Silver diamine fluoride promising option to mineral trioxide aggregate for indirect pulp capping of permanent molars: Study

The First permanent molar (FPM) plays a critical role in oral function, bearing the highest occlusal load and impacting overall dental health. First permanent molar erupts early in the oral cavity. Therefore, it becomes particularly susceptible to dental decay due to its functional and morphological characteristics.According to existing literature, the First permanent molar exhibits the highest incidence of dental caries. Hence, dental practitioners must prioritize prompt treatment of carious lesions in their early stage. Clinical and radiographic evaluation of Silver diamine fluoride versus MTA as indirect pulp capping agents in deeply carious first permanent molars. This study was conducted on (30) first permanent molars indicated for indirect pulp capping (IPC) randomly allocated to either Silver diamine fluoride or MTA groups (n = 15). The molars were finally restored with glass hybrid glass ionomer restoration. Clinical assessment was conducted at 3, 6, 9 and 12 months, while radiographic assessment was performed at 6 and 12 months using predetermined criteria. Data was statistically analyzed. Results: There was no statistically significant difference between both groups for all assessed clinical and radiographic parameters, including dentin bridge formation, at all follow-up periods. There was no evidence of clinical or radiographic failure in either group.Silver diamine fluoride showed a high success rate compared to MTA and can be considered a promising alternative IPC agent in permanent molars.

Reference:

Zaghloul, M.A.A., El Sayed, M.A., Abd Al-Gawad, R.Y. et al. Clinical and radiographic evaluation of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious first permanent molars a randomized clinical trial. BDJ Open 11, 4 (2025). https://doi.org/10.1038/s41405-024-00286-5

Keywords:

Silver, diamine, fluoride, promising, option, mineral, trioxide, aggregate, indirect, pulp, capping, permanent, molars, Study, BDJ Open, Zaghloul, M.A.A., El Sayed, M.A., Abd Al-Gawad, R.Y, Dental materials, Paediatric dentistry, Restorative dentistry