Silver diamine fluoride-modified atraumatic restorative technique effective treatment option for caries control in primary molars

Results

A total of 226 children (SMART group, 112 and conventional, 114) were included with 280 and 282 GIC restorations placed by the SMART and the conventional method respectively. At 24-months, 459 (81.6 %) primary molars were available for evaluation. Success rates of restorations was 38.4 % and 45.8 % % in SMART and conventional groups respectively (p = 0.105). The rate of acceptability of treatment in the SMART and conventional group was 79 % and 56 % (p<0.001) respectively.

There was no significant difference in the success rates of GIC restorations by SMART and conventional technique in carious primary molars at 24 months. SMART was better accepted by children as compared to the conventional restorative technique. SMART can be an alternative option to treat the asymptomatic carious lesions in primary molars and is well accepted by children than the conventional drill and fill technique thus implying that it has a useful role in un-cooperative children.

Keywords: Silver diamine fluoride; Primary molars; Atraumatic restorative technique; Children; Glass ionomer cement.

Reference:

Kalpana Bansal, Azeema Shamoo, Kalaivani Mani, Pavithra Devi K, Ankita Verma, Vijay P Mathur, Nitesh Tewari. Silver diamine fluoride modified atraumatic restorative treatment compared to conventional restorative technique on carious primary molars–A randomized controlled trial, Journal of Dentistry, Volume 138, 2023, 104698, ISSN 0300-5712, https://doi.org/10.1016/j.jdent.2023.104698.

(https://www.sciencedirect.com/science/article/pii/S0300571223002841)

Keywords:

Silver, diamine, fluoride, modified, atraumatic, restorative, technique, effective, treatment, option, caries, control, primary molars, Journal of Dentistry,Kalpana Bansal, Azeema Shamoo, Kalaivani Mani, Pavithra Devi K, Ankita Verma, Vijay P Mathur, Nitesh Tewari