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Abstract Aim: The aim of this study was to measure the remineralization ability and the bacterial inhibitory effect of Riva star on carious dentin of primary teeth versus those treated with SDF only. Methods: For microhardness testing: Thirty freshly extracted primary molars were embedded in self-curing acrylic cylinders. Occlusal enamel and soft carious dentin were removed. The teeth were randomly allocated either to control (SDF) or intervention group (Riva star). Microhardness, in terms of VHN, was measured at baseline and after treatment. For inhibition zone measurement: The standard strain of S. mutans was used to test the antibacterial action of the test materials on Blood agar plates. Four wells of 5 mm diameter and 2 mm depth were incorporated with the two test materials (Riva Star and SDF), chlorhexidine as positive control and distilled water as negative control. The zones of inhibition were measured in millimeters in diameter around the material in the punched wells after 24 h. Results: Microhardness test: There was no statistically significant difference at baseline between (Riva Star) and (SDF) groups (p=0.050). After treatment, there was a statistically significant difference between (Riva Star) and (SDF) groups (p<0.001). The highest mean value was found in (SDF), while the least mean value was found in (Riva Star) group. Measurement of inhibition zone: A statistically significant difference was found between (Distilled water/Negative control) and each of (Riva Star), (SDF) and (Chlorhexidine/Positive control) groups (p<0.001). No statistically significant difference was found between any other groups. The highest mean value was found in (SDF) followed by (Riva Star) and (Chlorhexidine), while the least mean value was found in (Distilled water). Conclusions: SDF and Riva star both resulted in increased microhardness of carious dentin of primary teeth. SDF/KI had a relatively lower antibacterial effect in the investigated bacterial strains in comparison with SDF alone. Keywords: Silver diamine fluoride, Potassium iodide, Riva star, Microhardness, Carious dentin of primary teeth, Antibacterial effect. |