Effect of Silver Diamine Fluoride Pretreatment on Shear Bond Strength of Resin Modified Glass Ionomer Cement to Primary Dentin


  • Maiada Mohammad Ahmad Sa’ada Department of Pediatric and Community Dentistry, Faculty of Dentistry, Assiut University, Assiut, Egypt
  • Nagwa Mohammed Ali Khattab Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
  • Maha Ishaq Amer Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Minia University, Minia, Egypt




Shear bond strength, Silver diamine fluoride, Resin modified glass ionomer


AIM: The aim of the study was to evaluate effect of silver diamine fluoride (SDF) on the shear bond strength (SBS) of glass ionomer restoration to primary dentine.

MATERIALS AND METHODS: Twenty extracted primary molars with no restorations or developmental anomalies were only chosen for the study. Twenty dentine slices with 2 mm thickness were prepared and then randomly allocated into two groups (n = 10 per group). For Group 1 (experimental): Dentine surfaces were treated with 38% *SDF solution (Elevate oral care, USA) for 3 min using micro-brush, followed by a 30 s rinse with water and Group 2 (Control): Dentine surfaces were treated with distilled water for 3 min then rinsed for 30 s. The cavity conditioner was applied to flat dentin of both groups for 10 s then washed and dried gently with compressed air. All the specimens were restored with *RMGIC (Riva Light Cure, SDI, Australia). SBS was determined using a Universal Testing machine and Failure mode was evaluated using stereomicroscope. Data were collected and statistically analyzed. Independent t test was used to assess differences in SBS between study groups and mode of failure was analyzed using Fisher’s exact test. Level of significance was set at p ≤ 0.05. IBM SPSS statistical software (version 26) was used to analyze the data.

RESULTS: The experimental group had significantly higher mean of shear bond (11.92 ± 3.35) strength than the control group (6.99 ± 2.98) (p = 0.003).

CONCLUSIONS: Primary dentin pre-treatment with 38% SDF increases the shear bond strength between RMGIC and primary dentin according to the results of this in vitro study.


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Thean H, Wong ML, Koh H. The dental awareness of nursing home staff in Singapur-a pilot study. Gerodontology. 2007; 24(1):58-63. https://doi.org/10.1111/j.1741-2358.2007.00138.x PMid:17302933 DOI: https://doi.org/10.1111/j.1741-2358.2007.00138.x

American Dental Association Council on Scientific Affairs. Professionally applied topical fluoride: Evidence-based clinical recommendations. J Am Dent Assoc. 2006; 137(8):1151-9. https://doi.org/10.14219/jada.archive.2006.0356 PMid:16873333 DOI: https://doi.org/10.14219/jada.archive.2006.0356

Horst JA, Ellenikiotis H, Milgrom PL. UCSF protocol for caries arrest using silver diamine fluoride: Rationale, indications, and consent. J Calif Dent Assoc. 2016; 44(1):16-28. PMid:26897901

Rosenblatt A, Stamford T, Niederman R. Silver diamine fluoride: A caries “silver-fluoride bullet”. J Dent Res. 2009; 88(2):116-25. https://doi.org/10.1177/0022034508329406. PMid:19278981 DOI: https://doi.org/10.1177/0022034508329406

World Health Organization. WHO Expert Consultation on Public Health Intervention against Early Childhood Caries: Report of a Meeting, Bangkok, Thailand. Geneva: World Health Organization; 2017. Available from: https://www.apps.who.int/iris/handle/10665/255627. [Last accessed on 2021 May17].

Chu CH, Mei L, Seneviratne CJ, Lo EC. Effects of silver diamine fluoride on dentine carious lesions induced by Streptococcus mutans and Actinomyces naeslundii biofilms. Int J Paediatr Dent. 2012; 22(1):2-10. https://doi.org/10.1111/j.1365-263X.2011.01149.x PMid:21702854 DOI: https://doi.org/10.1111/j.1365-263X.2011.01149.x

Mei ML, Ito L, Cao Y, Lo EC, Li QL, Chu CH. An ex vivo study of arrested primary teeth caries with silver diamine fluoride therapy. J Dent. 2014; 42(4):395-402. https://doi.org/10.1016/j.jdent.2013.12.007. PMid:24373856 DOI: https://doi.org/10.1016/j.jdent.2013.12.007

Mei ML, Li QL, Chu CH, Yiu CK, Lo EC. The inhibitory effects of silver diamine fluoride at different concentrations on matrix metalloproteinases. Dent Mater. 2012; 28(8):903-8. https://doi.org/10.1016/j.dental.2012.04.011 PMid:22578660 DOI: https://doi.org/10.1016/j.dental.2012.04.011

Mei ML, Ito L, Cao Y, Li Q, Lo EC, Chu C. Inhibitory effect of silver diamine fluoride on dentine demineralization and collagen degradation. J Dent. 2013; 41(9):809-17. https://doi.org/10.1016/j.jdent.2013.06.009 PMid:23810851 DOI: https://doi.org/10.1016/j.jdent.2013.06.009

Mei ML, Chu CH, Lo EC, Samaranayake LP. Fluoride and silver concentrations of silver diamine fluoride solutions for dental use. Int J Paediatric Dent. 2013; 23(4):279-85. https://doi.org/10.1111/ipd.12005. PMid:23033939 DOI: https://doi.org/10.1111/ipd.12005

Suzuki T, Nishida M, Sobue S, Moriwaki Y. Effects of diammine silver fluoride on tooth enamel. J Osaka Univ Dent Sch. 1974; 14:61-72. PMid:4535096

Chu CH, Lo EC. Microhardness of dentine in primary teeth after topical fluoride applications. J Dent. 2008; 36(6):387-91. https://doi.org/10.1016/j.jdent.2008.02.013 PMid:18378377 DOI: https://doi.org/10.1016/j.jdent.2008.02.013

Zhao IS, Chu S, Yu OY, Mei ML, Chu CH, Lo EC. Effect of silver diamine fluoride and potassium iodide on shear bond strength of glass ionomer cements to caries‐affected dentine. Int Dent J. 2019; 69(5):341-7. https://doi.org/10.1111/idj.12478 PMid:30892699 DOI: https://doi.org/10.1111/idj.12478

Wu DI, Velamakanni S, Denisson J, Yaman P, Boynton JR, Papagerakis P. Effect of silver diamine fluoride (SDF) application on microtensile bonding strength of dentin in primary teeth. Pediatr Dent. 2016; 38(3):148-53. PMid:27097864

Fröhlich TT, Rocha RD, Botton G. Does previous application of silver diammine fluoride influence the bond strength of glass ionomer cement and adhesive systems to dentin? Systematic review and meta-analysis. Int J Paediatr Dent. 2019; 30:85-95. https://doi.org/10.1111/ipd.12571 PMid:31419356 DOI: https://doi.org/10.1111/ipd.12571

Rencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis-a comprehensive review. J Clin Periodontol. 2017; 44 Suppl 18:S94-105. https://doi.org/10.1111/jcpe.12677. PMid:28266116 DOI: https://doi.org/10.1111/jcpe.12677

Howe PR. A method of sterilizing and at the same time impregnating with a metal affected dentinal tissue. Dent Cosmos. 1917; 59(9):891-904.

Shounia TY, Atwan S, Alabduljabbar R. Using silver diamine fluoride to arrest dental caries: A new approach in the US. J Dent Oral Biol. 2017; 2(18):1105.

Fung MH, Duangthip D, Wong MC, Lo EC, Chu CH. Randomized clinical trial of 12% and 38% silver diamine fluoride treatment. J Dent Res. 2018; 97(2):171-8. https://doi.org/10.1177/0022034517728496 PMid:28846469 DOI: https://doi.org/10.1177/0022034517728496

Puwanawiroj A, Trairatvorakul C, Dasanayake AP, Auychai P. Microtensile bond strength between glass ionomer cement and silver diamine fluoride-treated carious primary dentin. Pediatr Dent. 2018; 40(4):291-5. PMid:30345969

Tanumiharja M, Burrow MF, Tyas MJ. Microtensile bond strengths of glass ionomer (polyalkenoate) cements to dentine using four conditioners. J Dent. 2000; 28(5):361-6. https://doi.org/10.1016/s0300-5712(00)00009-9 PMid:10785303 DOI: https://doi.org/10.1016/S0300-5712(00)00009-9

Wang AS, Botelho MG, Tsoi JK, Matinlinna JP. Effects of silver diammine fluoride on microtensile bond strength of GIC to dentine. Int J Adhes Adhes. 2016; 70:196-203. https://doi.org/10.1016/j.ijadhadh.2016.06.011 DOI: https://doi.org/10.1016/j.ijadhadh.2016.06.011

Jaivrat G, Manuel ST, Radhakrishna M, Srikant N, Kishore G. Effect of silver diamine fluoride-potassium iodide and 2% chlorhexidine gluconate cavity cleansers on the bond strength and microleakage of resin-modified glass ionomer cement. J Conserv Dent. 2019; 22(2):201-6. https://doi.org/10.4103/JCD.JCD_485_18 PMid:31142994 DOI: https://doi.org/10.4103/JCD.JCD_485_18

Soliman N, Bakry N, Mohy El Din MH, Talat, D. Effect of silver diamine fluoride pretreatment on microleakage and shear bond strength of resin modified glass ionomer cement to primay dentin (in vitro study). Alexandria Dent J. 2021;1-6. https://doi.org/10.21608/adjalexu.2020.35954.1085 DOI: https://doi.org/10.21608/adjalexu.2020.35954.1085

Pérez-Hernández J, Aguilar-Díaz FC, Venegas-Lancón RD, Gayosso CA, Villanueva-Vilchis MC, de la Fuente-Hernández J. Effect of silver diamine fluoride on adhesion and microleakage of a pit and fissure sealant to tooth enamel: In vitro trial. Eur Arch Paediatr Dent. 2018; 19(6):411-6. https://doi.org/10.1007/s40368-018-0374-4 PMid:30324562 DOI: https://doi.org/10.1007/s40368-018-0374-4

François P, Greenwall-Cohen J, Le Goff S, Ruscassier N, Attal JP, Dursun E. Shear bond strength and interfacial analysis of high-viscosity glass ionomer cement bonded to dentin with protocols including silver diammine fluoride. J Oral Sci. 2020; 62(4):444-8. https://doi.org/10.2334/josnusd.20-0065 PMid:32879159 DOI: https://doi.org/10.2334/josnusd.20-0065




How to Cite

Sa’ada MMA, Khattab NMA, Amer MI. Effect of Silver Diamine Fluoride Pretreatment on Shear Bond Strength of Resin Modified Glass Ionomer Cement to Primary Dentin. Open Access Maced J Med Sci [Internet]. 2021 Sep. 20 [cited 2024 Apr. 18];9(D):243-7. Available from: https://oamjms.eu/index.php/mjms/article/view/7093



Pedodontics and Preventive Dentistry