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Two local treatments applied to children’s cavities can stop the majority of moving here Open the Jama Network.
Treating more than 10,000 cavities to New York Primary School students, the researchers found that both Atraumatic Restorations (ART) and the Fluoride of Silver (SDF) maintained the largest dental decay from deterioration, supporting non -surgical use.
Children lose about 34 million hours of school each year due to dental emergency care. Attracting cavity prevention programs in schools can improve children’s oral health and prevent many issues that lead to the need for emergency treatment, including pains due to pain, abscess or risk of infection.
In school programs dental programs, health professionals often use sealants-fine, protective overlays applied to the surface of the children’s rear teeth-to protect themselves from decomposing teeth. But few programs face existing cavities.
Art can be used to stop the evolution of the cavities by removing the decomposition of teeth with hand organs and applying the same protective material with sealants. The SDF has also emerged as a promising tool for the prevention and treatment of the cavity. Initially it was approved by the FDA to treat teeth sensitivity, the liquid brushed in the teeth to kill the bacteria that cause decomposition and to mix the teeth to avoid further decomposition.
To compare the use of SDF and art, researchers at Nyu College of Dentistry have led a large clinical trial in New York elementary schools in the framework of the Cariedaway cavity prevention program. On visits twice a year, healthcare professionals examined children’s teeth and applied either the art or the SDF followed by the fluoride varnish to any existing cavities, depending on the treatment that the school was accidentally assigned.
In a previous analysis of the Cariedaway study, NYU researchers reported that a single treatment of either art or SDF maintained about 50% of the cavities from the aggravation of two years.
Their latest analysis focused on more than 1,600 children aged 5 to 13 years who had cavities in one or more teeth. SDF or art were applied to children’s teeth – including over 10,000 cavities – during public school visits. Students were followed for up to four years to see if their tooth decays or stayed the same.
“This study is the most powerful analysis of these different cavity prevention techniques, as we focused on disintegration on each surface of the teeth and measured it for up to four years,” said Ryan Richard Ruff, Ph.D., MPH, Associate Professor of Epidemiology and Promotion of the Nyu College of Dentistaway.
Researchers found that SDF and art had similar results when applied to the cavities: SDF maintained 62% of decomposed surfaces from deterioration for over four years, while art controls 55%.
“Art offer or SDF to schools can help avoid the need for more invasive dental therapy and improve access to preventive care,” said Tamarinda J. Barry Godín, DDS, MPH, researcher at NYU College of Dentistry and Carieday Project Director.
Additional study authors include Aditi Ashish Gawande and NYU’s Qianhui Xu.
More information:
Fluoride of Diamine Silver against Atraumatic Rehabilitation for Managing Caries in Schools, Open the Jama Network (2025). DOI: 10.1001/Jamanetworkopen.2025.13826
Reference: School Dental Therapies stop the decomposition of children’s teeth on its paths (2025, June 9) recovered on September 24, 2025 by
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