Indirect Pulp Treatment with Silver Diamine Fluoride in Permanent Teeth: A Case Series


  • Danainat Pattamaworakhun Dental Department, Thabo Crown Prince Hospital
  • Rutchada Kittiprawong Dental Department, Thabo Crown Prince Hospital


Silver diamine fluoride, Indirect pulp treatment, Deep caries


Background: Silver diamine fluoride (SDF) is effective in dental caries management by promoting remineralization and arresting the carious process. These properties might be suitable for using SDF as an indirect pulp capping material. Objective: To report clinical and radiographic outcomes of indirect pulp treatment (IPT) with SDF in permanent teeth Methods: 13 permanent teeth (11 molars and 2 canines) with diagnosis of reversible pulpitis were included. Clinical procedures consisted of removing infected dentin and lining the caries-affected dentin with SDF. Teeth were then restored with resin composite, amalgam, or glass ionomer cement and followed up both clinically and radiographically at 6 and 12 months. Results: At 6 and 12 months follow up, 10 teeth showed clinical and radiographic success. 3 cases showed presence of spontaneous pain and/or periapical lesions which were regarded as treatment failure. Conclusion: SDF may be an effective alternative indirect pulp capping material when used in the management of permanent teeth with deep carious lesions.


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How to Cite

Pattamaworakhun D, Kittiprawong R. Indirect Pulp Treatment with Silver Diamine Fluoride in Permanent Teeth: A Case Series. J DMS [Internet]. 2023 Dec. 15 [cited 2024 Apr. 21];48(4):55-60. Available from:



Original Article