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Silver Diamine Fluoride: a critical review and treatment recommendations Jilen Patel Robert P Anthonappa Nigel M King Dental Update 2024 46:7, 707-709.
Professor in Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, 2/F, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong, P R China
Over the last decade there has been a renewed interest in the use of Silver Diamine Fluoride (SDF) as an adjunctive modality in the management of caries among high-risk populations. This review presents the current evidence behind the use of SDF and recommendations for its use in caries management dental practice.
CPD/Clinical Relevance: Silver diamine fluoride is an effective, evidence-based modality that can contribute towards arresting carious lesions among high-risk children and disadvantaged populations.
Article
Dental caries remains a global public health issue affecting over 621 million children worldwide.1 For high-risk groups who continue to experience high burdens of dental caries, the traditional restorative approach to caries management is neither readily available, accessible nor affordable, and has shown limited success in controlling the carious process on a population level.2 Non-restorative techniques aimed at managing the caries biofilm and supporting remineralization are therefore becoming more common.3,4
Over the last decade there has been a renewed interest in the use of silver diamine fluoride (SDF) as an adjunctive modality in the management of dental caries among high-risk groups. SDF is deemed to be a safe, effective, efficient and equitable caries control agent that can be used to help meet the WHO Millennium oral health goals and fulfil the USA Institute of Medicine's criteria for 21st Century medical care.5,6
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