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SDF as an Adjunct Approach for the Management of Caries

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Contemporary Endodontics for Children and Adolescents

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Abstract

Silver diamine fluoride combines the antibacterial actions of silver with the remineralizing effects of fluoride. Their combination in an alkaline stabilizing solution creates a synergistic effect that slows collagen degradation in dentin. It produces a hard layer in the surface of the dentin that prevents further bacterial attack and results in caries arrest and dentin desensitization with promotion of tertiary dentin formation. Bi-annual applications of 38% SDF result in arrest rates ranging from 40% to 90% depending on the location and size of the lesion, the presence of plaque, and the cariogenic challenge. It is minimally invasive because it doesn’t require caries removal to be effective.

Even with the dark staining that characterizes treated lesions, it is an invaluable tool for caries management especially when traditional restorative care is not a viable first line of treatment.

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Author information

Authors and Affiliations

  1. Department of Pediatric Dentistry, New York University, College of Dentistry, New York, NY, USA

    Yasmi O. Crystal

  2. Comprehensive Pediatric Dentistry, Bound Brook, NJ, USA

    Yasmi O. Crystal

  3. Department of Molecular Pathobiology, Division of Biomaterials, New York University, College of Dentistry, New York, NY, USA

    Sasan Rabieh

Authors
  1. Yasmi O. Crystal
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  2. Sasan Rabieh
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Correspondence to Yasmi O. Crystal .

Editor information

Editors and Affiliations

  1. Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel

    Anna B. Fuks

  2. Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel

    Moti Moskovitz

  3. The Goodman Faculty of Life Sciences, Bar Ilan University, Ramat Gan, Israel

    Nili Tickotsky

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Crystal, Y.O., Rabieh, S. (2023). SDF as an Adjunct Approach for the Management of Caries. In: Fuks, A.B., Moskovitz, M., Tickotsky, N. (eds) Contemporary Endodontics for Children and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-031-23980-9_8

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  • DOI: https://doi.org/10.1007/978-3-031-23980-9_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-23979-3

  • Online ISBN: 978-3-031-23980-9

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