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Published on: July 1, 2020
Silver Diamine Fluoride: A Successful Anticarious Solution with Limits
11 Division of Biomaterials, Clinical and Community Sciences, School of Dentistry, University of Alabama, Birmingham, AL, USA.
Silver diamine fluoride (SDF) effectively arrests tooth decay and prevents future cavities by creating a fluoride reservoir and providing antimicrobial activity. While it can darken treated areas, newer nanoparticle versions may reduce this effect.
Area of Science:
- Dentistry
- Cariology
- Materials Science
Background:
- Silver diamine fluoride (SDF) is a liquid caries arresting agent.
- It contains silver, fluoride, and ammonia.
- SDF is approved for tooth desensitization and used off-label for caries treatment.
Purpose of the Study:
- To review the properties and applications of SDF in dentistry.
- To discuss its efficacy in arresting caries and preventing future decay.
- To address the discoloration issue and emerging nanoparticle alternatives.
Main Methods:
- Review of over 20 clinical studies and systematic reviews on SDF.
- Analysis of SDF's chemical composition and mechanism of action.
- Evaluation of clinical application techniques and outcomes.
Main Results:
- SDF arrests caries progression and prevents new lesions.
- It creates a deep fluoride reservoir, promoting remineralization and fluorapatite formation.
- Silver ions provide antimicrobial effects and inhibit biofilm.
- A significant drawback is the darkening of treated tooth structure.
Conclusions:
- SDF is a highly effective, minimally invasive caries treatment.
- Its ease of application and low cost make it suitable for public health initiatives.
- Nanoparticle SDF may overcome the esthetic limitations of traditional SDF.
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