Treatment of Dental Caries with Diamine Silver Fluoride: Literature Review

Punhagui, Marília Franco; Favaro, Jaqueline Costa; Scarpelli, Beatriz Brandão; Guiraldo,  Ricardo Danil; Lopes, Murilo Baena; Berger, Sandrine Bittencourt

Brazilian health care programs recommend the use of cariostatic solutions of silver diamine fluoride (SDF) or sodium fluoride varnishes for children 0 to 3 years old with high or moderate caries activity for the control of caries lesions. SDF is a safe, economical, efficient and non-invasive coadjuvant agent, exerting an antibacterial action capable of reducing superficial mineral loss of the enamel and can be used in the treatment of deciduous and permanent teeth. The objective of this literature review was to gather current information on describing the mechanism of SDF action' and its clinical application in young children in caries prevention and paralysis. The PubMed / Medline and Cochrane Library databases were accessed by identifying the relevant studies published in English from 1960 to May 2017. The search strategy employed the keywords "Silver diamine fluoride" and "Children "or "Infant" and "Caries prevention". Data extraction was performed in 19 in vitro studies; 10 review articles and 8 in vivo studies. It was possible to conclude that SDF is almost twice as effective compared to fluoride varnish in caries paralysis. However, the contact time of the solution and the optimal frequency of application of the SDF are still undefined, inducing new projects and clinical studies in the search for an adequate clinical protocol of this cariostatic.(AU)

BVS Odontologia

Informação e Conhecimento para a Saúde

Formato de exportação:

Treatment of Dental Caries with Diamine Silver Fluoride: Literature Review / Tratamento da Cárie Dentária com Diamino Fluoreto de Prata: Revisão da Literatura