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The Role of Silver Diamine Fluoride in Paediatric Dentistry: An Umbrella Review
B B Chambon1, J P Lopes1, G Balixa1
1Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511, Almada, Portugal.
Aim:
To synthesise evidence from existing systematic reviews on the clinical effectiveness of SDF for the prevention and arrest of dental caries in primary teeth.
Methods:
This umbrella review was conducted in accordance with PRISMA 2020 guidelines. Systematic reviews (SRs), with or without meta-analyses, involving paediatric populations treated with SDF were retrieved from five databases (PubMed, EMBASE, Web of Science, CENTRAL, LILCAS) up to January 2025. Methodological quality was assessed using the AMSTAR 2 tool.
Conclusion:
The biannual use of 38% SDF remains the most evidence-supported, non-invasive intervention for arresting caries in primary dentition. Further high-quality randomised trials are required to confirm long-term outcomes and support clinical guideline development.
