2020-20-05
Dentistry
Background: Use of silver diamine fluoride (SDF)
after selective caries excavation can arrest the
further progress of the carious lesion. Application of
potassium iodide (KI) can reduce the staining due to
SDF. Aim: The aim of the study was to evaluate the
effect of the application of SDF, with and without acid
etching and KI on the bond strength of resin‑modified
glass ionomer cement (RMGIC) to the carious dentin
of primary teeth. Materials and Methods: In this
in vitro study, caries was induced on the occlusal
surface by inoculating Streptococcus mutans strain
in 36 extracted primary molars. The teeth were
divided into four groups (n = 9), and the following
treatments were done to the carious dentin prior
to final restoration with RMGIC: Group I: 10%
polyacrylic acid conditioner, Group II: 38% SDF,
Group III: 37% phosphoric acid etchant followed
by 38% SDF, and Group IV: 37% phosphoric acid
etchant followed by 38% SDF and 10% potassium
iodide solution. The microtensile bond strength was
measured using universal testing machine. Failure
modes were recorded using a scanning electron
microscope. Results: There was no significant
difference in microtensile bond strengths between
the groups (P = 0.665), with the highest value seen in
Group III. Conclusions: Application of SDF with or
without acid etching and KI does not affect the bond
strength of RMGIC to carious dentin of primary
teeth.