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 Silver fluoride as a treatment for the disease dental caries

2017 ◽  
Author(s):  
Jeremy A Horst ◽  
Jong Seto
Keyword(s):  
Dental Caries ◽  
Primary Teeth ◽  
The United States ◽  
Permanent Tooth ◽  
Invasive Treatment ◽  
Silver Diamine Fluoride ◽  
Tooth Structure ◽  
Caries Management ◽  
The Impact ◽  
Threat To Life

ABSTRACTThe current paradigm of treatment for dental caries (tooth decay) in primary teeth is dangerous, fails to reach many children, and suffers high recurrence. Acceptance of the paradigm arises from a misperception that untreated caries in primary teeth is a threat to life. We show a linear relationship between age and deaths in the United States from 1999 through 2015 caused by dental caries, pulpal / periapical abscess, or facial cellulitis. The intercept of 6 years coincides with emergence of the first permanent tooth: it appears that caries in primary teeth is not a threat to life. Thus, treatment goals should be to avoid pain, which is not possible with operative dentistry, as it causes pain. Medical management of caries is a distinct treatment philosophy which employs topical minimally invasive therapies that treat the disease, and is not merely prevention. Silver diamine fluoride (SDF) is a central agent to enable effective non-invasive treatment. The announcement of FDA Breakthrough Therapy designation suggests that SDF will become the first FDA approved drug for treating the disease dental caries. Since our last review, 4 clinical trials have been completed, which inform an update to the application protocol and frequency regimen. Suggestions from these studies are to skip the rinsing step due to demonstration of safety and concern of diminished effectiveness by dilution, and to start patients with an intensive regimen of multiple applications over the first few weeks. Breakthroughs in elucidating the impact of SDF on tooth structure and the plaque microbiome inform potential opportunities for bioengineering and understanding caries arrest, respectively. Dentists have been surprised by preference of this treatment over traditional invasive approaches. Renewed interest in this old material has delivered progress to optimize the judicious use of SDF, and enable a revolution in caries management – particularly for primary teeth.ONE SENTENCE SUMMARYAnesthesia is inappropriate for first-line treatment of early childhood caries now that safe topical treatments such as silver diamine fluoride are available.

scholarly journals Clinical Performance of a New Biomimetic Double Network Material

2013 ◽  
Vol 7 (1) ◽  
pp. 118-122 ◽  
Author(s):  
Christine Dirxen ◽  
Uwe Blunck ◽  
Saskia Preissner
Keyword(s):  
Soft Tissues ◽  
Clinical Performance ◽  
Young Patients ◽  
Tooth Wear ◽  
Clinical Situation ◽  
Dental Erosion ◽  
Thin Layers ◽  
Invasive Treatment ◽  
Tooth Structure ◽  
Non Invasive

Background:The development of ceramics during the last years was overwhelming. However, the focus was laid on the hardness and the strength of the restorative materials, resulting in high antagonistic tooth wear. This is critical for patients with bruxism.Objectives:The purpose of this study was to evaluate the clinical performance of the new double hybrid material for non-invasive treatment approaches.Material and Methods:The new approach of the material tested, was to modify ceramics to create a biomimetic material that has similar physical properties like dentin and enamel and is still as strong as conventional ceramics.Results:The produced crowns had a thickness ranging from 0.5 to 1.5 mm. To evaluate the clinical performance and durability of the crowns, the patient was examined half a year later. The crowns were still intact and soft tissues appeared healthy and this was achieved without any loss of tooth structure.Conclusions:The material can be milled to thin layers, but is still strong enough to prevent cracks which are stopped by the interpenetrating polymer within the network. Depending on the clinical situation, minimally- up to non-invasive restorations can be milled.Clinical Relevance:Dentistry aims in preservation of tooth structure. Patients suffering from loss of tooth structure (dental erosion, Amelogenesis imperfecta) or even young patients could benefit from minimally-invasive crowns. Due to a Vickers hardness between dentin and enamel, antagonistic tooth wear is very low. This might be interesting for treating patients with bruxism.

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

scholarly journals “It’s really no more difficult than putting on fluoride varnish”: A qualitative exploration of dental professionals’ views of silver diamine fluoride for the management of carious lesions in children

2020 ◽  
Author(s):  
Nassar Seifo ◽  
Heather Cassie ◽  
John Radford ◽  
Nicola Innes
Keyword(s):  
Primary Teeth ◽  
Application Process ◽  
Invasive Treatment ◽  
Silver Diamine Fluoride ◽  
Non Invasive ◽  
Parents And Children ◽  
Carious Lesions ◽  
Framework Approach ◽  
The Uk ◽  
Dental Professionals

Abstract Background: Despite evidence that Silver Diamine Fluoride (SDF) can be effective in managing carious lesions in primary teeth, there is still limited use the UK. This study explored dental professionals’ views and experiences of using SDF for managing carious lesions in children. In addition, it explored what they perceived to be the advantages, disadvantages, barriers and enablers to the use of SDF in practice.Methods: Fifteen semi-structured face-to-face or over-the-phone interviews were conducted with 14 dental professionals from NHS Tayside and NHS Grampian in Scotland. Interviews were transcribed verbatim, coded and analysed using a framework approach.Results: Thirteen of 14 dental professionals interviewed were familiar with, or had some existing knowledge of, SDF. Four had used it to treat patients. The majority of participants thought that the main advantage of SDF was that it required minimal patient cooperation. Silver diamine fluoride was also perceived as a simple, pain-free and non-invasive treatment approach that could help acclimatise children to the dental environment. However, SDF-induced black staining of arrested carious lesions was most commonly reported as the main disadvantage and greatest barrier to using it in practice. Participants believed that this discolouration would concern some parents who may fear that the black appearance may instigate bullying at school and that others may judge parents as neglecting their child’s oral health. Participants thought that education of clinicians about SDF use and information sheets for parents would enhance the uptake of SDF in dental practice. Participants believed that younger children might not be as bothered by the discolouration as older ones and they anticipated greater acceptance of SDF for posterior primary teeth by both parents and children.Conclusion: Dental professionals were aware that SDF can be used for arresting carious lesions. They pointed out that the staining effect of carious lesions is a major disadvantage that could be a barrier for many parents. Participants considered the application process to be simple and non-invasive and requires a minimum level of child’s cooperation. Participants appreciated the potentials of SDF in paediatric dentistry and suggested actions that could help overcome the barriers they highlighted.

scholarly journals “It’s really no more difficult than putting on fluoride varnish”: A qualitative exploration of dental professionals’ views of silver diamine fluoride for the management of carious lesions in children

2020 ◽  
Author(s):  
Nassar Seifo ◽  
Heather Cassie ◽  
John Radford ◽  
Nicola Innes
Keyword(s):  
Primary Teeth ◽  
Application Process ◽  
Invasive Treatment ◽  
Silver Diamine Fluoride ◽  
Non Invasive ◽  
Parents And Children ◽  
Carious Lesions ◽  
Patient Cooperation ◽  
The Uk ◽  
Dental Professionals

Abstract BackgroundDespite evidence that Silver Diamine Fluoride (SDF) can be effective in managing carious lesions in primary teeth, the use of SDF in the UK remains limited. This study explored dental professionals’ views and experiences of using SDF for managing carious lesions in children. In addition, it explored what they perceived to be the advantages, disadvantages, barriers and enablers to the use of SDF in practice.MethodsFifteen semi-structured face-to-face or over-the-phone interviews were conducted with 14 dental professionals from NHS Tayside and NHS Grampian in Scotland. Interviews were transcribed verbatim, coded and analysed using a thematic approach.ResultsThirteen of 14 dental professionals interviewed were familiar with, or had some existing knowledge of, SDF. Four had used it to treat patients. The majority of participants thought that the main advantage of SDF was that it required minimal patient cooperation. SDF was also perceived as a simple, pain-free and non-invasive treatment approach that could help acclimatise children to the dental environment. However, SDF-induced black staining of arrested carious lesions was most commonly reported as the main disadvantage and greatest barrier to using it in practice. Participants believed that this discolouration would concern some parents who may fear that the black appearance may instigate bullying at school and that others may judge parents as neglecting their child’s oral health. Participants thought that education of clinicians about SDF use and information sheets for parents would enhance the uptake of SDF in dental practice. Participants believed that younger children might not be as bothered by the discolouration as older ones and they anticipated greater acceptance of SDF for posterior primary teeth by both parents and children.ConclusionDental professionals were aware that SDF can be used for arresting carious lesions. They pointed out that the staining effect of carious lesions is a major disadvantage that could be a barrier for many parents. Participants considered the application process to be simple and non-invasive and requires a minimum level of child cooperation. Participants appreciated the potential of SDF in paediatric dentistry and suggested actions that could help overcome the barriers they highlighted.

scholarly journals “It’s really no more difficult than putting on fluoride varnish”: a qualitative exploration of dental professionals’ views of silver diamine fluoride for the management of carious lesions in children

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nassar Seifo ◽  
Heather Cassie ◽  
John Radford ◽  
Nicola Innes
Keyword(s):  
Primary Teeth ◽  
Application Process ◽  
Invasive Treatment ◽  
Silver Diamine Fluoride ◽  
Non Invasive ◽  
Parents And Children ◽  
Carious Lesions ◽  
Patient Cooperation ◽  
The Uk ◽  
Dental Professionals

Abstract Background Despite evidence that Silver Diamine Fluoride (SDF) can be effective in managing carious lesions in primary teeth, the use of SDF in the UK remains limited. This study explored dental professionals’ views and experiences of using SDF for managing carious lesions in children. In addition, it explored what they perceived to be the advantages, disadvantages, barriers and enablers to the use of SDF in practice. Methods Fifteen semi-structured face-to-face or over-the-phone interviews were conducted with 14 dental professionals from NHS Tayside and NHS Grampian in Scotland. Interviews were transcribed verbatim, coded and analysed using a thematic approach. Results Thirteen of 14 dental professionals interviewed were familiar with, or had some existing knowledge of, SDF. Four had used it to treat patients. The majority of participants thought that the main advantage of SDF was that it required minimal patient cooperation. SDF was also perceived as a simple, pain-free and non-invasive treatment approach that could help acclimatise children to the dental environment. However, SDF-induced black staining of arrested carious lesions was most commonly reported as the main disadvantage and greatest barrier to using it in practice. Participants believed that this discolouration would concern some parents who may fear that the black appearance may instigate bullying at school and that others may judge parents as neglecting their child’s oral health. Participants thought that education of clinicians about SDF use and information sheets for parents would enhance the uptake of SDF in dental practice. Participants believed that younger children might not be as bothered by the discolouration as older ones and they anticipated greater acceptance of SDF for posterior primary teeth by both parents and children. Conclusion Dental professionals were aware that SDF can be used for arresting carious lesions. They pointed out that the staining effect of carious lesions is a major disadvantage and had preconceived ideas that this could be a barrier for many parents. Participants considered the application process to be simple and non-invasive and requires a minimum level of child cooperation. Participants appreciated the potential of SDF in paediatric dentistry and suggested actions that could help overcome the barriers they highlighted.

Which are the possibilities of psychiatric liaison-consultation in dentistry? By the way a qualitative study on symbolic meanings reported by dentists on handling of dental-caries

2017 ◽  
Vol 41 (S1) ◽  
pp. s508-s508
Author(s):  
P.A.T. Leme ◽  
R.A. Bastos ◽  
S.A.S. Vedovello ◽  
E.R. Turato ◽  
M.C. Meneghim
Keyword(s):  
Dental Caries ◽  
Interpersonal Communication ◽  
Mental Health Professionals ◽  
Qualitative Content Analysis ◽  
Interpersonal Relationship ◽  
Oral Disease ◽  
Invasive Treatment ◽  
Use Of Technology ◽  
Symbolic Meanings ◽  
Competing Interest

Dental caries is the main oral disease and there is a possible psychological resistance from dentists to change clinical practice towards in sense of health promotion as opposite to invasive mechanical practice. We hypothesized that the discussion of their practice with mental health professionals, highlighting the humanist view in approaching patients, would imply reviewing usually invasive practices.ObjectiveTo understand the psychological meanings attributed by dentists to the treatment of dental caries considering the frequent invasive treatment.MethodClinical-qualitative method derived from qualitative designs proper to human sciences and applied in assistance settings. Sample composed of all available dentists (ten participants) within an area of basic health units of Piracicaba, Săo Paulo state. Semi-directed interview with open-ended questions, in-depth, was used. After full transcription of the interviews, qualitative content analysis was carried out, including floating readings to emerge core of meanings with consequent categorization for discussion.ResultsTwo categories show conflicts in the interpersonal relationship: psychological discomfort due to a perspective of care different from patient and presence of an ideologically vertical relationship. One category showed a successful approach: the patient through openness.ConclusionsThere were feelings of impotence in face of difficulties in interpersonal communication. It was possible to observe the influence of bio-power that weakens the possibility of empowering patients. In this way, a mechanical way of practice “saves” professionals from thinking about these human dilemmas. On the other hand, the liaison-consultation psychiatry, at primary care, allows dental professionals to have a personal affective support to rethink approaches on use of technology.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Zirconia Inlay on Vital Teeth with Profunda Caries

2021 ◽  
Vol 11 (2) ◽  
pp. 72
Author(s):  
Sandra Kartika Sari ◽  
Kun Ismiyatin ◽  
Bagus Aji Wibowo ◽  
Rara Amorita Miranda
Keyword(s):  
Dental Caries ◽  
Dental Health ◽  
Treatment Plan ◽  
Glass Ionomer Cement ◽  
Base Material ◽  
Oral Disease ◽  
Posterior Teeth ◽  
Physical Strength ◽  
Tooth Structure ◽  
Perceived Illness

Background: Dental caries has historically been considered the most critical component of the global burden of oral disease. Health facilities and dental health education counselling have been conducted, but public knowledge about dental caries is still low. The increasing number of dental caries is currently influenced by one of the factors of community behaviour. Most people do not realize the importance of taking care of oral and dental health. The ignorance of the community results in a decrease in productivity due to the influence of the perceived illness. Advances in dentistry since the last decade has allowed the use of conservative dental care. Modern restorative dentistry offers many methods for restoring teeth, both direct and indirect. The need for restoration of posterior teeth is related to aesthetic purposes and functional, biocompatibility and biomechanical aspects of the remaining tooth structure. Some materials that are widely used as tooth-coloured indirect restorations in posterior teeth are zirconia. Zirconia has its characteristics, especially in terms of functionality, such as mechanical strength, physical strength and aesthetics. Purpose: This study aims to determine the management of indirect restoration treatment using zirconia inlay on upper premolar. Case(s): A 46-yearold male patient complained that the filling of his upper left tooth was often loose and uncomfortable when used for eating because the food was stuck in it. The patient wants his teeth treated. The history of treatment on the tooth in question has been patched two times, but it often comes off partially. Case Management: From the examination that has been carried out, a clinical diagnosis of reversible pulpitis was established. The treatment plan that will be carried out is indirect pulpcapping using MTA and resin-modified glass ionomer cement as the base material. The planned restoration treatment is a fixed inlay restoration made of monolithic zirconia. Conclusion: Recently, zirconia has also been developed staining with improved translucency so that it becomes more aesthetic. Zirconia has a higher level of material resistance than otherrestorative materials such as composites. This is what makes zirconia the choice, especially for use as a framework for all-ceramic and partially-fixed crowns dental prosthesis.

scholarly journals The knowledge of dentists for preventive influence of the caries process

2020 ◽  
Vol 9 (3) ◽  
pp. 176
Author(s):  
Dobrinka Mitkova Damyanova ◽  
Valentina Velikova
Keyword(s):  
Dental Caries ◽  
Work Experience ◽  
Practical Experience ◽  
Primary Dentition ◽  
Deciduous Teeth ◽  
Professional Activity ◽  
Invasive Treatment ◽  
Non Invasive ◽  
The Individual ◽  
The City

<p>The line of knowledge runs from the general social, legal, financial and managerial framework. It is necessary to present the object of professional activity, the peculiarities of professional work and the methods for its optimization. Subjects of the survey were 100 dentists who perform treatment of deciduous teeth from the city of Varna, Bulgaria. The individual addressed anonymous survey was fulfilled during educational, clinical and organization meetings at the Faculty of Dental Medicine-Varna and on the territory of the city of Varna. The interviewed dentists encounter difficulties with the diagnosis of the initial dental caries in primary dentition. The dentists included in the survey rely mainly on their theoretical and practical experience and routine clinical methods for non-invasive treatment of the initial dental caries. Work experience and the specialty do not have a significant impact on the awareness of dentists about the new criteria related to the diagnosis and prevention of dental caries in the primary dentition. The age, work experience and specialty of dentists are factors for their awareness of the new approaches to treatment of children, as doctors up to 30 years of age, with a recognized specialty and work experience up to five years are more informed.</p>

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