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Year : 2018  |  Volume : 8  |  Issue : 3  |  Page : 191-199

Is silver diamine fluoride effective in preventing and arresting caries in elderly adults? A systematic review

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

Correspondence Address:
Dr. Gireesh Kumar Subbiah
No. 14, 1st Lane, 6th Street, Defence Enclave, IAF Avadi, Chennai - 600 055, Tamil Nadu
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jispcd.JISPCD_99_18

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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.

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