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Silver diamine fluoride use on adults examined in August JADA

July 27, 2018

By Michelle Manchir

August JADA

Applying silver diamine fluoride to exposed root surfaces of older adults can be an effective way to prevent caries, according to the August issue of The Journal of the American Dental Association.

Authors of a systematic review, “Controlling Caries in Exposed Root Surfaces With Silver Diamine Fluoride: A Systematic Review With Meta-analysis,” examined over a thousand articles to identify high-quality randomized controlled, human clinical trials that critically examined the preventive effect of silver diamine fluoride on root surface caries.

They found that annual 38 percent silver diamine fluoride applications to exposed root surfaces “are a simple, inexpensive and effective way of preventing caries initiation and progression,” according to the article’s abstract.

“Silver diamine fluoride application to root surfaces presenting dental caries also appears to be very safe,” said the article’s corresponding author, Dr. Branca Heloisa Oliveira, a dentist with a Ph.D.. “The only known potentially relevant side effect would be the discoloration of the treated caries lesions. Thus, dentists should be prepared to address patients’ concerns regarding the blackening of the decayed tooth surfaces after silver diamine fluoride applications.”

To read the entire systematic review with meta-analysis, click here.

Other highlights from the August issue include a meta-analysis examining periodontal health during orthodontic treatment; a look at the opioid and antibiotic prescribing patterns of U.S. dentists for Medicare Part D beneficiaries; and commentary co-authored by Dr. Martha Somerman, the director of the National Institute of Dental and Craniofacial Research, addressing the oral health community’s role in addressing the opioid overdose epidemic.

Each month, JADA articles are published online at in advance of the print publication.