All outcomes

  24 months · Hong Kong
  Preventative fraction (%) 28
  1 study · 266 participants
  GRADE not reported