Evaluation of 38% Silver Diamine Fluoride Vs High Viscosity Glass Ionomer Cement for Management of Dentinal Caries in Primary Molars

Aim:To compare the effect of sealing dentinal caries [International Caries Detection and Assessment System (ICDAS) codes 4 and 5] by high viscosity glass ionomer cement (GIC) vs application of 38% silver diamine fluoride (SDF) in primary molars over a period of 6 months.Materials and method: This study was conducted over a period of 6 months and included 50 primary molars with active dentinal occlusal lesions, aged 3-5 years, having ICDAS codes 4 and 5. Children were randomly assigned to group I: SDF application (n = 27) or group II: high viscosity GIC treatment (n = 23).Lesions were assessed clinically for any progression of caries extent by using International Caries Diagnosis and Assessment System II, topography of lesion and radiographically by International Caries Classification and Management System (ICCMS) criteria after 6 months of intervention compared to baseline.Further, the evaluation of SDF-treated lesion status was by lesion texture and GIC restoration status was evaluated by caries-associated restorations and sealants (CARS) criteria.Results: After 6 months evaluation period, statistically significant, less progression of cases was observed in 7% of lesions after SDF application as compared to 39% in high-viscosity GIC group.Chairside time was statistically significant in between both the groups (p-value = 0.039). Conclusion:Techniques with minimal intervention, namely 38% SDF and high viscosity GIC for the occlusal surface cavity, appear to be effective in arresting the progress of dentinal caries in primary teeth.Clinical significance: Silver diamine fluoride (SDF) application stops the progression of dentinal lesions with less chairside time, being economical and can be used in patients of uncooperative behavior, including those with special healthcare needs.