Effect of Discoloration of Silver Diamine Fluoride versus Sodium Fluoride Varnish in Treatment of Carious Primary Teeth: ARandomized Clinical Trial

Abstract

Background: Identifying successful and affordable method to manage decayed tooth in children with highrisk caries or with difficulty to obtain proper dental care is very important to avoid probable complicationsand to decrease caries subsequent problems. Silver diamine fluoride (SDF) has been identified as an anticariesagent that successfully arrests dental decay and has the potential to address the epidemic of untreated decayin young children.Aim: Evaluation of discolorationand failure of silver diamine fluoride and comparing it with sodium fluoridevarnish.Methodology: Sample size 62 Children with 298 carious primary teeth were selected following eligibilitycriteria and randomization was performed 1:1 allocation ratio: Group I: (38%) Silver Diamine Fluorideand group II: (5%) Sodium Fluoride Varnish. All patients recalled after 3,6,9 and 12 months to evaluatediscoloration and failure.Results: Comparison between both groups was performed using Chi square test which revealed that, groupI was significantly higher regarding Black discoloration after 12 months, Group II was significantly higherthan group I after 6- and 12-months regarding failure. Also, correlation between discoloration and failurerevealed significant strong positive correlation in both groups.Conclusion: Black discoloration is higher in group I, while failure is higher in group II.