The effect of silver diamine fluoride on the microleakage of glass ionomer restoration in primary teeth at different time intervals

Abstract

Silver diamine fluoride (SDF) has shown effectiveness in hardening tooth structure and killing bacteria. Therefore, it can be used to prevent and arrest dental caries. Riva Star (SDF) treatment alone will stop cavities but will not reverse the cavitation. The Silver Modified Atraumatic Procedure, often known as Smart, is the optimum technique for regaining the tooth's structure and function. Glass ionomer was introduced in (1972) as a new material that has become one of the most widely used materials in restorative dentistry. By releasing fluoride ions, this material has a therapeutic impact on the surrounding tooth structure. Microleakage is the ingress of bacteria, its byproducts, toxins, chemicals, oral fluids, and ions between the margins of the restoration and the cavity walls. Dental restoration lifetime is significantly influenced by microleakage at the toothrestoration contact. Material and method: In this study, we used 32 primary molars, class V cavities prepared on the buccal surface of all teeth. The teeth were divided into 2 groups: Group 1: 16 teeth treated with 38%SDF 8 of them restored directly with GIC filling and the other 8 restored after 14 days; Group 2: 16 teeth as control group left untreated with 38% SDF,8 teeth restored directly and 8 restored after 14 days. Samples were thermocycled, immersed in 2% methylene blue and then sectioned in a buccolingual direction. Dye penetration was measured with a digital camera connected to a stereo microscope. Result: results of this study showed a significant difference in microleakage between two-time intervals in which microleakage in GIC filling decreased at 14-day intervals than that of first-day interval in the experimental group, while in the control group, microleakage at 14 days intervals was higher than first-day interval, but it was not significant. Conclusion: Pretreatment of the primary teeth with SDF can decrease the microleakage of GIC restoration. If placed after 14 days, the microleakage would be lesser than that if the restoration was placed directly after SDF treatment. Therefore, it is recommended that SDF treatment be done, followed by a permanent restoration after 14 days, so the null hypothesis cannot be accepted. Keywords: Microleakage, Silver diamine fluoride, Glass ionomer filling, noninvasive dentistry