Facts About Silver Diamine Flouride That You Should Know

The American Association of Pediatric Dentists (AAPD) has published a research study on the use of silver diamine fluoride in the management of dental caries among children and adolescents, as well as those with special care needs. Currently, the most preferred way of managing tooth decay among this group is through removal of the decay and employing restorative procedures such as fillings and sealants. However, there are some situations wherein these methods are not financially or physically feasible.

With that said, the use of silver diamine floude or SDF offers an effective alternative solution to prevent the decay from further deterioration.

What is Silver Diamine Flouride?

Silver diamine fluoride (SDF) is a solution made from water, fluoride, silver and ammonia. In this liquid solution, fluoride works by treating the tooth decay and preventing it from deteriorating further while silver works to protect the dentin, the inner layer of the teeth.

Despite its slightly metallic taste, the Food and Drug Administration (FDA) has approved this solution for the treatment of hypersensitivity. However, it is only recently, through numerous evidences from studies that it can successfully treat and prevent decay in kids, the elderly and patients with special needs.

How is SDF Applied?

After cleaning and drying the teeth, a drop of SDF is applied on the teeth, specifically areas that are affected by decay to stop the cavities from spreading further. The solution is spread over using a tiny brush and then, it is left to cure for about 2 minutes.

SDF treatment also helps reduce hypersensitivity caused by tooth decay as it strengthens any exposed dentin.

Is SDF Safe for My Children?

SDF is a safe treatment option compared to other dental procedures that have reported to have severe side effects or have reported risks. Many pediatric dentists recommend it for kids with severe early childhood caries.

SDF has many benefits but also comes with disadvantages:

Pros:

·         The treatment is fast, simple and effective.

·         It is non-invasive and painless compared to traditional decay procedures that involves anaesthesia injection, drilling and more.

·         Highly effective in preventing decay

·         Relieves hypersensitivity

Cons:

·         Reported to have slight metallic taste and ammonia smell. However, this disappears quickly after treatment.

·         The decayed areas that are treated with SDF will have permanent discoloration, often brown or black staining. This is due to a chemical reaction with the silver and is proof that it’s destroying cavity-causing bacteria. Take note that only the decayed areas will be discoloured and not the entire tooth.

·         Patients with silver allergies or mouth ulcers must avoid SDF. They can talk about alternation options with their dentist.

Like any other procedure, it is very important that you discuss it with your pediatric dentist to make sure to completely understand the procedure’s risks and benefits.

The Tooth Decay Process: How to Reverse the Process and Avoid a Cavity

You may be aware that a dental cavity starts from a tooth decay. But did you know you can reverse a tooth decay and prevent cavities to form? Read on and find out how to reverse a tooth decay and avoid a cavity?

What’s Happening Inside Your Mouth?

The mouth is filled with hundreds of different types of bacteria living on our tongue, gums, teeth and other parts of the mouth. Some are friendly bacteria while some can cause damage such as those that actively take part in the tooth decay process.

Tooth decay occurs due to an infection from a certain bacteria that consume sugar in food and produce acids. Over time, the acid can cause damage leading to a tooth cavity.

Inside the mouth, a war between bacteria and sugar vs. saliva and fluoride happens. Whenever you consume something containing sugar or starch, bacteria use them and secrete acids, which then start to corrode the tooth enamel.

Photo credit: https://www.nidcr.nih.gov/health-info/childrens-oral-health/tooth-decay-process

The minerals present in the saliva such as phosphate and calcium, with fluoride from the toothpaste and water help the enamel repair itself by coating the tooth enamel and replacing the lost minerals from the acid attack.

Every day, our mouth undergoes this process of losing and replacing minerals.

How a Cavity Develops

A cavity develops when a tooth is frequently exposed to acid. For instance, if you drink or eat food containing sugar more often, this causes a repeated attach on the enamel, causing more minerals to lose.

A sign of early decay is a white spot on the tooth. This is the stage where a decay can be reversed. Enamel can self-repair provided there’s minerals available from saliva and toothpaste or other sources.

However, the tooth decay process persists when more minerals will be lost. Eventually, it weakens and destroys enamels and a cavity forms. A dental cavity is permanent and can be repaired using a filler.

 How to Reverse the Tooth Decay Process

1. Use Flouride. Flouride is beneficial for the teeth as it prevents mineral loss and replaces lost mineral on the enamel. Further, it lowers the ability of bacteria to create acid. You can easily get fluoride from drinking fluoridated water and toothbrushing with a fluoride toothpaste.

Your child’s pediatric dentist can prescribe fluoride gel or varnish for tooth surfaces, fluoride mouth rinse or fluoride tablets if he or she needs more fluoride. If you child drinks only bottled water, visit your dentist to know whether your child needs supplemental fluoride in the form of gel, tablet or varnish.

2. Monitor your child’s diet. Take note that every time your child eats or drinks something with sugar, bacteria inside the mouth use it to produce acids. That is why always keep an eye on what they eat and how often they eat it.

Tips:

·         Save candies, soda, biscuits, cookies and other sugary beverages on special occasions.

·         Reduce between-meal snacks

·         Limit fruit juice.

·         Be sure the child does not eat or drink anything after bedtime toothbrushing. Since the flow of saliva decreases during sleep, the teeth becomes vulnerable to acid attack and are less able to replace lost minerals.

3. Ensure your child brushes his or her teeth. Brushing with fluoride toothpaste is very important to prevent cavities. Have your child brush two times a day.

4. Have regular dental check-ups. Bring your child to the dentist for examinations and cleaning.

Why is Fluoride Important for Your Kid’s Dental Health?

What is Fluoride?

Fluoride is the ionic form of the element fluorine, a naturally-occurring substance. When combined with other elements like sodium, fluoride ions form a compound called sodium fluoride, which is the active ingredient in many toothpaste.

Fluoride works in many ways to prevent tooth cavities and decay. For children, it is important for tooth development because fluoride combines into the crystals forming the enamel, which is the hard outer layer of the teeth. Development of the enamel happens in children up to the age of 8, when the teeth is growing under the gums. Fluoride in the enamel makes the teeth resistant to demineralization.

How Does Fluoride Protect Your Child’s Dental Health?

Fluoride has many caries-protective actions. When applied topically, it has been found that low levels of fluoride in saliva and plaque prevent demineralization of tooth enamel and boost enamel by replacing nutrients. Fluoride also prevents development of dental cavities by inhibiting the activity of cariogenic bacteria – the specific bacteria that causes caries.

Certain types of bacteria in our oral cavity break down the carbs we eat and along the process, they produce acid which causes lowering of pH in the mouth. When this happens, the enamels begins to break down and release minerals such as phosphate, calcium and fluoride (this is called demineralization).

If there is sufficient fluoride available on the teeth’s surface, it will alleviate the process before tooth decay occurs. In fact, it can remineralize tiny areas affected by decay. Such cycles of remineralisation and demineralization continue all throughout the life of a healthy tooth.

Aside from tooth remineralisation and remodelling, fluoride also protects the teeth with its direct antibacterial effect. When fluoride ions enters the bacterial cells, they inhibit the enzyme responsible for the production of acid.

On the other hand, high levels of fluoride, particularly those applied as varnishes or topical gels, provide a temporary covering of calcium fluoride-like element on the surface of the enamel.

Fluoride that is swallowed, such in the case of dietary supplements and fluoridated water, may provide benefits on erupted teeth. Fluoride supplementation is effective in lowering prevalence of caries and must be considered for kids who are at high risk of dental caries because of drinking fluoride-deficient water.

 How Much Fluoride Do Kids Need?

The amount of fluoride will be based on the child’s age. Sufficient levels of ingested fluoride are usually obtained through dietary sources, particularly if the child is living in a place with fluoridated water. However, children below the age of 2 must not receive any form of topical fluoride as they have the tendency to swallow them.

Between the ages of 2 and 6, children must use toothpaste that contains children’s strength amount of fluoride. Brushing must also be supervised by the parents to make sure they will only use a pea-size amount and then spit it out when finished.

Brushing twice a day is important. It will not only get rid of dental plaque, it will also make sure that the teeth are protected to fluoride. Topical fluoride sources such as gels, rinses and varnishes but be sure to consult your pediatric dentist first to know if these are suitable for your child.