Evidence map›Paper›PMID 40583169›Full record

Trial reportJournal of dental research2025

A Randomized Controlled Trial of Silver Diamine Fluoride Application Time.

I G Yan, F M Zheng, I G Sun, E C M Lo, D Duangthip, C H Chu

Abstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

I G YanFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
F M ZhengFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
I G SunFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
E C M LoFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
D DuangthipCollege of Dentistry, Ohio State University, Columbus, OH, USA.
C H ChuFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0002-8167-0430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinicians have recommended, with no scientific evidence, increasing the application times of 38% silver diamine fluoride (SDF) to foster caries arrest. The current study determined the rate of carious lesion activity in response to topical 38% SDF with increasing treatment application time. A 6-mo, stratified-randomized, double-blind, active-controlled, parallel-group trial compared 9 treatment arms. The primary outcome was carious lesion activity at the tooth-surface level 6 mo after initial treatment. Participants included 665 children aged 3 to 4 y with 2,106 carious teeth (234 teeth/group) with 3,024 active carious tooth surfaces. The carious teeth were block randomized into 9 groups with SDF application times of 3, 5, 10, 15, 30, 45, 60, 120, and 180 s. The dose (SDF application time) and response (proportion of active carious tooth surfaces becoming arrested) were modeled using multiple dose-response models. At the 6-mo examination, 642 children with 2,038 SDF-treated carious teeth and 2,939 SDF-treated carious tooth surfaces were evaluated. The estimated proportion of inactive (arrested) lesions (%) increased over time from 75% at 4 s, to 80% at 16 s, and 84% at 60 s. Among the multiple dose-response models, the Emax model provided the best fit. The estimated rate of the proportion of arrested lesions (%s

Indexed as

Cariostatic AgentsDental CariesFluorides, TopicalQuaternary Ammonium CompoundsChild, PreschoolDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleSilver CompoundsTime FactorsTreatment OutcomeCariostatic AgentsFluorides, TopicalQuaternary Ammonium CompoundsSilver Compoundssilver diamine fluoridecariouschilddemineralizationdentinrandomized clinical trialremineralization

Identifiers

PMID40583169
PMCPMC12612282

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Registered trials

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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.