Masking SDF-Induced Discoloration on Deciduous Molars: GIC vs. Giomer

Silver diamine fluoride (SDF) has emerged as a revolutionary, non-invasive solution for arresting dental caries. Its antibacterial properties and cost-effectiveness make it an attractive option in pediatric dentistry. However, the most significant drawback is the unaesthetic black staining it leaves on treated teeth. This study explored how two different restorative materials—Glass Ionomer Cement (GIC) and Giomer—can effectively mask this discoloration.

Introduction

Dental caries remains one of the most common chronic diseases affecting children worldwide. Traditional methods of caries treatment often involve invasive procedures that can be traumatic for young patients. SDF offers a less invasive alternative by arresting active carious lesions without requiring extensive drilling or sedation. Despite its benefits, SDF's application results in unsightly black stains on the treated areas, which can be a concern for both parents and children. To address this issue, this study investigated whether GIC or Giomer is more effective at masking these stains on extracted deciduous molars.

Materials and Methods

Sample Selection

Twenty carious primary molars indicated for extraction were selected for this study. These samples were divided into two groups:

• Group 1: Restored with Glass Ionomer Cement (GIC)
• Group 2: Restored with Giomer

Procedure

After applying SDF to all samples, restorations were performed using either GIC or Giomer based on their group allocation. A spectrophotometer was employed to measure color changes before and after restoration to assess each material's ability to mask discoloration.

Statistical Analysis

The data collected from spectrophotometric measurements were subjected to statistical analysis, with significance assessed at a p-value less than 0.05.

Results

The study found a statistically significant difference (p=0.001) between the two groups regarding their efficacy in masking SDF-induced discoloration. Both materials showed considerable improvement in aesthetics compared to untreated teeth; however, there were notable differences between them.