Binhezaim Alhanouf, Almutairi Tahani, Alsaleem Afnan, Albegamy Aida, Alsaadon Sultana, Shaikh Muhammad Saad
Department of Pedodontics, Prince Sultan Military Medical City, Riyadh, KSA.
Department of Orthodontics, Prince Sultan Military Medical City, Riyadh, KSA.
J Taibah Univ Med Sci. 2023 Sep 22;19(1):54-63. doi: 10.1016/j.jtumed.2023.09.003. eCollection 2024 Feb.
This study was aimed at comparing the performance of light-cured (LC) silver diamine fluoride (SDF) to non-LC SDF in dental applications, in terms of various properties.
Articles published until April 2023 were retrieved from electronic databases (PubMed, Scopus and Science Direct) according to Boolean operators, and the reference lists of the included articles were manually searched. The included articles were all full-text, original studies in English that assessed the effects of LC SDF compared with SDF alone. The risk of bias in the in vitro studies on dental materials was evaluated with the modified Consolidated Standards of Reporting Trials (CONSORT) checklist.
Six studies (five in vitro and one ex vivo) were included in qualitative analysis after a comprehensive manual search and electronic database search. Every study compared LC SDF versus non-LC SDF in terms of properties such as penetration depth, silver ion precipitation, dentine hardness, surface morphology and anti-bacterial characteristics. Four studies were categorised as low quality with a high risk of bias, whereas the remaining two studies were considered high quality with a low risk of bias.
In this investigation, LC SDF, compared with non-LC SDF, was found to be an efficacious approach for enhancing SDF properties. Future high-quality studies, particularly randomised clinical trials, remain necessary to verify these findings.
The use of light curing with SDF can be a beneficial strategy that enhances SDF's clinical use. This review comparing various properties of LC SDF and non-LC SDF may help clinicians enhance clinical use and patient acceptance of LC SDF.
本研究旨在比较光固化（LC）氟化银胺（SDF）与非光固化SDF在牙科应用中的各种性能表现。
根据布尔运算符从电子数据库（PubMed、Scopus和ScienceDirect）中检索截至2023年4月发表的文章，并手动搜索纳入文章的参考文献列表。纳入的文章均为英文全文、原创研究，评估了光固化SDF与单独使用SDF的效果。使用改良的《报告试验的统一标准》（CONSORT）清单评估牙科材料体外研究中的偏倚风险。
经过全面的手动搜索和电子数据库搜索后，六项研究（五项体外研究和一项离体研究）纳入定性分析。每项研究都比较了光固化SDF与非光固化SDF在渗透深度、银离子沉淀、牙本质硬度、表面形态和抗菌特性等性能方面的差异。四项研究被归类为低质量，存在高偏倚风险，而其余两项研究被认为高质量，偏倚风险低。
在本调查中，发现与非光固化SDF相比，光固化SDF是增强SDF性能的有效方法。未来仍需要高质量的研究，特别是随机临床试验，以验证这些发现。
SDF光固化的应用可能是一种有益的策略，可增强SDF的临床应用。本综述比较了光固化SDF和非光固化SDF的各种性能，可能有助于临床医生提高光固化SDF的临床应用和患者接受度。
