Silver Diamine Fluoride in Pediatric Dentistry

Year 2023, Volume: 7 Issue: 1, 47 - 53, 30.04.2023

Ceren Carlı , Figen Seymen

https://doi.org/10.29228/erd.44

Abstract

Although a decrease in the prevalence of dental caries, which is a chronic disease, has been reported in many developed countries, early childhood caries (ECC) as an early childhood disease is common, especially in developing countries. Silver diamine fluoride (SDF) stops dental caries, prevents the formation of dental caries and reduces tooth sensitivity. The biggest feature that distinguishes SDF from other fluoride agents that prevent caries formation is that it effectively stops the caries process. This effect is provided by the synergistic effect of silver ions and fluoride. As a result of clinical studies, the use of SDF at the rate of 38% is recommended for the most effective result. SDF is becoming more popular as a practical and affordable treatment option to stop caries. SDF, especially during the pandemic period when minimal aerosol production is important; can be routinely experienced in a pediatric dental office in a variety of clinical scenarios for both primary and permanent teeth. It can be used effectively and efficiently in different behavior patterns of children and in different age groups. In this review, the effect mechanism, usage areas, clinical uses and results of SDF will be evaluated in the light of current literatures.

Keywords

silver diamine fluoride, caries, remineralization

Çocuk Diş Hekimliğinde Gümüş Diamin Florür

Abstract

Gelişmiş ülkelerin birçoğunda kronik bir hastalık olan diş çürüğü prevelansında azalma rapor edilmesine rağmen, özellikle gelişmekte olan ülkelerde bir erken çocukluk dönemi hastalığı olarak erken çocukluk çağı çürükleri (EÇÇ) yaygın olarak görülmektedir. Gümüş diamin florür (GDF) diş çürüklerini durdurma, diş çürüklerinin oluşmasını önleme ve diş hassasiyetinin azalmasını sağlama gibi özellikleri nedeni ile son yıllarda oldukça ilgi görmektedir. Çürük oluşumunu önleme etkisi olan diğer florür ajanlarından GDF’yi ayıran en büyük özellik çürük sürecini etkin bir şekilde durdurmasıdır. Bu etki içeriğindeki gümüş iyonlarıyla flor iyonlarının sinerjist etkisiyle sağlanmaktadır. Klinik çalışmalar sonucu en etkin sonuç için %38 oranındaki GDF kullanımı önerilmektedir. Çürük lezyonlarını durdurmak için pratik ve uygun fiyatlı bir tedavi seçeneğidir. GDF, özellikle minimum aerosol üretiminin önemli olduğu pandemi döneminde; hem süt hem de sürekli dişler için çeşitli rutin kullanıma girmiş olup farklı yaş gruplarında etkili ve verimli bir şekilde kullanılabilmektedir. Bu derlemede, GDF’nin etki mekanizması, kullanım alanları, klinik uygulama ve sonuçları mevcut literatürler ışığında değerlendirilecektir.

Keywords

gümüş diamin florür, diş çürükleri, diş remineralizasyonu

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