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Evidence-Based Dentistry Update on Silver Diamine Fluoride.

Yasmi O Crystal1, Richard Niederman2

  • 1Pediatric Dentistry, New York University College of Dentistry, 345 East 24th Street. 9W, New York, NY 10010, USA.

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Silver diamine fluoride (SDF) effectively arrests and prevents cavities in primary teeth and in the elderly. This safe, affordable treatment is ideal for caries management when cosmetic concerns are secondary.

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Area of Science:

  • Dentistry
  • Cariology
  • Preventive Dentistry

Background:

  • Dental caries remains a significant global health issue.
  • Effective caries management strategies are crucial for preserving tooth structure.
  • Silver diamine fluoride (SDF) has emerged as a promising therapeutic agent.

Purpose of the Study:

  • To review the current evidence on the efficacy of SDF for caries arrest and prevention.
  • To provide clinical recommendations for the appropriate use of SDF.
  • To integrate SDF into comprehensive caries management programs.

Main Methods:

  • Systematic review of existing clinical evidence.
  • Analysis of studies evaluating SDF's effectiveness on primary and permanent teeth.
  • Assessment of SDF's role in preventing new carious lesions.

Main Results:

  • SDF is confirmed effective for arresting cavitated lesions in primary teeth.
  • SDF demonstrates efficacy in arresting root caries in the elderly population.
  • Evidence suggests SDF can also prevent the development of new dental caries.
  • Application is simple, non-invasive, affordable, and safe.

Conclusions:

  • SDF is a valuable tool for caries arrest and prevention.
  • Its ease of use and affordability make it accessible.
  • SDF is recommended for caries management, particularly when esthetics are not the primary concern due to temporary staining.