scholarly journals EXPANDING HORIZON IN CARIES PREVENTION WITH SILVER DIAMINE FLUORIDE- A REVIEW

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Sumeet Palta ◽  
Sumeet Kaur
Keyword(s):  
Dental Caries ◽  
Dental Health ◽  
Low Cost ◽  
Invasive Procedure ◽  
Silver Diamine Fluoride ◽  
Restorative Treatment ◽  
Non Invasive ◽  
Metallic Taste ◽  
Black Discoloration ◽  
Degree Of Severity

Dental caries is the most common pandemic on the globe, affecting various age bars in all countries with varying degree of severity. Silver diamine fluoride provides an alternative care path for those patients in whom traditional restorative treatment cannot be done. Application of SDF to arrest dental caries is a non-invasive procedure that is quick and simple to use. Reports of available studies found no severe pulpal damage after SDF application. However, it has drawbacks like black discoloration of the carious teeth and an unpleasant metallic taste. But, the low cost of SDF and its simplicity in application suggest that SDF is an appropriate therapeutic agent for use in community dental health projects. Keywords: Silver diamine fluoride; Dental caries; Caries arrest

Silver diamine fluoride for managing carious lesions: A literature review

2021 ◽  
Vol 11 (2) ◽  
pp. 118-122
Author(s):  
Dishika Iswar ◽  
Arun Kumar Sajjanar ◽  
Milind Wasnik ◽  
Niharika Gawod ◽  
Partima Kolekar ◽  
...  
Keyword(s):  
Dental Caries ◽  
Dental Health ◽  
Low Cost ◽  
Invasive Procedure ◽  
Antimicrobial Effect ◽  
Permanent Teeth ◽  
Silver Diamine Fluoride ◽  
The Us ◽  
Socioeconomical Status ◽  
Silver Compounds

Though the prevalence and the severity of dental caries is decreased in past few years, still children from low socioeconomical status in many industrialized or developing countries are still suffering from ill-effects of dental caries. The antimicrobial effect of silver compounds has been proven by the 100-year-old application of silver compounds. Silver diamine fluoride (SDF) has been used to arrest dental caries during 1970s in Japan, but it was not exposed much to other parts of the world. Today in many countries a 38% (44,800 ppm fluoride) SDF solution is commonly used to arrest caries and also to reduce hypersensitivity in primary and permanent teeth. Application of SDF to arrest dental caries is non-invasive procedure and is quick and simple to use. Reports of available studies showed that there is no severe pulpal damage after SDF application. However, it has some drawbacks like black discoloration of the carious teeth and an unpleasant metallic taste. But, low cost of SDF and its simplicity in application suggest that it is an appropriate agent for use in community dental health programme. Thus, SDF appears to meet the criteria of both the WHO Millennium Goals and the US Institute of Medicine’s criteria for 21st century medical care, that is, it is a safe, effective, efficient, and equitable caries preventive agent.

Airway Management of COVID 19 and Low Cost Ventilators - A boon or bane

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1682-1688
Author(s):  
Shristi Verma
Keyword(s):  
Septic Shock ◽  
Mechanical Ventilation ◽  
Drug Therapy ◽  
Oxygen Therapy ◽  
Close Contact ◽  
Low Cost ◽  
Invasive Procedure ◽  
Non Invasive ◽  
Progression Of Disease ◽  
Corona Viruses

Corona viruses are a large group of infectants that caused illness in humans and animals. In human it spreads through contact between people which is observed with MERS and SARS. Close contact leads to the spread of this deadly virus through the droplets from cough, sneezes or talks. The incubation period ranges between 2-14 days which is still uncertain in many a lot of cases. Depending on the symptoms disease has been categorized for the management, thus mild symptoms with sore throat, fever, cough and malaise are treated with antipyretic and antitussives with nutritive care. For moderate symptoms oxygen therapy, Anticoagulation, corticosteroids is given with antiviral drugs, demand for the supply must be maintained. WRT the severe cases drug therapy should be continued and oxygenation maintained early in the disease, with the progression of disease to ARDS ventilation protocol is taken into action firstly with non-invasive procedure supplying oxygen by the mask or the nasal cannula and maintaining the SpO2 and FiO2. If the condition worsens the Lung no longer acts compliant endotracheal intubation is performed for implementation of mechanical ventilation in the setting with access to expertise. For the patients who undergoes septic shock, patient is started on antimicrobial therapy, fluid loadings maintained and vasopressors given. Glucocorticoids can be used for short duration for the worsening condition of the patient. Their raised a situation of scarcity of ventilators, suddenly with the pandemic in the country alarming the under preparation of the demand for the present and future. Thus, by going local the ideology of low-cost ventilators happened.

scholarly journals PENGGUNAAN SILVER DIAMINA FLUORIDA (SDF) 38% SEBAGAI Arresting Caries Treatment (ACT) PADA ANAK-ANAK

2011 ◽  
Vol 35 (2) ◽  
pp. 98
Author(s):  
Lendrawati Lendrawati
Keyword(s):  
Dental Caries ◽  
Dental Health ◽  
Tissue Formation ◽  
Acid Dissolution ◽  
Fluoride Ions ◽  
Colorless Liquid ◽  
Silver Diamine Fluoride ◽  
The Public ◽  
Caries Treatment ◽  
Mineral Substance

AbstrakKaries merupakan masalah kesehatan gigi yang banyak diderita oleh anak-anak seluruh dunia terutama negara berkembang termasuk Indonesia. Kerusakan gigi pada anak-anak terjadi lebih cepat dibandingkan orang dewasa karena gigi yang baru erupsi masih dalam proses maturasi dan proses mineralisasi belum sempurna. Tubuli dentin anak anak yang masih lebar menyebabkan pembentukan jaringan sklerotik tidak sempurna dan buffer saliva masih kurang sehingga aktivitas proteolitik menjadi lebih banyak di dalam mulut. Fluor merupakan zat mineral yang digunakan sebagai bahan yang efektif mencegah terjadinya karies gigi dapat membuat lapisan email tahan terhadap kerusakan yang disebabkan pelarutan email oleh zat asam. Strategi pencegahan karies lebih efektif sejak diperkenalkannya silver diamina fluoride (SDF) yang merupakan cairan tidak berwarna mengandung ion fluoride yang digunakan untuk memacu terjadinya proses remineralisasi hidoksiapatit mineral gigi. Penggunaan SDF ini merupakan metoda Arresting Caries Treatment (ACT). SDF menggabungkan efek penguatan gigi dari natrium fluoride (NaF) dan efek nitrat perak.Konsentrasi efektif solusi SDF 38% (44.800 ion fluoride ppm) digunakan untuk menghambat perkembangan karies pada gigi sulung anak-anak, terutama anak-anak yang sulit untuk dilakukan perawatan. SDF sederhana, mudah dalam mengaplikasikan dan biaya pemakaian lebih murah. SDF merupakan bahan yang tepat untuk digunakan untuk mengatasi masalah kesehatan gigi masyarakat terutama pada anak-anak.Kata Kunci : karies gigi, silver diamine fluoride, Arresting Caries Treatment, topikalAbstractDental caries is a health problem that affects many children all over the world, especially in developing countries, including Indonesia. Tooth decay in children occurs more rapidly than adults because the new tooth eruption is still in the process of maturation and mineralization process is not perfect. Dentin tubules of children is still wide lead sclerotic tissue formation was not perfect and still less saliva buffer so that a more proteolytic activity in the mouth. Fluor is a mineral substance that used as an ingredient that effectively prevent the occurrence of dental caries and can make enamel resistant to decay caused by acid dissolution email. TINJAUAN PUSTAKA99Strategy of caries prevention is more effective since the introduction of silver diamine fluoride (SDF) which is a colorless liquid containing fluoride ions are used to induce the process of remineralization mineral of tooth that is hidoksiapatit. SDF is a method of Arresting Caries Treatment (ACT). That combines the strengthening tooth effects of sodium fluoride (NaF) and the effect of nitrate perak. Used of 38% concentration of SDF solution (44,800 ppm fluoride ion) are effective to inhibit the development of caries in primary teeth of children, especially children who are difficult to be treated. SDF use is simple, easy to apply and use costs cheaper. SDF is a good material to be used in the public dental health problems, especially in children.Key word : dental caries, silver diamine fluoride, Arresting Caries Treatment, topical

scholarly journals Atraumatic Restorative Treatment: A Short Review

2016 ◽  
Vol 3 (1) ◽  
pp. 41-42
Author(s):  
M Vijaya Raju ◽  
Vinay Darshan ◽  
A. P. Nirmal Raj ◽  
Sanajay Kumar ◽  
S. Revathi
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Rural Areas ◽  
Low Cost ◽  
Short Review ◽  
Atraumatic Restorative Treatment ◽  
Treatment Needs ◽  
Restorative Treatment ◽  
Care Workers ◽  
The Status

In certain patients for whom there is increased demand for the treatment needs such as rural areas, an attempt has been made to improve the status of the oral health by use of the procedures which arrest the destructive dental caries process and alter microorganisms to favorable condition. This is called as atraumatic restorative treatment. It consists of low-cost and simplified technique using only hand instruments for the removal of the carious lesion and to arrest the progression of the caries. Since its discovery it has becoming an important treatment modality for the oral health care workers in managing dental caries. The present article reviews the importance of the atraumatic restorative treatment.  

scholarly journals Nanosilver fluoride as a caries arresting agent: A narrative review

2021 ◽  
pp. 1-13
Author(s):  
Mohammed Zameer ◽  
◽  
Sameen Badiujjama Birajdar ◽  
Syed Nahid Basheer ◽  
Syed Wali Peeran ◽  
...  
Keyword(s):  
Dental Caries ◽  
Silver Ions ◽  
Oral Disease ◽  
Invasive Treatment ◽  
Silver Diamine Fluoride ◽  
Tooth Structure ◽  
Non Invasive ◽  
Lesion Level ◽  
Contemporary Management ◽  
Significant Attention

Dental caries is the most prevalent oral disease that continues to affect almost every country in the world. The contemporary management of dental caries focuses on non-restorative, non-invasive, and micro-invasive treatment approaches that arrest or reverse the caries process at a lesion level and reduce the loss of sound tooth structure. One of these approaches is the employment of caries arresting agents that possess antibacterial and remineralizing properties. Silver diamine fluoride (SDF) has drawn significant attention as an efficient caries arresting agent in children and adults. The major limitation with the use of SDF is the dark black staining of the carious tissue that compromises the esthetics. Silver ions are known for their antimicrobial effects, and silver nanoparticles (AgNPs) have the added advantage that it increases the surface area for exposure to the microbes. Literature reports that AgNPs have antimicrobial potential against predominant cariogenic flora. It has led to the development of nanosilver fluoride (NSF), a new colloid based on AgNPs, chitosan, and fluoride. It has shown to overcome the clinical limitations of SDF as it does not cause carious lesion staining. However, the current scientific literature lacks a comprehensive review of the benefits of using NSF for caries prevention and arrest. Thus, the purpose of this paper was to review the studies and clinical trials on NSF as a caries arresting agent, including antibacterial actions and modulation of the demineralization-remineralization balance.

scholarly journals Comparative Effectiveness of Two Nonsurgical Treatments to Reduce Oral Health Disparities From Untreated Tooth Decay in Older Adults: Protocol for a Cluster Randomized Trial (Preprint)

2020 ◽  
Author(s):  
Suchitra Nelson ◽  
Jeffrey M Albert ◽  
Peter Milgrom
Keyword(s):  
Older Adults ◽  
Dental Caries ◽  
Low Income ◽  
Cluster Randomized Trial ◽  
Fluoride Varnish ◽  
Atraumatic Restorative Treatment ◽  
Silver Diamine Fluoride ◽  
Restorative Treatment ◽  
Cluster Randomized ◽  
Caries Lesions

BACKGROUND The majority of dental caries lesions in older adults are at the gumline, at the edges of failed fillings and crowns, and in the surfaces of roots after gum recession. These lesions are difficult to restore with conventional surgical treatments using a dental drill and restorations often fail. Clinical guidelines are general and apply treatments that were designed for younger individuals in the dental care of older adults. OBJECTIVE This study will compare the effectiveness of 2 evidence-based nonsurgical strategies to manage dental caries lesions in adults aged 62 or older: (1) biannual topical application of silver diamine fluoride versus (2) atraumatic restorative treatment + biannual fluoride varnish. METHODS A cluster randomized clinical trial is being conducted in 22 publicly subsidized and other low-income housing facilities/sites (Arm 1: 11 sites, 275 participants; Arm 2: 11 sites, 275 participants). At baseline, participants will be screened for caries lesions. Those with nonurgent lesions will be treated according to the treatment arm to which the housing site was randomly assigned. The primary outcomes are caries lesion arrest, tooth sensitivity, and tooth pain at 52 weeks after treatment. Analytic methods for the primary aim include a generalized estimating equation approach to determine noninferiority of silver diamine fluoride relative to atraumatic restorative treatment + fluoride varnish treatment. RESULTS The trial was funded in April 2019. Enrollment began in September 2019 and results are expected in June 2023. CONCLUSIONS This study will inform the standard of care for treating caries lesions in older adults. If effective, either of these interventions has broad applicability in clinical and community-based settings. CLINICALTRIAL ClinicalTrials.gov NCT03916926; https://clinicaltrials.gov/ct2/show/NCT03916926 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/17840

scholarly journals Comparative Effectiveness of Two Nonsurgical Treatments to Reduce Oral Health Disparities From Untreated Tooth Decay in Older Adults: Protocol for a Cluster Randomized Trial

10.2196/17840 ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. e17840
Author(s):  
Suchitra Nelson ◽  
Jeffrey M Albert ◽  
Peter Milgrom
Keyword(s):  
Older Adults ◽  
Dental Caries ◽  
Low Income ◽  
Cluster Randomized Trial ◽  
Fluoride Varnish ◽  
Atraumatic Restorative Treatment ◽  
Silver Diamine Fluoride ◽  
Restorative Treatment ◽  
Cluster Randomized ◽  
Caries Lesions

Background The majority of dental caries lesions in older adults are at the gumline, at the edges of failed fillings and crowns, and in the surfaces of roots after gum recession. These lesions are difficult to restore with conventional surgical treatments using a dental drill and restorations often fail. Clinical guidelines are general and apply treatments that were designed for younger individuals in the dental care of older adults. Objective This study will compare the effectiveness of 2 evidence-based nonsurgical strategies to manage dental caries lesions in adults aged 62 or older: (1) biannual topical application of silver diamine fluoride versus (2) atraumatic restorative treatment + biannual fluoride varnish. Methods A cluster randomized clinical trial is being conducted in 22 publicly subsidized and other low-income housing facilities/sites (Arm 1: 11 sites, 275 participants; Arm 2: 11 sites, 275 participants). At baseline, participants will be screened for caries lesions. Those with nonurgent lesions will be treated according to the treatment arm to which the housing site was randomly assigned. The primary outcomes are caries lesion arrest, tooth sensitivity, and tooth pain at 52 weeks after treatment. Analytic methods for the primary aim include a generalized estimating equation approach to determine noninferiority of silver diamine fluoride relative to atraumatic restorative treatment + fluoride varnish treatment. Results The trial was funded in April 2019. Enrollment began in September 2019 and results are expected in June 2023. Conclusions This study will inform the standard of care for treating caries lesions in older adults. If effective, either of these interventions has broad applicability in clinical and community-based settings. Trial Registration ClinicalTrials.gov NCT03916926; https://clinicaltrials.gov/ct2/show/NCT03916926 International Registered Report Identifier (IRRID) DERR1-10.2196/17840

scholarly journals The grades and freshness assessment of eggs based on density detection using machine vision and weighing sensor

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Supakorn Harnsoongnoen ◽  
Nuananong Jaroensuk
Keyword(s):  
Machine Vision ◽  
Vision System ◽  
Low Cost ◽  
Measuring System ◽  
Coefficient Of Determination ◽  
Water Displacement ◽  
Non Invasive ◽  
Future Potential ◽  
Non Destructive ◽  
Egg Freshness

AbstractThe water displacement and flotation are two of the most accurate and rapid methods for grading and assessing freshness of agricultural products based on density determination. However, these techniques are still not suitable for use in agricultural inspections of products such as eggs that absorb water which can be considered intrusive or destructive and can affect the result of measurements. Here we present a novel proposal for a method of non-destructive, non-invasive, low cost, simple and real—time monitoring of the grading and freshness assessment of eggs based on density detection using machine vision and a weighing sensor. This is the first proposal that divides egg freshness into intervals through density measurements. The machine vision system was developed for the measurement of external physical characteristics (length and breadth) of eggs for evaluating their volume. The weighing system was developed for the measurement of the weight of the egg. Egg weight and volume were used to calculate density for grading and egg freshness assessment. The proposed system could measure the weight, volume and density with an accuracy of 99.88%, 98.26% and 99.02%, respectively. The results showed that the weight and freshness of eggs stored at room temperature decreased with storage time. The relationship between density and percentage of freshness was linear for the all sizes of eggs, the coefficient of determination (R2) of 0.9982, 0.9999, 0.9996, 0.9996 and 0.9994 for classified egg size classified 0, 1, 2, 3 and 4, respectively. This study shows that egg freshness can be determined through density without using water to test for water displacement or egg flotation which has future potential as a measuring system important for the poultry industry.

scholarly journals The Impact of Carbohydrate Quality on Dental Plaque pH: Does the Glycemic Index of Starchy Foods Matter for Dental Health?

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2711
Author(s):  
Fiona S. Atkinson ◽  
Jouhrah Hussain Khan ◽  
Jennie C. Brand-Miller ◽  
Joerg Eberhard
Keyword(s):  
Dental Caries ◽  
Glycemic Index ◽  
Dental Plaque ◽  
Dental Health ◽  
Oral Glucose ◽  
White Bread ◽  
Increased Risk ◽  
Plaque Ph ◽  
The Impact ◽  
Starchy Foods

Sugary carbohydrate foods have long been associated with increased risk of dental caries formation, but the dental health impact of starchy carbohydrates, particularly those with a high glycemic index (GI), has not been well examined. Aim: To investigate the effect of different starchy foods varying in their GI, on acute changes in dental plaque pH. Methods: In a series of sub-studies in healthy adults, common starchy carbohydrate foods, including white bread, instant mashed potatoes, canned chickpeas, pasta, breakfast cereals, white rice, and an oral glucose solution were consumed in fixed 25 g available carbohydrate portions. The change in dental plaque pH was assessed postprandially over 1 h and capillary plasma glucose was measured at regular intervals over 2 h. Results: Higher GI starchy foods produced greater acute plaque pH decreases and larger overall postprandial glucose responses compared to lower GI starchy foods (white bread compared with canned chickpeas: −1.5 vs. −0.7 pH units, p = 0.001, and 99 ± 8 mmol/L min vs. 47 ± 7 mmol/L min, p = 0.026). Controlling for other food factors (food form and nutritional composition), lower GI versions of matched food pairs produced smaller plaque pH excursions compared to higher GI versions of the same food. Using linear regression analysis, the GI value of starchy carbohydrate foods explained 60% of the variation in maximum plaque pH nadir and 64% of the variation in overall acute dental plaque pH excursion (p < 0.01). Conclusion: The findings imply that starchy foods, in particular those with a higher GI, may play a role in increasing the risk of dental caries.

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