Use of Silver Diamine Fluoride for Dental Caries Management in Children and Adolescents, Including Those With Special Health Care Needs

作者：Yasmi Ornelas Crystal, Abdullah A Marghalani, Steven D. Ureles, John Timothy Wright, Rosalyn M. Sulyanto, Kimon Divaris, Margherita Fontana, Laurel Graham · 发表于：Journal of the California Dental Association · 年份：2018 · DOI：10.1080/19424396.2018.12221981 · 被引用次数：252 · 研究领域：Dental Health and Care Utilization、Fluoride Effects and Removal、Inorganic Fluorides and Related Compounds

BACKGROUND: This manuscript presents evidence-based guidance on the use of 38 percent silver diamine fluoride (SDF) for dental caries management in children and adolescents, including those with special health care needs. A guideline workgroup formed by the American Academy of Pediatric Dentistry developed guidance and an evidence-based recommendation regarding the application of 38 percent SDF to arrest cavitated caries lesions in primary teeth. TYPES OF STUDIES REVIEWED: The basis of the guideline's recommendation is evidence from an existing systematic review "Clinical trials of silver diamine fluoride in arresting caries among children: A systematic review." (JDR Clin Transl Res 2016;1[3]:201-10). A systematic search was conducted in PubMed®/MEDLINE, Embase®, Cochrane Central Register of Controlled Trials, and gray literature databases to identify randomized controlled trials and systematic reviews reporting on the effect of silver diamine fluoride and address peripheral issues such as adverse effects and cost. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to assess the quality of the evidence and the evidence-to-decision framework was employed to formulate a recommendation. RESULTS: The panel made a conditional recommendation regarding the use of 38 percent SDF for the arrest of cavitated caries lesions in primary teeth as part of a comprehensive caries management program. After taking into consideration the low cost of ...