Abstract

This book chapter aims to discuss the main aspects related to the use of silver diamine fluoride (SDF) in Pediatric Dentistry. The composition and mechanism of action of the SDF are presented, as well as the application technique and indications. The effectiveness of SDF is reported based on contemporary scientific evidence from laboratory and clinical studies, focusing on its effect in enamel and dentin remineralization and caries arrestment. Parental and professional acceptance of tooth staining is presented, as well as the use of potassium iodide as a possible alternative to manage this side-effect. Taking all the discussed information together, it is possible to conclude that the SDF is a simple and effective treatment to halt the dental caries progress in children.

Highlights

  • Untreated caries lesions in deciduous teeth affect more than 570 million children around the world

  • Affordable, equitable and effective cariostatic agent. This non-restorative approach can halt the progression of carious lesions and it can be an alternative to control the burden of dental caries in children around

  • This recommendation is based on randomized clinical trials, that focused on the effectiveness of silver diamine fluoride (SDF) in arresting or inactivating carious lesions in dentin in deciduous teeth

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Summary

Introduction

Untreated caries lesions in deciduous teeth affect more than 570 million children around the world. One should be aware that dental caries is a preventable disease, that can be controlled by reducing the amount of fermentable carbohydrates available in the diet and by disorganizing the dental biofilm systematically [4] If these simple and effective measures fail, carious lesions may develop and they should be treated according to the Minimal Invasive Dentistry philosophy. This non-restorative approach can halt the progression of carious lesions and it can be an alternative to control the burden of dental caries in children around. This chapter will guide clinicians regarding the use of diamine silver fluoride in their daily practice, using a critical appraisal of the available scientific literature regarding its action mechanism, effectiveness, and child/parent acceptance

Composition and action mechanisms: how does SDF work in a carious lesion?
What about the concentration and periodicity of application?
Additional information
Evidence of silver diamine fluoride effects
Remineralizing effects in enamel
SDF in dentin
Objective
Clinical SDF effectiveness: systematic reviews and meta-analysis
What is important to know before clinical treatment with SDF?
Application technique
Tooth staining: how do parents, patients, and dentists deal with?
Tooth staining: is potassium iodide (KI) the answer?
How is the deciduous pulp reaction to the SDF application?
Findings
Conclusion
Full Text
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