Silver Diamine Fluoride (SDF) in Pediatric Dentistry Efficacy and Long-Term Outcomes

( silver fluoride, fillings reached, crowns reached, quality of life, sensitivity, caries prevention)

Athraa Hussein madhat1*
College of dentistry,university of
Diyala, Ministry of Higher Education
and
Scientific
Research(athraa.hussein@uodiyala.edu
.iq)
Sumaya Hussein Ali2
College of dentistry,university of
Diyala, Ministry of Higher Education
and
Scientific
Research
(sumaya.hussein@uodiyala.edu.iq)
Wedyan Abbas Ahmed3
College of Dentistry,University of
Bilad
Alrafidain,
Diyala,
32001,iraq(Wedainabbas94@gmail.co
m)
Haider dawood Abdalnabi4
Specialized Dental Center in Baqubah,
Diyala Health Directorate, Iraqi
Ministry
of
Health(hadier.dawodabd@alyarmok.edu.iq)

Received:31.01.2026
Revised: 5.2.2025
Accepted: 27.02.2026

10.1922/ejprd.v34i2.1330

European Journal of Prosthodontics and Restorative Dentistry (2026) 34(2), 69-78

Silver Diamine Fluoride (SDF)
in Pediatric Dentistry Efficacy
and Long-Term Outcomes

The study aims Determine the long-term effect of using silver fluoride in dental treatment for children from five to 12 years of age and compare this method with other treatment methods for treating children’s baby teeth, such as fillings. Resulting from caries after removing the damaged part of the tooth. And installing dental crowns to align the damaged teeth but cannot be repaired with fillings. Inclusion Criteria: Children from five to 12 years old have dental problems such as tooth decay or inflammation of the roots of the teeth Exclusion Criteria: Children who are allergic to silver fluoride and who have concomitant diseases such as kidney disease and late-stage caries, in addition to children under five years old and older than 12 years old. Design Through this comparative analytical study, which aims to evaluate the effect of using silver fluoride for dental treatment in children from 5 to 12 years of age, a sample of 100 children with tooth decay and root inflammation was used. They were filtered to 60 children according to the inclusion and exclusion criteria, and the children were divided into three groups. The first group numbered 20 children who were treated using methods by installing fillings, and the second group The second group of 20 children were treated with crowns, and the third group was children treated with long-term silver fluoride.

The results indicate that treatment with silver fluoride does not cause any harm in the long or short term, and that the effectiveness of treatment with silver fluoride is better than the effectiveness of treatment with traditional methods. The quality-of-life index for children who were treated with silver fluoride reached 80%, while the quality of life index for children who were treated with fillings reached 87%, and the quality-of-life index for children who were fitted with crowns reached 83% in front of one hand. Cost: The results indicated that the use of silver fluoride was better in terms of cost by 75% for children who were treated with fillings and 65% for children who were treated with crowns. As for the caries prevention index, it was reached in the case of children who were treated with long-term silver fluoride. 85%, and for children who were treated with crowns, 90%, and those treated with fillings, 98%. As for tooth and gum sensitivity, the silver vein treatment index reached 95%, fillings placement, 85%, and directional placement, 80%.

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