IADR Abstract Archives
Lesion Site Specific Associated With Arresting of Silver Diamine Fluoride
Objectives: Silver diamine fluoride (SDF) is a minimally-invasive non-aerosolizing preventive treatment that arrested early decay. This study aimed to analyze 12-month in arresting caries of SDF applied among kindergartens.
Methods: Children aged 3-5 years with at least 2 carious lesions who considered as high risk were enrolled and applied single-annual application of 38% silver diamine fluoride (SDF) solution (Topamine™ Dental life, Australia) in arresting cavitated dentin caries in primary teeth. The treated teeth were examined by an independent blinded examiner at 12 month follow-up. Arrested caries was defined as the treated surfaces having smooth and hard on probing, no signs of active caries or discomfort. The data were analyzed by descriptive statistics, Chi-square test and multiple logistic regression analysis to calculate the probability of arresting caries.
Results: A total of 32 kindergartens (19 boys and 13 girls) received SDF application at baseline, with 159 teeth and 259 surfaces. A total of 138 teeth (86.8%) were diagnosed as arrested at 12-mo examination. There were significant differences in the caries arrest rates of different position (p=0.013), lesion site specific (p=0.045) and size of lesions (p=0.010). Among anterior teeth with smooth surface and small size had a higher chance of becoming arrested than posterior with proximal and large size. Lesion site specific still significantly affected arrested activity after adjusting for other variables (OR, 2.58, 95% CI, 1.00, 6.63).
Conclusions: SDF shows potential as an alternative treatment for caries arrest in the primary dentition for community setting. The lesion site as the one factor of the effectiveness of caries arrest by SDF. The SDF treatments were more effective in arresting caries on smooth surface of anterior teeth.
Methods: Children aged 3-5 years with at least 2 carious lesions who considered as high risk were enrolled and applied single-annual application of 38% silver diamine fluoride (SDF) solution (Topamine™ Dental life, Australia) in arresting cavitated dentin caries in primary teeth. The treated teeth were examined by an independent blinded examiner at 12 month follow-up. Arrested caries was defined as the treated surfaces having smooth and hard on probing, no signs of active caries or discomfort. The data were analyzed by descriptive statistics, Chi-square test and multiple logistic regression analysis to calculate the probability of arresting caries.
Results: A total of 32 kindergartens (19 boys and 13 girls) received SDF application at baseline, with 159 teeth and 259 surfaces. A total of 138 teeth (86.8%) were diagnosed as arrested at 12-mo examination. There were significant differences in the caries arrest rates of different position (p=0.013), lesion site specific (p=0.045) and size of lesions (p=0.010). Among anterior teeth with smooth surface and small size had a higher chance of becoming arrested than posterior with proximal and large size. Lesion site specific still significantly affected arrested activity after adjusting for other variables (OR, 2.58, 95% CI, 1.00, 6.63).
Conclusions: SDF shows potential as an alternative treatment for caries arrest in the primary dentition for community setting. The lesion site as the one factor of the effectiveness of caries arrest by SDF. The SDF treatments were more effective in arresting caries on smooth surface of anterior teeth.