Treatment of Dental Caries with Diamine Silver Fluoride: Literature Review

Autores

  • Marília Franco Punhagui Unopar, Graduate Program in Dentistry, PR, Brazil. State University of Londrina, Department of Oral Medicine and Chid’s Dentistry. PR, Brazil
  • Jaqueline Costa Favaro Unopar, Graduate Program in Dentistry, PR, Brazil
  • Beatriz Brandão Sacarpelli State University of Londrina, Department of Oral Medicine and Chid’s Dentistry. PR, Brazil.
  • Ricardo Danil Guiraldo Unopar, Graduate Program in Dentistry, PR, Brazil.
  • Murilo Baena Lopes Unopar, Graduate Program in Dentistry, PR, Brazil.
  • Sandrine Bittencourt Berger Unopar, Graduate Program in Dentistry, PR, Brazil.

DOI:

https://doi.org/10.17921/2447-8938.2018v20n3p152-157

Resumo

Abstract

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.

Keywords: Preventive Dentistry. Children. Dental Caries.

Resumo

Os programas de assistência à saúde brasileiros recomendam para o controle das lesões de cárie a utilização de soluções cariostáticas de diamino fluoreto de prata - DFP ou vernizes de fluoreto de sódio para crianças de 0 a 3 anos com atividade de cárie alta ou moderada. O DFP é agente coadjuvante seguro, econômico, eficiente e não invasivo, exercendo ação antibacteriana capaz de reduzir a perda mineral superficial do esmalte e, pode ser utilizado no tratamento de dentes decíduos e permanentes. O objetivo desta revisão de literatura foi reunir informações atuais sobre descrever o mecanismo de ação do DFP e sua aplicação clínica em crianças de pouca idade na prevenção e paralisação da cárie. As bases de dados PubMed/Medline e Cochane Library foram acessadas identificando os estudos relevantes publicados em inglês, no período de 1960 a maio de 2017. A estratégia de busca empregou as palavras-chave: “Silver diamine fluoride” and “Children” or “Infant” and “Caries prevention”. A extração dos dados foi realizada em: 19 estudos in vitro; 10 artigos de revisão e 8 estudos in vivo. Foi possível concluir que o DFP apresenta-se quase duas vezes tão eficaz comparado ao verniz fluoretado na paralização de cárie. Porém, o tempo de contato da solução e a frequência ótima de aplicação do DFP ainda estão indefinidos, suscitando novos projetos e estudos clínicos na busca de adequado protocolo clínico deste cariostático.

Palavra-chave: Odontologia Preventiva. Criança. Carie Dentária.

 

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Publicado

2018-09-30

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