Silver diamine for your patients’ golden years
Wednesday, August 01, 2018
Caring for the teeth of your older patients requires an awareness of the issues and conditions that can affect the oral health of this older population. Dental conditions associated with aging include dry mouth (xerostomia), root and coronal caries, and periodontitis.
Additionally, patients may show increased sensitivity to drugs used in dentistry, including local anesthetics and analgesics.
If you are a dentist who treats an older population, read on.
Applying silver diamine fluoride to exposed root surfaces of teeth in older adults can be an effective way to prevent cavities, according to the August issue of The Journal of the American Dental Association.
Authors of the long-term study, “Controlling Caries in Exposed Root Surfaces With Silver Diamine Fluoride: A Systematic Review With Meta-Analysis,” examined over 1,000 articles (wow!) to identify high-quality randomized controlled, human clinical trials that critically looked at and evaluated the preventive effect of silver diamine fluoride on root surface caries in older adult patients.
They found that 38 percent silver diamine fluoride applications to exposed root surfaces applied annually “are a simple, inexpensive and effective way of preventing caries initiation and progression,” according to the article’s abstract.
“Silver diamine fluoride application to root surfaces presenting dental caries also appears to be very safe,” said one of the article’s authors, Dr. Branca Heloisa Oliveira, a dentist who also holds a Ph.D. “The only known potentially relevant side effect would be the discoloration of the treated caries lesions,” said Dr. Oliveira.
Because of this, dentists should be prepared to address patients’ concerns regarding the blackening of the decayed tooth surfaces after silver diamine fluoride applications. But it should be noted that complaints about black staining of the carious lesions by a silver fluoride application were rare among older adults in all cases of the study.
But what about your younger patients? According to this study,there is limited evidence suggesting silver diamine fluoride may arrest dental caries in children.
- Impressive new smartphone apps in health and medicine
- Experiment reveals the ugly side of open-source journal industry
- The impact of marijuana use on oral health
- 5 must-track metrics for practice profitability
- 3-D printing and its impact on the medical implant industry
- Supreme Court to decide future of teeth whitening industry
- Technology and medicine: Applying Google Glass in the medical field
- Valentine’s Day woes? There’s an ICD-10 code for that
- December is National Impaired Driving Prevention Month
- Infographic: Why succession planning is key to the survival of your business
- Great parks to see animals at
- Exploring the growing flexitarian movement
- CMS: US healthcare spending slows in nearly every corner of the market
See your work in future editions
Your content, Your Expertise,
Your Industry Needs YOUR Expert Voice & We've got the platform you needFind Out How