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Table 4 Results of the included studies

From: Clinical efficacy and the antimicrobial potential of silver formulations in arresting dental caries: a systematic review

Study

Intervention and Comparator

Outcome Measure

Summary Intervention

Summary Comparator

Karched et al., 2019

-38% SDF vs.

-SDF/KI vs.

-2%CHX (+ve control)

-Total viable count--Colony forming units

Median CFU counts/mg of dentine following SDF/KI treatment

9x105 to 1.6x 102

Median CFU counts/mg of dentine after CHX treatment

1.6x103 to 1.1x 102

Milgrom et al., 2018

-38% SDF vs.

-placebo blue tinted distilled water

-RNA sequencing analysis to identify relative abundance of caries-associated microbes

RNA sequencing analysis identified no consistent changes in the relative abundance of cariogenic microbes

 

Mitwalli et al., 2019

-38% Silver diamine fluoride

-16S rDNA sequencing to determine bacterial profiles

Decrease in count of acidogenic bacterial species post-SDF treatment

Actinomyces sp. HOT448

Propionibacterium acidifaciens

Scardovia inopinata

Propionibacterium sp. HOT194

Treponema denticola

Bifidobacterium dentium

Propionibacterium genus probe

Parascardovia denticolens

Scardovia genus probe 4

Actinomyces israelii

 

Mei et al., 2013

-38% SDF vs.

-Distilled water

-Microbial Kinetics-Colony forming units

-Viability of microbes-Confocal microscopy

Day 21 (total bacteria)

5.72±0.19

Day 21Dead: live ratio

0.92±0.36

Day 21 (total bacteria)

12.20±0.84

Day 21Dead: live ratio

0.004±0.001

Chu et al., 2012

-38% SDF vs.

-Distilled water

-Microbial Kinetics-Colony forming units

-Viability of microbes-Confocal microscopy

S. mutans(Log CFU=0)

A. naeslundii (Log CFU=0)

S. mutansDead: live ratio

5.61±2.42

A. naeslundiiDead: live ratio

16.01±10.83

S. mutans (Log CFU=6.03±0.18)

A. naeslundii (Log CFU=7.00±0.24)

S. mutansDead: live ratio

0.025±0.01

A. naeslundiiDead: live ratio

0.23±0.09

Mei et al., 2013(a)

-38% SDF vs.

-Distilled water

-Microbial Kinetics-Colony forming units

-Viability of microbes-Confocal microscopy

S. mutans(Log CFU=4.02±0.35)

L.acidophilus (Log CFU=1.80±0.28)

S.mutans and L. acidophilus

Dead: live ratio

6.74±5.29

S. mutans (Log CFU=6.03±0.18)

L.acidophilus (Log CFU=7.00±0.24)

S.mutans and L. acidophilus

Dead: live ratio

0.02±0.002

Hamama et al., 2015

-SDF/KI vs.

-Chlorhexidine

-Mean percentages of dead and live bacteriaafter 5 minutes of surface treatment

SDF/KI group (56.1 ±13.0%)

SDF/KI following Carisolv (27.7 ±13.5%)

SDF/KI following Papacarie gel

(36.9 ±4.4%)

SDF/KI group (56.1 ±13.0%)

Carisolv (0.4± 0.7%)

Papacarie (19.5± 6.6%)

CHX (19± 10.8%)

CHX vs. Papacarie gel

(19.5± 6.6%)

Besinis et al., 2014

-Nanosilver (AgNPs) vs.

-Silver nitrate (AgNO3) vs.

-Chlorhexidine

- Measuring turbidity,

-Proportion of live and dead cells and

-lactate production

All three bioassays demonstrated both silver nanoparticles and silver nitrate dentine coatings highly bactericidal (>99.5%) against S. mutans

Chlorhexidine coating on dentine disc showed no antibacterial effect against S. mutans