Community trial of silver fluoride treatment for deciduous dentition caries in remote Indigenous communities

Community trial of silver fluoride treatment for deciduous dentition caries in remote Indigenous communities Journal Article

Australian Dental Journal

• Author(s): Roberts-Thomson, Kaye F., Ha, Diep H., Wooley, Simon, Meihubers, Sandra, Do, Loc G.
• Published: 2019
• Publisher: John Wiley & Sons, Ltd (10.1111)
• ISBN: 0045-0421

Link to resource Report broken link

Abstract: Background Silver fluoride 40% followed by 10% stannous fluoride (AgF) has been used in dental practice in some parts of Australia for many years. This study compared the effectiveness of application of AgF with atraumatic restorative technique (ART) in managing cavitated carious primary molars Methods The study was a community effectiveness trial in two remote Aboriginal communities where AgF has been used for some time. Children between four and eight years of age with caries on primary molars were randomised by birth date to receive AgF or ART. There were 210 children who were included in the study with 384 eligible teeth. Children were followed up for periods between nine months and four years. Negative outcomes such as dental pain, extraction, use of antibiotics and more extensive restorative treatment were considered as the primary outcomes of the study Results Those negative outcomes were infrequent in both treatment groups. The prevalence ratio of negative sequelae for children treated with AgF compared with those treated with ART was lower at 0.18 Conclusions Silver fluoride was well accepted, easy to use and at least as effective a treatment as ART for dental caries in primary molars in young Aboriginal children in remote areas This article is protected by copyright. All rights reserved.

• Urls: https://doi.org/10.1111/adj.12689