Silver diamine fluoride with delayed restoration reduces tooth discoloration.

Autor: Alsagob E; Preventive Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11564, Saudi Arabia., Sawan N; Preventive Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11564, Saudi Arabia., Aladhyan S; Preventive Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11564, Saudi Arabia., Alsalem N; Preventive Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11564, Saudi Arabia., Alshami A; Preventive Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11564, Saudi Arabia., Albluwi S; Preventive Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11564, Saudi Arabia.
Jazyk: angličtina
Zdroj: Saudi journal of biological sciences [Saudi J Biol Sci] 2022 Mar; Vol. 29 (3), pp. 1434-1438. Date of Electronic Publication: 2021 Dec 01.
DOI: 10.1016/j.sjbs.2021.11.030
Abstrakt: Introduction: The standard treatment for caries is to apply silver diamine fluoride (SDF) to the tooth, followed by a composite resin or glass ionomer cement restoration (GIC). Tooth discolouration is an adverse effect of SDF. The aims of this study were to (1) determine whether applying a composite compared to a GIC restoration after SDF to caries-infected teeth results in less discoloration, and (2) determine whether immediate or delayed restoration application is associated with less discoloration.
Methods: Sixty samples of caries-infected teeth were divided into five groups: (1) control (SDF alone), (2) SDF plus immediate composite restoration, (3) SDF plus immediate GIC restoration, (4) SDF plus delayed composite restoration, and (5) SDF plus delayed GIC restoration. The delay between SDF and restoration for groups 4 and 5 was two weeks. Tooth color was measured at three sites for each sample at baseline before SDF application and at multiple times.
Results: When comparing the change between baseline color to the color at the last time measurement in all groups, we found that Group 4 (17.4 ± 4.3) and Group 5 (14.4 ± 5.3) changed the least compared to baseline and were not statistically significantly different from each other.
Conclusion: Under laboratory conditions, delaying application of restoration for two weeks after SDF to samples of caries-infected teeth significantly reduced discoloration, with neither composite nor GIC being superior. If these findings are confirmed in a clinical setting, delaying restoration by two weeks could provide an inexpensive oral health strategy to reduce the negative aesthetic impact associated with SDF.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2021 Published by Elsevier B.V. on behalf of King Saud University.)
Databáze: MEDLINE