Goswami Mridula, Narula Vashi, Jangra Babita
Department of Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Bull Emerg Trauma. 2025;13(1):62-67. doi: 10.30476/beat.2025.103986.1541.
Dental injury is a significant issue in children due to their immature physical, cognitive, and physiological development. These factors often result in heightened fear and behavioral challenges during their first visit following trauma, which can compromise the quality of treatment and lead to a poor prognosis for the affected tooth. Silver Diamine Fluoride (SDF), a colorless solution approved by the US FDA for treating dental hypersensitivity and caries, offers a simple, painless, and non-invasive treatment option. Its application involves a paint-on technique with a powerful fluoride formulation, making it an ideal choice for the initial management of enamel and dentin fractures in primary teeth, particularly in uncooperative young children.
This case series described four cases in which SDF was successfully used as the primary treatment for Ellis Class IX anterior tooth trauma in very young children with negative behavior responses in the dental setting. The procedure required minimal armamentarium and was well-tolerated by all patients.
In each case, the use of SDF yielded successful and satisfactory outcomes, with a favorable prognosis for the affected teeth. Additionally, the treatment contributed to a positive shift in the children's attitudes toward dental care.
由于儿童身体、认知和生理发育不成熟，牙齿损伤是一个重要问题。这些因素常常导致他们在创伤后的首次就诊时恐惧加剧和行为挑战，这可能会影响治疗质量并导致患牙预后不良。氟化银（SDF）是一种经美国食品药品监督管理局批准用于治疗牙齿过敏和龋齿的无色溶液，提供了一种简单、无痛且无创的治疗选择。其应用涉及使用含强效氟化物配方的涂抹技术，使其成为乳牙釉质和牙本质骨折初始处理的理想选择，尤其是对于不合作的幼儿。
本病例系列描述了4例使用SDF成功作为埃利斯IX类前牙外伤的主要治疗方法的病例，这些幼儿在牙科环境中有负面行为反应。该操作所需器械最少，所有患者均耐受良好。
在每个病例中，使用SDF均取得了成功且令人满意的结果，患牙预后良好。此外，该治疗有助于儿童对牙科护理的态度产生积极转变。
