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The use of silver diamine fluoride (SDF) in dental practice.
British Dental Journal ( IF 2.0 ) Pub Date : 2020-01-01 , DOI: 10.1038/s41415-020-1203-9
Nassar Seifo 1 , Mark Robertson 1 , Jeanette MacLean 2 , Katharine Blain 3 , Sarah Grosse 3 , Roderick Milne 1 , Clement Seeballuck 1 , Nicola Innes 1
Affiliation  

Silver diamine fluoride (SDF) is a clear, odourless liquid indicated for desensitisation of non-carious tooth lesions and molar incisor hypomineralisation. It is also useful for arresting carious lesions in adults and children who are high caries-risk and/or have difficult-to-control, progressing carious lesions, those who are unable to tolerate invasive treatment, elderly populations, and those who are medically compromised or have additional care and support needs. SDF may be used to manage lesions that are too extensive to restore but not associated with pain and/or infection. This can be important particularly where extractions might be contra-indicated for medical or behavioural reasons. This paper summarises the global evidence for the effectiveness and safety of SDF, describes what it is, its mechanisms of action and presents recommendations on how to use it. There are details on indications/contra-indications and risks/benefits to be considered in the use of SDF also discussion of how to approach SDF's side effect of black staining of carious tooth tissue. We give an example of an information sheet (Appendix S1, see online supplementary information) that may be used when discussing SDF with patients, particularly for primary teeth in children, but adaptable for the permanent dentition and for adults.

中文翻译:

在牙科实践中使用二胺氟化银(SDF)。

氟化二胺银(SDF)是一种透明的无味液体,适用于非龋齿病变的脱敏和磨牙切牙的矿化作用不足。它也可用于治疗龋齿风险高和/或难以控制,进行性龋齿的成年人和儿童,不能忍受侵入性治疗的成年人,老年人口以及患有医学折磨的成年人和儿童的龋齿病变或有其他护理和支持需求。SDF可用于处理太大而无法恢复但与疼痛和/或感染无关的病变。这可能很重要,尤其是在出于医学或行为原因而禁忌提取的情况下。本文总结了SDF有效性和安全性的全球证据,并说明了它的含义,其作用机制,并提出有关如何使用它的建议。在使用SDF时需要考虑适应症/禁忌症和风险/益处的详细信息,并讨论如何处理SDF对龋齿组织进行黑色染色的副作用。我们提供一个信息表的示例(附录S1,请参阅在线补充信息),该信息表可与患者讨论SDF,尤其是儿童的乳牙,但适用于恒牙和成人。
更新日期:2020-01-24
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