Advantages and disadvantages of silver diamine fluoride, acidulated fluoride and fluoride varnish in the prevention and treatment of dental caries. Literature review
DOI:
https://doi.org/10.59334/ROV.v2i45.675Keywords:
Dental Caries, Pediatric Dentistry, Dentistry, Fluorine, Dental Cavity Lining, Recubrimiento de la Cavidad DentalAbstract
Introduction: Dental caries is one of the most common diseases worldwide, which has led to the development of various preventive strategies such as silver diamine fluoride (SDF), acidified fluoride and fluoride varnish. SDF is notable for its bactericidal and remineralizing action, although it can cause a temporary metallic taste. Acidified fluoride, in the form of a 1.23% gel or foam, strengthens enamel, but requires professional supervision to avoid excessive ingestion. Fluoride varnish offers a simple and safe application, releasing fluoride in a prolonged manner. The choice of treatment depends on the individual needs of the patient. Objective: To analyze the advantages and disadvantages of silver diamine fluoride, acidified fluoride and fluoride varnish in the prevention and treatment of caries. Methodology: A literature review was carried out following the PRISMA guidelines, using the keywords silver diamine fluoride, fluoride varnish and acidified fluoride in databases such as PubMed, Scielo and ResearchGate. Results: Of the 50 records identified, 41 were excluded, leaving 9 eligible studies. Silver diamine fluoride stops caries but stains and affects adhesions. Fluoride varnish prevents caries, requires reapplication, and is hygiene dependent. Acidified fluoride reduces bacteria but can be toxic and damage restorations. Conclusions: Silver diamine fluoride, acidified fluoride, and fluoride varnish are effective options for preventing and treating caries, each with benefits and limitations.
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References
Agencia Nacional de Regulación, Control y Vigilancia Sanitaria. (2014). Reglamento y control sanitario de dispositivos médicos y dentales. Recuperado de https://controlsanitario.gob.ec/wp-content/uploads/downloads/2014/04/dispositivos-medicos-y-dentales.pdf
Alberti, Y., Diana, B., de Gouveia, M., & Molin, L. (2020). Agentes fluorados en la terapia de remineralización en niños: revisión sistemática. Universidad Interamericana de Panamá.
Araújo, D. M., da Silva, G. G., da Silva, L. F. B., da Cruz Lima, J. G., Leite, R. B., & Pinheiro, J. C. (2020). A utilização do gel de flúor-fosfato acidulado 1,23% como fluorterapia tópica na prevenção da cárie dentária. Revista Saúde e Desenvolvimento, 14(18), 76-82.
Bridge, G., Martel, A.-S., & Lomazzi, M. (2021). Silver diamine fluoride: Transforming community dental caries program. International Dental Journal, 71(6), 458–461. https://doi.org/10.1016/j.identj.2020.12.017
Centeno, J. E. O., Sotelo, R. N. G., Morales, V., & Orellana, M. (2024). Barniz de flúor en el tratamiento preventivo de dientes temporales: Revisión sistemática. Journal of Oral Research, 13(1), 289-298.
Crystal, Y. O., & Niederman, R. (2019). Evidence-Based Dentistry Update on Silver Diamine Fluoride. Dental Clinics of North America, 63(1), 45–68. https://doi.org/10.1016/J.CDEN.2018.08.011
de la Roche Colorado, V., Cortés, Á. M. F., Acosta, E. M. O., & Muñoz, V. B. (2019). Assessment of an educational strategy and application of an oral health preventive protocol in early childhood/Evaluación de una estrategia educativa y de la aplicación de un protocolo preventivo para el fomento del cuidado bucal en la primera infancia. Revista Facultad de Odontologia, 32(1), 6-18.
Federación Odontológica Ecuatoriana. (s.f.). Ley de la Federación Odontológica Ecuatoriana. Recuperado de https://vlex.ec/vid/ley-federacion-odontologica-ecuatoriana-947498190
Gabriela, A. L. D., Andrea, L. L. M., Alberto, L. F. J., Heraclio, R. R., Iovanna, T. G., Minerva, A. Á., & Elena, C. M. L. (2022). Generalidades del fluoruro diamino de plata para detener y controlar lesiones cariosas: una revisión. Revista de Latinoamericana de Ortodoncia y Odontopediatría.
Horst, J. A., & Heima, M. (2019). Prevention of dental caries by silver diamine fluoride. Compendium of Continuing Education in Dentistry (Jamesburg, N.J.: 1995), 40(3), 158–163.
León, S. (2022). Terapias no Invasivas en base a fluoruros de alta concentración para lesiones de caries radicular. International journal of interdisciplinary dentistry, 15(3), 240-244.
Li, F., Jiang, P., Yu, F., Li, C., Wu, S., Zou, J., Xu, X., Ye, L., Zhou, X., & Zheng, L. (2020). Comparison between Fissure Sealant and Fluoride Varnish on Caries Prevention for First Permanent Molars: A Systematic Review and Meta-analysis. Scientific Reports, 10, 2578. https://doi.org/10.1038/s41598-020-59564-5
Mamani-Cori, V., Calcina-Asillo, T. P., Torres-Aguilar, D. M., Quispe-Quispe, B., Quispe-Maquera, N. B., & Villanueva-Alvaro, N. S. (2024). Inactivación con fluoruro diamino de plata de caries cavitadas en niños con déficit de hierro. Revista Vive, 7(21), 803-812.
Mascarenhas, A. K. (2021). Is fluoride varnish safe?. Journal of the American Dental Association, 152(5), 364-368. https://doi.org/10.1016/j.adaj.2021.01.013
Mena, K. G. V., Ramirez, M. D. C. M., & Carrasco, M. N. R. (2022). El fluor y sus beneficios como agente esencial para prevenir las caries. Revista KIRU ISSN (Impreso): 1812-7886 ISSN (Digital): 2410-2717, 19(4).
Meza, S. P. L., Ramírez, J. M., Enríquez, X. M., Ramírez, A. G., & Abreu, K. E. H. (2019). Efecto remineralizador del barniz de fluor en la hipomineralizacion incisivo molar. Revista Tame, 8(23), 925-928.
Nanda, S. (2022). Systematic Review-Adverse Effects of Silver Diamine Fluoride. Open Access Journal of Dental Sciences, 7(4). https://doi.org/10.23880/OAJDS-16000352
Pancho Chavarrea, T. L., Quiroz Molina, J. J., & Martínez Vacacela, A. P. (2023). El uso del flúor barniz en pacientes pediátricos desde la docencia en estudiantes de odontología. Conrado, 19(92), 28-35.
Seifo, N., Robertson, M., MacLean, J., Blain, K., Grosse, S., Milne, R., Seeballuck, C., & Innes, N. (2020). The use of silver diamine fluoride (SDF) in dental practice. British Dental Journal, 228(2), 75–81. https://doi.org/10.1038/s41415-020-1203-9
Shruthi, M., Srinivasan, D., Eagappan, S., Louis, J., Natarajan, D., & Meena, S. (2022). A review of dental caries classification systems. Research Journal of Pharmacy and Technology, 15(10), 4819-4824.
Slim, K., Nini, E., Forestier, D., Kwiatkowski, F., Panis, Y., & Chipponi, J. (2003). Methodological index for non-randomized studies (minors): development and validation of a new instrument: Methodological index for non-randomized studies. ANZ Journal of Surgery, 73(9), 712–716. https://doi.org/10.1046/j.1445-2197.2003.02748.x
Sotillo, V., Limongi, I., Medina Díaz, A., & Martínez Vásquez, M. G. (2022). Fluoruro diamino de plata como terapia para la inactivación de lesiones de caries cavitadas en dientes primarios. Revista Científica CMDLT, 16(1).
Sousa, F. S. de O., Santos, A. P. P. dos, Nadanovsky, P., Hujoel, P., Cunha-Cruz, J., & Oliveira, B. H. de. (2019). Fluoride varnish and dental caries in preschoolers: A systematic review and meta-analysis. Caries Research, 53(5), 502–513. https://doi.org/10.1159/000499639
Surendranath, P., Krishnappa, S., & Srinath, S. (2022). Silver Diamine Fluoride in Preventing Caries: A Review of Current Trends. International Journal of Clinical Pediatric Dentistry, 15(Suppl 2), S247–S251. https://doi.org/10.5005/jp-journals-10005-2167
Terrazas, M. E. R., Rojas, K. J. G., & Mier, A. B. (2024). Etiología microbiana de la caries dental: Análisis y Prevención. Revista Científica de Odontología UNITEPC, 3(1), 13-28.
Valenzuela, M., Canales, G., Alvarado, J., Lara, C., & Chacaltana, R. (2024). Eficacia de los fluoruros para la prevención de caries dental: Una revisión narrativa. Revista Hatun Yachay Wasi, 3(1), 57-67. https://doi.org/10.57107/hyw.v3i1.57
Vera Mejía, G. R. (2023). Nivel de conocimiento del uso correcto de flúor profesional para la prevención de caries dental por odontólogos de centros privados y públicos de la ciudad de Portoviejo, 2023 (Master's thesis, Quito: Universidad de las Américas, 2023).
Zanini, M., Tenenbaum, A., & Azogui-Lévy, S. (2022). La caries dental, un problema de salud pública. EMC-Tratado de medicina, 26(1), 1-8.
Zheng, F. M., Yan, I. G., Duangthip, D., Gao, S. S., Lo, E. C. M., & Chu, C. H. (2022). Silver diamine fluoride therapy for dental care. Japanese Dental Science Review, 58, 249–257. https://doi.org/10.1016/j.jdsr.2022.08.001
Zheng, F. M., Yan, I. G., Duangthip, D., Gao, S. S., Lo, E. C. M., & Chu, C. H. (2022). Silver diamine fluoride therapy for dental care. The Japanese Dental Science Review, 58, 249–257. https://doi.org/10.1016/j.jdsr.2022.08.001
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