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J Int Soc Prev Community Dent. 2018 May-Jun;8(3):191-199. doi: 10.4103/jispcd.JISPCD_99_18. Epub 2018 May 17.

Is Silver Diamine Fluoride Effective in Preventing and Arresting Caries in Elderly Adults? A Systematic Review.

Author information

1
Former Post Graduate Student, Centre for Public Health, Queen's University, Belfast, United Kingdom.
2
Phd Student, School of Dentistry, University of Queensland, Queensland, Australia.

Abstract

Aim:

Silver diamine fluoride (SDF) has invoked interest in recent times due to its remineralization capacity and non-invasive application procedure. The aim of this systematic review was to report the findings concerning the effectiveness of SDF in managing caries in the elderly adults.

Materials and Methods:

A systematic search of publications was conducted using four databases: PubMed, MEDLINE, Embase, and CENTRAL. The key MeSH term combinations used were (silver diamine fluoride) AND (caries) AND (elderly).

Results:

The review found only three well-conducted randomized controlled trials evaluating the effectiveness of SDF on root caries in community-dwelling elders. None of the studies addressed coronal caries. The effectiveness improved when combined with structured oral health education.

Conclusion:

The available limited evidence on SDF shows that it is effective in arresting and preventing root caries in the elderly. More high-quality studies need to be done to verify the effectiveness on coronal caries and long-term effects of SDF in the elderly with varying levels of dependency.

KEYWORDS:

Caries; elderly adults; oral health; prevention; silver diamine fluoride

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