Table 3.
Summary of publications studying the effects of silver diamine fluoride (SDF) on the mineral content of dentine
| Authors, Year (Language) | Methods | Main findings |
|---|---|---|
| Li et al., 1997 (Chinese)38 | Human dentine powder was immersed in 38% SDF solution. The product after reaction was analysed by XRD | CaF2 and Ag3PO4 were formed |
| Yang et al., 2004 (Chinese)30 | Demineralised human root surfaces treated with 38% SDF were subjected to challenge with cariogenic biofilm for 2 days before MCR | SDF-treated root surfaces had less lesion depth (P < 0.05) and mineral loss than control |
| Yao et al., 2006 (Chinese)31 | Demineralised human root surfaces treated with 38% SDF were immersed in remineralising solution for 7 days before SEM and MCR | Precipitates were formed on SDF-treated surfaces but not on water-treated surfaces.SDF-treated surfaces had less lesion depth (P < 0.05) and mineral loss (P < 0.05) than the control |
| Chu et al., 2008 (English)33 | Primary teeth with arrested dentine caries treated with 38% SDF were extracted and underwent KHN measurements | Within the outer 25–200 μm, the median KHN of arrested carious lesions were greater (no statistics presented) than those of soft carious lesions |
| Knight et al., 2009 (English)12 | Demineralised human dentine disks treated with 29% (1.8 mol/l) SDF were subjected to cariogenic biofilm challenge for 2 weeks before SEM and EPMA | SDF-treated dentine had less calcium (P < 0.05) and phosphorus (P < 0.05) loss and more fluoride uptake than the control |
| Guo et al., 2011 (Chinese)41 | Demineralised human root surfaces treated with 38% SDF were subjected to cariogenic biofilm challenge for 6 days before SEM. The calcium concentration was evaluated at day 2, 4 and 6 by AAS | SDF-treated root surfaces had less calcium release than control (P < 0.05) and precipitates were formed |
| Chu et al., 2012 (English)7 | Demineralised human dentine blocks treated with 38% SDF were subjected to cariogenic biofilm challenge for 7 days before MHT, EDX and FTIR | SDF-treated dentine blocks had increased microhardness and calcium/phosphate weight-percentage than the control (P < 0.05); the ratio of amide I to hydrogen phosphate was reduced (P < 0.05) |
| Mei et al., 2013 (English)6 | Demineralised human dentine blocks treated with 38% SDF were subjected to challenge with cariogenic biofilm for 7 days before XRD and FTIR | SDF-treated dentine blocks had reduced mineral loss and reduced ratio of amide I to hydrogen phosphate (P < 0.05) |
| Mei et al., 2013 (English)5 | Demineralised human dentine blocks treated with 38% SDF were incubated in artificial mouth for 21 days before MHT, EDX and FTIR | SDF-treated dentine blocks had increased microhardness and calcium/phosphate weight percentage (P < 0.05); the ratio of amide I to hydrogen phosphate was reduced (P < 0.01) |
| Mei et al., 2013 (English)3 | Demineralised human dentine blocks treated with 38% SDF were subjected to pH cycling for 8 days before SEM, micro-CT and XRD | SDF-treated dentine blocks had reduced lesion depth (P < 0.01). Silver chloride and metallic silver were formed |
| Mei et al., 2014 (English)39 | Primary teeth with arrested dentine caries, treated with 38% SDF, were extracted and underwent assessments of micro-CT, EDX, SEM and TEM | A highly remineralised surface zone (about 150 μm), rich in calcium and phosphate, was found on the arrested dentinal lesion. Collagens were protected and not exposed as a result of SDF treatment |
AAS, atomic absorption spectrometry; Ag3PO4, silver phosphate; CaF2, calcium fluoride; EDX, energy-dispersive X-ray analysis; EPMA, electron probe microanalysis; FTIR, Fourier transform infrared spectroscopy; KHN, Knoop hardness number; MCR, micro-contact radiography; micro-CT, micro-computed tomography; MHT, micro-hardness testing; SEM, scanning electron microsopy; TEM, transmission electron microscopy; XRD, X-ray diffraction.