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Revitalising Silver Nitrate for Caries Management.

Sherry Shiqian Gao1, Irene Shuping Zhao2, Steve Duffin3

  • 1Faculty of Dentistry, The University of Hong Kong, Hong Kong, China. gao1204@hku.hk.

International Journal of Environmental Research and Public Health
|January 11, 2018
PubMed
Summary
This summary is machine-generated.

Silver nitrate and sodium fluoride varnish effectively arrest dental caries by combining antimicrobial action and remineralization. This simple, low-cost treatment offers a promising approach to caries control, especially for high-risk patients.

Keywords:
cariesearly childhood cariessilver diamine fluoridesilver nitratesodium fluoride

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Area of Science:

  • Dental Science
  • Caries Management
  • Antimicrobial Therapy

Background:

  • Silver nitrate was historically used as a disinfectant and in dental caries prevention (Howe's solution).
  • Fluoride agents, particularly sodium fluoride, are now standard for caries prevention.
  • Dental caries is an infectious process caused by cariogenic bacteria leading to demineralization.

Purpose of the Study:

  • To reintroduce silver nitrate solution in combination with sodium fluoride varnish for caries arrest.
  • To present a medical model strategy for comprehensive caries management.
  • To evaluate the efficacy and applicability of this combined treatment protocol.

Main Methods:

  • Application of silver nitrate solution alongside sodium fluoride varnish.
  • Utilizing the antimicrobial properties of silver nitrate and the remineralization effects of sodium fluoride.
  • Implementing a simple, non-invasive, and low-cost clinical protocol.

Main Results:

  • The combined treatment effectively arrests dental caries progression.
  • The protocol is simple, painless, non-invasive, and cost-effective.
  • The treatment results in permanent black staining of caries lesions.

Conclusions:

  • Silver nitrate and sodium fluoride varnish combination is a promising strategy for caries control.
  • This approach is well-accepted by clinicians and patients.
  • Particularly beneficial for pediatric, elderly, and special needs patients with high caries risk.