Comparative cariostatic efficacy of a novel Nano-silver fluoride varnish with 38% silver diamine fluoride varnish a double-blind randomized clinical trial

Sunnypriyatham Tirupathi; Nirmala Svsg; Srinitya Rajasekhar; Sivakumar Nuvvula

doi:10.4317/jced.54995

Comparative cariostatic efficacy of a novel Nano-silver fluoride varnish with 38% silver diamine fluoride varnish a double-blind randomized clinical trial

J Clin Exp Dent. 2019 Feb 1;11(2):e105-e112. doi: 10.4317/jced.54995. eCollection 2019 Feb.

Authors

Sunnypriyatham Tirupathi¹, Nirmala Svsg², Srinitya Rajasekhar³, Sivakumar Nuvvula⁴

Affiliations

¹ MDS, Assistant Professor, Department of Pediatric Dentistry, Mallareddy Institute of Dental Sciences, Hyderabad, India.
² MDS, Professor, Department of Pediatric Dentistry, Narayana dental college and hospital, Nellore, India.
³ MDS, Private practitioner, Pediatric Dentistry, India.
⁴ MDS, Head of department, Department of Pediatric Dentistry, Narayana Dental College and Hospital, Nellore, India.

Abstract

Background: To evaluate the clinical cariostatic efficacy of a concocted 5% Nano-silver incorporated Sodium fluoride (NSSF) dental varnish with 38% Silver diamine fluoride (SDF) in preventing the progression of dentinal caries of primary molars.

Material and methods: A total of 159 active dentinal carious lesions in primary molars (from 50 children) were selected and randomly divided into two groups; NSSF and SDF. Varnish application was performed at the baseline visit and follow-up is carried out at 1, 3, 6 and 12 months. Parameters such as caries activity, depth, size, colour, and presence or absence of pain were noted at baseline and follow-up visits.

Results: The intergroup comparison of caries activity status did not reveal significant difference between the number of active and arrested caries lesions in NSSF and SDF groups at any visit (p >0.05) during the 12-month follow-up. There was no difference between overall failure and success rates between the two groups at any follow-up period (p-0.48).

Conclusions: Annual application of 5% NSSF is better than or equal to 38% SDF in preventing the progression of dentinal caries of primary molars. NSSF does not cause dark staining of dentinal tissue compared to the SDF and the use of NSSF can be recommended in children. Key words:Children, Nano-silver fluoride, Primary teeth, Silver diamine fluoride.