Evidence map›Paper›PMID 42238656›Full record

ArticleJADA foundational science2022

Silver diamine fluoride alters microbial communities in subsurface dentin.

Rosalyn M Sulyanto, Clifford J Beall, Martin T Berger, Christopher P Goodell, Stephanie Koo, Fiorella Candamo, John R Dickson, Misun Kang, Sunita P Ho, Man Wai Ng and 3 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in JADA foundational science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07741409 (Povidone Iodine to Prevent Early Childhood Caries), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

NCT07741409 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Povidone Iodine to Prevent Early Childhood Caries

TypeinterventionalSponsorJeffrey A. BanasRan2026 to 2028Enrolled174ConditionsDental CariesArmsPovidone Iodine 5% Soln,Top,Kit, Probiotics, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Silver diamine fluoride differentially affects dentin and hypomineralized enamel permeabilities.Dental materials : official publication of the Academy of Dental Materials · 2025
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Rosalyn M SulyantoDepartment of Dentistry, Boston Children's Hospital, Boston, MA.
Clifford J BeallDivision of Biosciences, College of Dentistry, The Ohio State University, Columbus, OH.
Martin T BergerDepartment of Dentistry, Boston Children's Hospital, Boston, MA.
Christopher P GoodellDepartment of Dentistry, Boston Children's Hospital, Boston, MA.
Stephanie KooHarvard School of Dental Medicine, Boston, MA.
Fiorella CandamoHarvard School of Dental Medicine, Boston, MA.
John R DicksonMassachusetts General Hospital, Charlestown, MA.
Misun KangPreventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, San Francisco, CA.
Sunita P HoPreventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, San Francisco, CA.
Man Wai NgDepartment of Dentistry, Boston Children's Hospital, Boston, MA.
Shahr B HashmiCollege of Dentistry, The Ohio State University, Columbus, OH.
Eugene J LeysDivision of Biosciences, College of Dentistry, The Ohio State University, Columbus, OH.
Ann L GriffenDivision of Pediatric Dentistry, College of Dentistry, The Ohio State University, Columbus, OH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Silver diamine fluoride (SDF) is a dental biomaterial with cariostatic properties that are thought to be owing to, in part, to its antimicrobial activity. This study examines the mechanisms by which SDF may impact the oral microbiota. Methods: This case-control study uses samples from carious lesions of primary teeth with or without SDF treatment; the authors used microbial viability testing and next-generation sequencing to compare untreated or SDF-treated carious surface biofilm and subsurface carious dentin. Results: Viability testing of surface biofilm from carious lesions with or without SDF treatment visualized by confocal laser scanning microscopy revealed no change in microbial viability several weeks after SDF treatment. Microbial community composition of carious surface biofilm before and after SDF treatment was determined using Conclusions: Although SDF does not significantly alter the carious surface biofilm microbial community composition, it promotes a shift in community membership deeper within dentin tubules, representing a previously unrecognized mechanism of action for SDF in caries arrest.

Indexed as

16S rRNA gene sequencingbiofilmbioinformaticsBiomaterialcaries arrestmicrobiotapediatric dentistry

Identifiers

PMID42238656
PMCPMC13229056

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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.