Evidence map›Paper›PMID 30803490›Full record

ArticleJournal of the American Dental Association (1939)2019

Pharmacokinetics of 38% topical silver diamine fluoride in healthy adult volunteers.

Yvonne S Lin, Marilynn L Rothen, Peter Milgrom

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04184271 phase2completednot on this map

Pharmacokinetics of Advantage Arrest

TypeinterventionalSponsorAdvantage Silver Dental Arrest, LLCRan2017 to 2019Enrolled16ConditionsDental CariesArms38% silver diamine fluoride
NCT04766775 naunknown statusnot on this mapstarted 2020, after this paper: background citation

The Pharmacokinetics of Silver Diamine Fluoride (SDF) in Healthy Children

TypeinterventionalSponsorUniversity of MalayaRan2020 to 2021Enrolled15ConditionsDental Caries in ChildrenArmsSilver Diamine Fluoride
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Silver diamine fluoride for non-operative restorative treatment and prevention of dental caries.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2026
    Review
  4. Article
  5. The pharmacokinetics of 38% silver diamine fluoride in healthy children with dental caries: a quasi-experimental study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Yvonne S Lin
Marilynn L Rothen
Peter Milgrom
University of Washington · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
NCCIH Supplement to NCATS/CTSA Program for KL2 Scholars - M. SoddersKL2TR002317 · NCATS · UNIVERSITY OF WASHINGTON · PI Christy Michelle McKinney · 2017 to 2026
$14.5M
NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
NCATS NIH HHS KL2 TR002317NCATS NIH HHS TL1 TR002318NCATS NIH HHS UL1 TR002319
6 · The paper itself

Abstract

backgroundSilver diamine fluoride (SDF) is used topically to prevent or arrest caries. The authors' aim was to characterize the kinetics of silver and fluoride after topical application of SDF.

methodsSixteen adults participated in a pharmacokinetics study after the application of 38% SDF to 5 teeth (approximately 50 microliters, estimated 4-11 milligrams per participant). Serum and urine samples were collected over 24 hours after application and were analyzed for silver and fluoride.

resultsSilver serum peak was 0.67 (standard deviation [SD], 0.49) nanograms per milliliter; median time to peak was 3 hours. The estimated elimination half-life of silver was 46 (SD, 26) hours. No silver was recovered in urine. Baseline fluoride serum levels ranged from less than 10 through 50 ng/mL (< 0.01-0.05 parts per million) and fluctuated around baseline after SDF. The 24-hour urinary fluoride was 1.29 (SD, 0.81) mg.

conclusionsSDF was well tolerated in this study, and no adverse events related to SDF were reported. PRACTICAL IMPLICATIONS: This clinical study confirmed that topical application of 38% SDF, in growing use in the United States, is safe and well tolerated in healthy adults.

Indexed as

Dental CariesFluorides, TopicalAdultCariostatic AgentsHumansQuaternary Ammonium CompoundsSilver CompoundsVolunteersCariostatic AgentsFluorides, TopicalQuaternary Ammonium CompoundsSilver Compoundssilver diamine fluorideclinical studydentalhealthy volunteersSilver diamine fluoride

Identifiers

PMID30803490
PMCPMC6936220
OpenAlexW2917796393

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.