{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T08:43:29Z","timestamp":1788857009268,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Root caries is a major dental public health concern, particularly among the geriatric population residing in old age homes. Preventive and noninvasive strategies, such as topical fluorides, have shown promise in managing root caries. This study compares the effectiveness of silver diamine fluoride (SDF) and sodium fluoride (NaF) varnish in preventing and arresting root caries in this population.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A parallel group randomised clinical trial was conducted among elders (60\u201389\u2009years) in old\u2010age homes of Udupi District, India. Participants with at least one exposed root surface caries lesion were recruited and randomly allocated to either the SDF group or the NaF group. Caries activity status (active vs. arrested) was assessed at baseline, 1\u2009month and 3\u2009month follow\u2010ups using explorer probing and ICDAS codes, with the primary outcome being arrest or progression of root caries lesions. Within\u2010group changes were evaluated using McNemar's test, and between\u2010group differences by Chi\u2010square test, with\n p<\/jats:italic>\n \u2009<\u20090.05 considered significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 57 participants were included (SDF group: 29; NaF group: 28). At 1\u2009month follow\u2010up, 96.6% of the SDF group showed arrested root caries, but only 50% in the NaF group showed arrested root caries (\n p<\/jats:italic>\n \u2009<\u20090.001). At 3\u2009months, 89.7% of the SDF group remained arrested, whereas only 21.63% of the NaF group maintained arrested caries (\n p<\/jats:italic>\n \u2009<\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n SDF may serve as a simple and practical treatment option for managing root caries, particularly in institutional care settings. Strengthening such preventive strategies can help address the growing burden of root caries in ageing populations and improve their overall quality of life.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ger.70025","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T11:48:25Z","timestamp":1761738505000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy of Silver Diamine Fluoride vs. Sodium Fluoride in Arresting Root Caries Among the Olders in Care Homes: A Randomised Controlled Trial"],"prefix":"10.1111","author":[{"given":"Bhargav","family":"Bhat","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry Manipal College of Dental Sciences Manipal India"},{"name":"Manipal Academy of Higher Education Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak Kumar","family":"Singhal","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Manipal College of Dental Sciences Manipal India"},{"name":"Manipal Academy of Higher Education Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9007-8092","authenticated-orcid":false,"given":"Nishu","family":"Singla","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Manipal College of Dental Sciences Manipal India"},{"name":"Manipal Academy of Higher Education Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1467-7130","authenticated-orcid":false,"given":"Prajna Pramod","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Manipal College of Dental Sciences Manipal India"},{"name":"Manipal Academy of Higher Education Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2299-0565","authenticated-orcid":false,"given":"Ananya","family":"Prabhu","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Manipal College of Dental Sciences Manipal India"},{"name":"Manipal Academy of Higher Education Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lahari","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Manipal College of Dental Sciences Manipal India"},{"name":"Manipal Academy of Higher Education Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.52682"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12104"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754\u20104505.2012.00318.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910608501011"},{"issue":"1","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1080\/19424396.2016.12220962","article-title":"UCSF Protocol for Caries Arrest Using Silver Diamine Fluoride: Rationale, Indications and Consent","volume":"44","author":"Horst J. A.","year":"2016","journal-title":"Journal of the California Dental Association"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12294"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2016.05.005"},{"issue":"3","key":"e_1_2_11_9_1","first-page":"241","article-title":"A Case Report: Arresting Dental Caries","volume":"75","author":"Milgrom P.","year":"2001","journal-title":"Journal of Dental Hygiene"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.17096\/jiufd.38691"},{"key":"e_1_2_11_11_1","unstructured":"IBM Corp \u201cIBM SPSS Statistics for Windows \u201dPreprint posted online 2015."},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000346620"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.32828\/mdj.v17i1.1015"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034510375825"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12668"}],"container-title":["Gerodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ger.70025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T11:48:26Z","timestamp":1761738506000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ger.70025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,29]]},"references-count":14,"alternative-id":["10.1111\/ger.70025"],"URL":"https:\/\/doi.org\/10.1111\/ger.70025","archive":["Portico"],"relation":{},"ISSN":["0734-0664","1741-2358"],"issn-type":[{"value":"0734-0664","type":"print"},{"value":"1741-2358","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,29]]},"assertion":[{"value":"2025-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ger.70025"}}