Crystal Yasmi O, Niederman Richard
Pediatric Dentistry, New York University College of Dentistry, 345 East 24th Street. 9W, New York, NY 10010, USA.
Department of Epidemiology & Health Promotion, New York University College of Dentistry, 433 1st Avenue, Room 720, New York, NY 10010, USA.
Dent Clin North Am. 2019 Jan;63(1):45-68. doi: 10.1016/j.cden.2018.08.011.
This article reviews current evidence on the effectiveness of silver diamine fluoride (SDF) as a caries arresting and preventive agent. It provides clinical recommendations around SDF's appropriate use as part of a comprehensive caries management program. Systematic reviews confirm that SDF is effective for caries arrest on cavitated lesions in primary teeth and root caries in the elderly. It may also prevent new lesions. Application is easy, noninvasive, affordable, and safe. Although it stains the lesions dark as it arrests them, it provides clinicians with an additional tool for caries management when esthetics are not a primary concern.
本文综述了关于氟化亚锡(SDF)作为龋齿抑制和预防剂有效性的现有证据。它围绕SDF作为综合龋齿管理计划一部分的适当使用提供了临床建议。系统评价证实,SDF对乳牙龋洞病变和老年人根龋的龋齿抑制有效。它还可能预防新的病变。应用简便、无创、经济且安全。尽管它在抑制病变时会将病变染黑,但在美观不是主要考虑因素时,它为临床医生提供了一种额外的龋齿管理工具。