
JDR Clinical & Translational Research, Journal Year: 2024, Volume and Issue: unknown
Published: May 18, 2024
Background: Discoloration of carious lesions after application silver diamine fluoride lowers patient acceptance and limits its wider use for caries arrest. Objective: To assess lesion tooth color changes from 2 novel (AgF) products relationship to activity (clinical visuo-tactile scores) bacterial load (using laser fluorescence with the DIAGNOdent). Methods: A split-mouth design was followed, matched smooth surface in same arch adults special needs randomized 1-min treatments AgF/potassium iodide (KI) (Riva Star Aqua, SDI) AgF/stannous (SnF ) (Caries Status Disclosing Solution; Whiteley). Standardized images taken at baseline, immediately postoperatively, 3-mo review were subjected digital image analysis calculate delta-E track luminosity lesions. Results: Twelve participants recruited study. total 56 teeth (28 pairs) included. Significantly greater seen treated than adjacent noncarious natural structure, both treatment ( P < 0.0001). Color change not affected by type, location, plaque status, salivary or condition. AgF/SnF caused transitory darkening on application, while AgF/KI immediate formation yellow deposits (silver iodide). Both significant 3 mo = 0.0009; 0.0361), no differences between them 0.506). Responding showed larger more perceptible either AgF 0.002; 0.024). Conclusions: highly effective arrest this population. Despite minor appearance time lead similar sites mo. Knowledge Transfer Statement: This study shows usefulness used conjunction potassium stannous achieving needs. Patients need be informed that long-term staining occurs both, fluoride.
Language: Английский