ReviewClinical and experimental dental research2022
The use of silver diamine fluoride in a children's hospital: Critical analysis and action protocol.
Review in Clinical and experimental dental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Comparison of aesthetic perception and acceptability of silver diamine fluoride staining between Spanish and Italian parents.Scientific reports · 2025Observational
- Variability in the utilization of preventive dental services among the underserved population of Indiana.PloS one · 2025Article
- Cost-Effectiveness of Silver Diamine Fluoride Depends on Caries Activity: A Decision Analytic Model.Caries research · 2025Article
- Article
- The use of silver diamine fluoride in a children's hospital: Critical analysis and action protocol.Clinical and experimental dental research · 2022Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe present critical analysis aims to propose an action protocol for the use of silver diamine fluoride (SDF) in pediatric patients in a hospital setting, especially for those who are currently awaiting hospital dental treatment under general anesthesia. MATERIAL AND
methodsA literature search was performed in the PubMed/MEDLINE from 2009 to 2021 using the search terms "silver diamine fluoride", "pediatrics silver diamine fluoride", "application silver diamine fluoride", and "AND" - combined with terms: "potassium iodide", "properties", "adverse effects", "early childhood caries", "patient with disability", "management", "special health care needs patient". Articles that recorded the type of teeth, application protocol, the concentration of the product, and possible complications of the treatment were selected.
resultsFour hundred and sixteen related articles were obtained, of which 13 were finally chosen on the basis of the search criteria. The age at which the use of SDF was recommended ranged from the first year of life to 12 years, in most cases in primary teeth. The study populations varied in size from 53 to 799 patients. An analysis of the characteristics of SDF and its use in pediatric patients with dental caries was performed. The recommended concentration was 38% SDF, applied twice yearly. The main complication reported was staining. A decision algorithm was designed including SDF as an agent for caries control in patients attending the specific population of our hospital (divided into two groups: healthy children aged 0-4 years and patients with special health care needs (SHCNs) aged 0-18 years).
conclusionsSDF therapy appears to be effective in the control of caries in pediatric patients. We propose an action protocol for patients with early childhood caries to reduce risk, complications, and the progression of lesions. The protocol is aimed especially at pediatric patients who also have some systemic pathology, disability, SHCNs, and/or behavioral difficulties.
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