Adverse events on the use of interim therapeutic in schoolchildren: silver diamine fluoride × interim therapeutic restorative - a pilot study

Abstract

Purpose: Silver diamine fluoride (SDF) is a caries prevention and arresting agent that is easy to apply clinically. Interim therapeutic restorations (IRT) are also known to be a simple and effective method for treating caries in children. This study examines whether treatment with 30% silver diamine fluoride (SDF) will cause fewer adverse events than the available interim therapeutic restorations in underprivileged schoolchildren with cavities.Methods: We conducted a three-month pilot study comparing the adverse effects of IRT using glass ionomer cement (Fuji IX, GC America, Inc.) with those of 30% silver diamine fluoride (Cariostop Biodynamic ® , Brazil) in 50 children aged 6 years.Results: In the SDF group, all caries were arrested and no pain, abscess or fistula was reported. Of the children assigned to the Fuji IX group, 24% reported toothache (P < 0.05). There was no significant difference in the occurrence of fistula and abscess in the two groups.Conclusion: The authors suggest that for underprivileged schoolchildren with caries, the use of SDF when an appropriate clinical setting is not available resulted in fewer adverse effects than did treatment with an interim therapeutic restorative using FUJI IX. ResumoObjetivo: O Diamino fluoreto de prata, uma solução de fácil aplicação e que não precisa de um ambiente clínico para o seu uso, é um agente de notável capacidade de paralisar e prevenir cárie. Outro método simples e eficaz para o tratamento da cárie em crianças são Restaurações provisórias. Este estudo examinou o surgimento de efeitos adversos em escolares tratadas com Diamino fluoreto de prata (DFP) comparado com aquelas tratadas com o Tratamento Restaurador Provisório.Metodologia: Foi realizado um estudo piloto de três meses comparando os efeitos adversos das restaurações provisórias, utilizando cimento de ionômero de vidro Fuji IX (GC America, Inc.), com o Diamino fluoreto de prata a 30% (Cariostop Biodinâmica ® , Brasil), em 50 crianças com 6 anos de idade.Resultados: O grupo DFP teve todas as suas cáries paralisadas e não apresentou dor, abscesso ou fístula. Das crianças tratadas com Fuji IX, 24% delas relataram dor de dente (P < 0,05). Para fístula e abscesso, não foi verificado diferença estatisticamente significativa.Conclusão: Os autores sugerem que, para crianças portadoras de cárie, sem acesso aos serviços de saúde, o DFP apresentou menos efeitos adversos do que o tratamento restaurador provisório utilizando FUJI IX. Palavras-chave: Cárie; criança; diamino fluoreto de prata; restauração provisória Rev Odonto Cienc 2012;27(1):26-30 27 Santos Jr et al.

Silver diamine fluoride versus atraumatic restorative treatment in pediatric dental caries management: A systematic review and meta-analysis

“…SDF and ART have been extensively used in the pediatric and community dentistry programs for improving oral health worldwide. [ 17 ] Hence, the focus of the current article was to investigate the superiority or non-inferiority between these two minimally invasive, non-aerosol-generating techniques in arresting active dental caries in children. Unlike the previous reviews, SDF was not compared with placebo or active treatments other than ART.…”

“…In patients with limited cooperation, in erupting teeth where isolation is difficult to achieve and in situations in which there is a doubt regarding the stage of pulp degeneration; SDF is a better option than ART. [ 15 17 ] It reduces the need for complex treatments especially when patients are awaiting specialist care,[ 2 ] for example, in the ongoing COVID-19 pandemic and for those living in areas where it may be the only available treatment. Additionally, low cost and shorter chair time when compared with ART makes SDF an efficient alternative for preschoolers and in community health programs.…”

“…[ 5 ] However, the commercial unavailability of this material in developing countries and the fact that FUJI IX costs almost 20 times more than SDF is a major drawback. [ 3 15 , 17 ]…”

Pilot evaluation of the therapeutic effect of Silver Diamine Fluoride (SDF) in Arresting dental caries in the primary teeth of Cambodian slum children

“…Clinical studies show that caries in primary teeth can be arrested to varying degrees by brushing with fluoride toothpaste [7], having fluoridated agents professionally applied (such as fluoride varnish (FV) and SDF), and sealing cavities with fluoride-releasing glass ionomer cement [8,9]. SDF has been shown to be more effective than FV at arresting caries in primary teeth9 and more effective (relative risk, 67%) than Interim Restorative Treatment using a glass ionomer cement (relative risk, 39%) [10].…”

“…If spilt onto the oral mucosa a white erosive lesion may form, however this will heal spontaneously within 2 days. Prevention of gingival irritation by applying Vaseline over the gingival margin has been proposed by several authors to prevent irritation, however others do not follow this practice [10,18,19].…”