Clinical and radiographic evaluation of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious first permanent molars a randomized clinical trial

Marwa Ahmed Ahmed Zaghloul; Manal Ahmed El Sayed; Randa Youssef Abd Al-Gawad; Ahmed Mohamed Abd El-Samad

doi:10.1038/s41405-024-00286-5

Clinical and radiographic evaluation of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious first permanent molars a randomized clinical trial

BDJ Open. 2025 Jan 9;11(1):4. doi: 10.1038/s41405-024-00286-5.

Authors

Marwa Ahmed Ahmed Zaghloul¹, Manal Ahmed El Sayed², Randa Youssef Abd Al-Gawad², Ahmed Mohamed Abd El-Samad³

Affiliations

¹ Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo University, Giza, Egypt. marwa_zaghloul@dentistry.cu.edu.eg.
² Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo University, Giza, Egypt.
³ Oral Radiology, Faculty of Dentistry, Cairo University, Giza, Egypt.

Abstract

Aim: Clinical and radiographic evaluation of SDF versus MTA as indirect pulp capping agents in deeply carious first permanent molars.

Methodology: This study was conducted on (30) first permanent molars indicated for indirect pulp capping (IPC) randomly allocated to either SDF or MTA groups (n = 15). The molars were finally restored with glass hybrid glass ionomer restoration. Clinical assessment was conducted at 3, 6, 9 and 12 months, while radiographic assessment was performed at 6 and 12 months using predetermined criteria. Data was statistically analyzed.

Results: There was no statistically significant difference between both groups for all assessed clinical and radiographic parameters, including dentin bridge formation, at all follow-up periods. There was no evidence of clinical or radiographic failure in either group.

Conclusions: SDF showed a high success rate compared to MTA and can be considered a promising alternative IPC agent in permanent molars.