Evidence map›Paper›PMID 35843730›Full record

ReviewInternational dental journal2022

A Review of the Protocol of SDF Therapy for Arresting Caries.

Iliana Gehui Yan, Faith Miaomiao Zheng, Sherry Shiqian Gao, Duangporn Duangthip, Edward Chin Man Lo, Chun Hung Chu

Registry-linked trialAbstract readReview
In one paragraph

Review in International dental journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07658690 (The Effectiveness of Single and Dual Silver Fluoride), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT07658690 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effectiveness of Single and Dual Silver Fluoride (SF) Applications on Dentine Caries Among Malaysian Preschool Children: A Randomised Controlled Trial

TypeinterventionalSponsorUniversity of MalayaRan2026 to 2028Enrolled138ConditionsDentine CariesArms38% Silver Fluoride (Riva Star Aqua), Normal Saline (Placebo)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Knowledge, attitude and practice of paediatric dentists towards silver diammine fluoride in Egypt: a national survey.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  5. Knowledge and attitudes regarding silver diamine fluoride among Brazilian dentists: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  6. Quality of YouTube™ videos on the clinical use of silver fluoride.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Cariostatic Agents: From Silver Diamine Fluoride to Emerging Bioactive Compounds.Clinical, cosmetic and investigational dentistry · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. 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
  19. Article
  20. Article
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

6 authors.

Iliana Gehui YanFaculty of Dentistry, The University of Hong Kong, Hong Kong, China.
Faith Miaomiao ZhengFaculty of Dentistry, The University of Hong Kong, Hong Kong, China.
Sherry Shiqian GaoSchool of Medicine, Xiamen University, Xiamen, China.
Duangporn DuangthipFaculty of Dentistry, The University of Hong Kong, Hong Kong, China.
Edward Chin Man LoFaculty of Dentistry, The University of Hong Kong, Hong Kong, China.
Chun Hung ChuFaculty of Dentistry, The University of Hong Kong, Hong Kong, China. Electronic address: chchu@hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this work was to review the protocol of the use of silver diamine fluoride (SDF) for arresting caries, specifically the application time.

methodTwo researchers searched manufacturers' instructions, YouTube videos, and 5 databases (Embase, Medline, PubMed, Scopus, and Web of Science). Manufacturers' instructions, videos from national dental organisations, and peer-reviewed journal articles that published the SDF application protocol in English for arresting caries were selected.

resultsThe review included 14 protocols from 15 publications from 4 manufacturers, 3 dental associations, and 7 author teams (one team had 2 articles). The American Dental Association and the British Society of Paediatric Dentistry provided their SDF application protocols on YouTube. The American Academy of Paediatric Dentistry and 7 author teams published their protocols in journal articles. Seven publications suggested an SDF application time of 60 seconds. Seven publications suggested a time range of 10 seconds to 240 seconds. Two publications suggested caries excavation, but 4 publications suggested no caries excavation before SDF application. The procedures from at least 5 publications involved protecting the gingiva with petroleum jelly, isolating the carious tooth with cotton rolls, drying the carious lesion with a 3-in-1 syringe, applying SDF solution with a micro brush for 60 seconds, removing excess SDF solution with gauze, and applying fluoride varnish to the SDF-treated lesion.

conclusionsAlthough the SDF application protocol is simple and straightforward, the published protocols could be different. Most publications suggested an SDF application time of 60 seconds, which can be long, particularly for young children and older adults.

Indexed as

Dental CariesFluorides, TopicalAgedCariostatic AgentsChildChild, PreschoolHumansPetrolatumQuaternary Ammonium CompoundsSilver CompoundsCariostatic AgentsFluorides, TopicalPetrolatumQuaternary Ammonium CompoundsSilver Compoundssilver diamine fluorideArrestCariesDentineFluorideRemineralisationSilver diamine fluoride

Identifiers

PMID35843730
PMCPMC9485517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.