The present study aims to evaluate the color stability of different masking modalities of silver diamine fluoride (SDF) on extracted carious teeth after thermal aging. One hundred and eight recently extracted carious permanent teeth were used. All sample teeth had SDF applied over the carious lesion. The teeth were then divided into six groups: group A (SDF, potassium iodide (KI), and packable composite resin), group B (SDF, flowable, and packable composite resin), group C (SDF, KI, resin-modified glass ionomer (RMGI), and packable composite resin), group D (SDF, KI, and RMGI), group E (SDF, hybrid glass ionomer (HGI), packable composite resin), and group F (SDF and RMGI). VITA Easyshade was used to evaluate color stability. Initial masking of the dark staining was improved in groups in curing light groups (groups D and F). Groups restored with RMGI demonstrated the greatest color changes after aging. The groups that showed the greatest color stability of the materials after 5 years of aging were groups A, B, and E. Highest color change was observed during the first clinical year for all groups. KI is effective at reducing SDF staining. Composite (CMP) provides a long-term color-stable restoration. Thermocycling had the greatest effect on HGI restorations. One of restorative dentistry's most important clinical parameters is the color stability of tooth-colored dental restorations. Choosing a suitable restorative material is essential to overcome SDF's staining effects. Applying KI and composite resin restoration was the most effective, long-term color-stable restorative material for masking the SDF staining. Ozuna J, Nguyen C, Abubakr NH. Color Stability of Different Restorative Approaches for the Masking of Silver Diamine Fluoride after Thermal Aging. Int J Clin Pediatr Dent 2024;17(9):987-992.
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