Document Type

Article

Publication Date

10-1-2025

Abstract

The present study aimed to investigate the effect of two different preventive measures a) Silver diamine (SDF) application, b) Diode laser irradiation, on caries progression of incipient carious occlusal lesions in primary second molars. This clinical trial included two equal study groups of patients, for applying; Group I: SDF application, Group II: Diode laser irradiation, the included second primary molars for intervention were selected with incipient carious lesions graded by International Caries Detection & Assessment System (ICDAS)with scores (0,1,2). The involved molars were followed up for 3, 6, 12 months and ICDAS scores were graded to check for caries progression and arrest. Regarding the caries progression, at 3 months follow up there was no differences scored between the two intervention groups, however at both 6 months and 12 months intervals; SDF group showed less Mean and Median values than Diode laser group, however the difference between the two groups was statistically non-significant for both intervals (p>0.05). Intragroup comparison within the same group comparing the caries progression values during the three different tie intervals revealed statistically significant values for both groups (0.05>p). In the current study SDF, application to incipient carious lesions had a non-significant higher inhibitory effect on progression in comparison to Diode laser irradiation. SDF and Diode laser irradiation are both preventive measures that could inhibit carious lesion’s progression in primary molars

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