Croll Theodore P, Berg Joel
Adjunct Professor, Pediatric Dentistry, University of Texas Health Science Center at San Antonio (Dental School), San Antonio, Texas; Clinical Professor, Pediatric Dentistry, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio; Clinic Director, Cavity Busters Doylestown, LLC, specializing in Pediatric Dentistry, Doylestown, Pennsylvania.
Professor Emeritus, Department of Pediatric Dentistry, University of Washington School of Dentistry, Seattle, Washington.
Compend Contin Educ Dent. 2020 Feb;41(2):84-89; quiz 90.
Silver has a long history of use in medicine and dentistry, as its powerful antimicrobial properties have benefited mankind immensely. Silver formulations can be traced back to Hippocrates, and silver nitrate has centuries of use in medicine, including being utilized intraorally since at least the early 1800s. In the past roughly 40 years, silver diammine fluoride (SDF) has been used in many parts of the world to treat tooth sensitivity and for chemical attenuation of dental caries lesions. SDF was more recently introduced in North America for treatment of dental sensitivity with widespread off-label use as a dental caries infection inhibitor. Accordingly, SDF has been the subject of much dental research and many published articles in dentistry. In addition to providing significant chemical interference of progression of caries infections, SDF has the ability to prevent initiation of the caries process. This article gives a brief history of silver use in medicine and dentistry and documents a simplified procedure to saturate contacting proximal surfaces of teeth with 38% SDF solution, followed by fluoride varnish coverage, to prevent caries lesions and intercept progression of existing caries infections.
银在医学和牙科领域有着悠久的使用历史，因其强大的抗菌特性极大地造福了人类。银制剂的使用可追溯到希波克拉底时代，硝酸银在医学上已有数百年的使用历史，至少从19世纪初就开始用于口腔内。在过去大约40年里，氟化氨银（SDF）在世界许多地区被用于治疗牙齿敏感和化学性减轻龋齿病变。最近，SDF在北美被引入用于治疗牙齿敏感，并作为龋齿感染抑制剂被广泛用于非标签用途。因此，SDF一直是许多牙科研究的主题，并且在牙科领域有许多发表的文章。除了对龋齿感染的进展提供显著的化学干扰外，SDF还能够预防龋齿过程的起始。本文简要介绍了银在医学和牙科领域的使用历史，并记录了一个简化程序，即用38%的SDF溶液使牙齿相邻接触表面饱和，随后覆盖氟化物漆，以预防龋齿病变并阻止现有龋齿感染的进展。
