Evidence map›Paper›PMID 42431092›Full record

ArticleInternational dental journal2026

Antibiofilm Property of Silver Diamine Fluoride Against Elected Periodontal Pathogens: An In Vitro Study.

Jing Zhang, Zelda Ziyi Zhao, Chun Hung Chu

Abstract read
In one paragraph

Article in International dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jing ZhangFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
Zelda Ziyi ZhaoFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
Chun Hung ChuFaculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China. Electronic address: chchu@hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis in vitro study aimed to evaluate the antibiofilm effects of silver diamine fluoride (SDF) against key periodontal pathogens.

methodsSingle-species biofilms of the periodontal pathogens Porphyromonas gingivalis, Fusobacterium nucleatum, and Aggregatibacter actinomycetemcomitans, as well as their consortium biofilm, were established on glass coverslips by anaerobic incubation for 72 hours. Mature biofilms were subsequently treated with 38% SDF solution for three minutes. Biofilm viability was assessed using confocal laser scanning microscopy (CLSM). Biofilm morphology and ultrastructure were examined via scanning electron microscopy (SEM) and transmission electron microscopy (TEM), respectively. 0.2% chlorhexidine gluconate (CHX) served as a positive control, while phosphate-buffered saline (PBS) served as a negative control.

resultsCLSM showed that the percentage of viable cells in biofilms treated with SDF, CHX and PBS was 9.67% ± 1.53%, 31.33% ± 4.73%, and 89% ± 3.61% for Porphyromonas gingivalis; 6.33% ± 0.58%, 33.33% ± 4.73%, and 75.67% ± 8.74% for Fusobacterium nucleatum; 6.67% ± 1.53%, 29.33% ± 4.04% and 83.33% ± 7.37% for Aggregatibacter actinomycetemcomitans, and 8% ± 1%, 31.33% ± 2.52%, and 74.67% ± 6.66% for the multi-species biofilm (p < .001; SDF<CHX<PBS). SEM images confirmed that SDF markedly disrupted biofilm morphology, leading to greater reductions in biofilm density than CHX. TEM analysis further demonstrated that SDF induced severe ultrastructural damage, including abnormal membrane curvature and disruption of cytoplasmic and cell wall integrity.

conclusion38% SDF shows stronger antibiofilm activity than 0.2% CHX against key periodontal pathogens, markedly reducing biofilm viability and disrupting structural integrity. CLINICAL SIGNIFICANCE: These in vitro findings support further evaluation of SDF as an adjunct to conventional periodontal therapy, particularly in patients at high risk of biofilm-mediated periodontal disease.

Indexed as

Aggregatibacter actinomycetemcomitansAnti-Bacterial AgentsBiofilmsFusobacterium nucleatumPorphyromonas gingivalisQuaternary Ammonium CompoundsSilver CompoundsFluorides, TopicalFluoride TreatmentHumansIn Vitro TechniquesMicroscopy, ConfocalMicroscopy, Electron, ScanningMicroscopy, Electron, TransmissionAnti-Bacterial AgentsFluorides, TopicalQuaternary Ammonium CompoundsSilver Compoundssilver diamine fluorideBiofilmPeriodontitisSilver diamine fluoride

Identifiers

PMID42431092
PMCPMC13380463

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.