ArticleOral health & preventive dentistry2026
Efficacy of Conservative Approaches on the Physio-Mechanical Properties of Caries Lesions Remineralized with Silver Diamine Fluoride.
Article in Oral health & preventive dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeSilver diamine fluoride (SDF) is a proven caries-arresting agent, but its clinical acceptance is limited by the black staining of treated lesions. This purpose of this study was to evaluate the effects of potassium iodide (KI), bleaching, microabrasion, and their combinations on the average surface roughness (Ra) and shear bond strength (SBS) of SDF-stained remineralized caries-like lesions (s-RCLs). MATERIALS AND
methodsHuman enamel slabs were demineralized and randomized into six groups (n = 17): G1, no treatment; G2, treated with 38% SDF to create s-RCLs; G3, s-RCLs+KI; G4, s-RCLs+KI+bleaching; G5, s-RCLs+KI+microabrasion, and G6, s-RCLs+KI+microabrasion+bleaching. Ra and SBS were measured and analyzed using ANOVA and Tukey's test (α = 0.05).
resultsDemineralization statistically significantly increased Ra (p ≤ 0.003). Post-treatment, G5 exhibited the highest Ra (p 0.001) and SBS (p ≤ 0.010), while G4 had the lowest SBS (p ≤ 0.018). G6 demonstrated Ra comparable to control groups and an average SBS, indicating a favorable balance between surface smoothness and bonding.
conclusionOur findings suggest that the combined use of KI, microabrasion, and bleaching achieved the least statistically significant Ra while maintaining an average SBS, providing superior functional outcomes compared with bleaching or microabrasion alone, making it a promising conservative approach for managing SDF-treated lesions.
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