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Minimally Invasive Techniques Used for Caries Management in Dentistry. A Review

  • Paul J Torres1
  • Hanthao T.Phan2
  • Ana K.Bojorquez1
  • Franklin Garcia-Godoy3
  • Lilliam M Pinzon3

1Facultad de Odontologia de la Universidad Autonoma de Baja California-Tijuana, Mexico

2University of Utah – School of Dentistry, Salt Lake City, UT 84112 USA

3University of Tennessee Health Science Center College of Dentistry, Knoxville, TN USA

DOI: 10.17796/1053-4625-45.4.2 Vol.45,Issue 4,October 2021 pp.224-232

Published: 01 October 2021

*Corresponding Author(s): Lilliam M Pinzon E-mail: Lilliam.Pinzon@hsc.utah.edu

Abstract

Objective: Minimally invasive techniques that use silver compounds and glass ionomer cement are suggested for caries management due to their effectiveness, simplicity, and low cost. The aim of this review is to examine the evidence supporting the use of silver compounds and glass ionomer cement in dentistry. Study design: Literature was searched using PubMed, Elsevier, EBSCO, Google scholar, AAPD and UABC’s database from 1958 to 2018 with the keywords: “Silver nitrate”, “silver diamine fluoride”, and “glass ionomer cement”. The selected studies were then fully read to prove their relevance for this review. Results: The use of glass ionomer cement and silver compounds were shown to be effective in arresting caries. These compounds reduce cariogenic microorganisms. Their chemical properties inhibit bacterial growth while promoting remineralization. They are simpler and less time consuming than conventional restorations. They also cause less discomfort and anxiety to patients. Silver compounds were shown to stain teeth and may burn the cornea if used in high concentration. These disadvantages limit the use of silver compounds to posterior teeth and require caution when handling. Conclusions: Minimally invasive therapies are easy to apply, non-invasive and affordable. Further studies should be done to provide more evidence of these techniques for caries management

Keywords

Atraumatic Restorative Treatment (ART); Glass ionomer cement (GIC); Silver nitrate (SN); Silver diamine fluoride (SDF); Remineralization; Inhibition of bacterial growth

Cite and Share

Paul J Torres,Hanthao T.Phan,Ana K.Bojorquez,Franklin Garcia-Godoy,Lilliam M Pinzon. Minimally Invasive Techniques Used for Caries Management in Dentistry. A Review. Journal of Clinical Pediatric Dentistry. 2021. 45(4);224-232.

References

1. Gao SS, Zhao IS, Hiraishi N, Duangthip D, Mei ML, Lo ECM, Chu CH. Clinical trials of silver diamine fluoride in arresting caries among children: a systematic review. JDR Clinical & Translational Research 2016; 1(3): 201-2010.

2. American Academy of Pediatric Dentistry. Policy on the use of silver diamine fluoride for pediatric dental patients. Pediatr Dent 2018; 40(6): 51- 54.

3. Chu CH, Lo EC. Promoting caries arrest in children with silver diamine fluoride: a review. Oral Health Prev Dent 2008; 6(4): 315–321.

4. Vanegas S, Godoy A, Urdaneta L, Olávez D, Padrón K, Solórzano E. The effect of silver diamine fluoride on caries induced in Wistar rats. Rev Fac Odontol Univ Antioq 2014; 26(1): 76-88.

5. Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries. A pending public health crisis. Am J Dent. 2009 Feb;22(1):3-8

6. Rojas F. Algunas consideraciones sobre caries dental, fluoruros, su metabolismo y mecanismos de acción. Act Odont Ven 2008; 46(4): 1-11.

7. Arrow P, Klobas E. Minimum intervention dentistry approach to managing early childhood caries: a randomized control trial. Community Dent Oral Epidemiol 2015; 43:511-520.

8. Pettar M, Zhao J, Wu T, Memetimin N, Liu Z. Atraumatic restorative treatment versus conventional restorative treatment for childhood caries: a systematic review. Chinese J Evid Based Med. 2011;11(4):413-418.

9. Brito AL, Olegário IC, Calil C, Bissoto AF, Pettorossi JC, Prócida D. One year survival rate of Ketac Molar versus Vitro Molar for occlusoproximal ART restorations: a RCT. Braz Oral Res. 2017;31(0):1–8.

10. Freitas MCC, Fagundes TC, Modena KC, Cardia GS, Navarro MF. Randomized clinical trial of encapsulated and hand-mixed glass-ionomer ART restorations: one-year follow-up. J Appl Oral Sci. 2018;26(0):1–8.

11. Bresciani E, Carvalho W, Pereira L, Barata T, García-Godoy F, Navarro

M. (n.d.). Six-month evaluation of ART one-surface restorations in a community with high caries experience in Brazil. J Appl Oral Sci. 2005; 13(2): 180-186. 12. Ferreira JM, Pinheiro SL, Sampaio FC, de Menezes VA. Caries removal in primary teeth-a systematic review. Quintessence Int. 2012;43(1):e9-15.

13. van ‘t Hof MA, Frencken JE, van Palenstein Helderman WH, Holmgren CJ. The atraumatic restorative treatment (ART) approach for managing dental caries: a meta-analysis. Int Dent J 2006;56(6):345-351.

14. Raggio DP, Hesse D, Lenzi TL, Guglielmi CA, Braga MM. Is Atraumatic restorative treatment an option for restoring occlusoproximal caries lesions in primary teeth? A systematic review and meta-analysis. Int J Paediatr Dent. 2013 Nov;23(6):435-43. doi: 10.1111/ipd.12013. Epub 2012 Nov 28. PMID: 23190278.

15. Ladewig NM, Sahiara CS, Yoshioka L, Olegário IC, Floriano I, Tedesco TK, et al. Efficacy of conventional treatment with composite resin and atraumatic restorative treatment in posterior primary teeth: Study protocol for a randomised controlled trial. BMJ Open. 2017;7(7):1–6.

16. Mickenautsch S, Frencken JE, van’t HM. Atraumatic restorative treatment and dental anxiety in outpatients attending public oral health clinics in South Africa. J Public Health Dent. 2007 Summer;67(3):179-84. doi: 10.1111/j.1752-7325.2007.00017.x. PMID: 17899905.

17. Simon AK, Bhumika TV, Nair NS. Does atraumatic restorative treatment reduce dental anxiety in children? A systematic review and meta-analysis. Eur J Dent. 2015 Apr-Jun;9(2):304-309. doi: 10.4103/1305-7456.156841. PMID: 26038668; PMCID: PMC4439864.

18. Tonmukayakul U, Arrow P. Cost-effectiveness analysis of the atraumatic restorative treatment-based approach to managing early childhood caries. Community Dent Oral Epidemiol. 2017 Feb;45(1):92-100. doi: 10.1111/cdoe.12265. Epub 2016 Nov 14. PMID: 27859533.

19. da Mata C, Allen PF, Cronin M, O’Mahony D, McKenna G, Woods N. Cost-effectiveness of ART restorations in elderly adults: a randomized clinical trial. Community Dent Oral Epidemiol. 2014 Feb;42(1):79-87. doi: 10.1111/cdoe.12066. Epub 2013 Aug 19. PMID: 23952107.

20. Aida KL, Pereira JA, Teixeira GS, Caldo-Teixeira AS, Perrone LR, Caiaffa KS, Negrini T, Castilho AR, Costa CA. In vitro and in vivo evaluations of glass-ionomer cement containing chlorhexidine for Atraumatic Restorative Treatment. J Appl Oral Sci. 2017;25(5):541–550.

21. Gao SS, Zhao IS, Duffin S, Duangthip D, Lo ECM, Chu CH. Revitalising silver nitrate for caries management. Int. J. Environ. Res. Public Health 2018; 15, 80.

22. Silvestry NR, Sicairos EE, Gerba CP, Bright, KR. Reviews of Environmental Contamination and Toxicology; Springer: Berlin, Germany, 2007; pp. 23–45.

23. Peng JJY, Botelho MG, Matinlinna JP. Silver compounds used in dentistry for caries management: A Review. J Dent. 2012; 40: 531-541.

24. Wahlberg V. Reconsideration of Credé prophylaxis. A study of maternity and neonatal care. Acta Paediatr Scand Suppl. 1982;295:1-73. PMID: 6762045.

25. Moir J, Serra MP. The use of silver nitrate in wound management. Ann Ital Chir. 2012 Jan-Feb;83(1):45-8. PMID: 22352216.

26. James PMC, Parfitt GJ. A clinical note on the use of silver nitrate in the prevention of fissure caries in newly erupted first permanent molars. Br Dent J 1954;96:35.

27. Klein U, Kanellis MJ, Drake D. Effects of four anticaries agents on lesion depth progression in an in vitro caries model. Pediatr Dent 1999; 21: 176–180.

28. Youravong N, Carlen A, Teanpaisan R, Dahlén G. Metal-ion susceptibility of oral bacterial species. Lett Appl Microbiol. 2011 Sep;53(3):324-8. doi: 10.1111/j.1472-765X.2011.03110.x. Epub 2011 Jul 21. PMID: 21711369.

29. Duffin S. Back to the future: the medical management of caries introduction. J Calif Dent Assoc. 2012;40(11):852–8.

30. Zhao IS, Mei ML, Li Q, Lo ECM, Chu CH. Arresting simulated dentine caries with adjunctive application of silver nitrate solution and sodium fluoride varnish: An in vitro study. Int Dent J 2017; 67:206–214.

31. Hansen RN, Shirtcliff RM, Dysert J, Milgrom PM. Costs and resource use among child patients receiving silver nitrate/fluoride varnish caries arrest. Pediatric Dent 2017;39(4):304-7.

32. AAPD. Policy on the use of silver diamine fluoride for pediatric dental patients. Pediatr Dent. 2017;39(6):51–3.

33. Gold J. Limited evidence links silver diamine fluoride and caries arrest in children. J Evid Based Dent Pract. 2017;17(3):265–7.

34. Devji T. Silver diamine fluoride is probably more effective than atraumatic restorative treatment, fluoride varnish, or no treatment for controlling caries progression in children. J Am Dent Assoc. 2018 Apr;149(4):e65. doi: 10.1016/j.adaj.2017.12.002. Epub 2018 Jan 23. PMID: 29395004.

35. Tomar S. Silver diamine fluoride: a game changer in managing caries in high-risk populations? Association State &Territorial Dental Directors. Jan 13, 2017. Cashill Blvd., Reno, NV.

36. Maragaliano-Muniz P, Novy B. Articles R. The dos and don’ts of siver diamine fluoride. Decisions in Dentistry. 2016;(November):1–5.

37. Gao SS, Zhao IS, Hirashi N, Duanghtip D. Clinial trials of silver diamine fluoride in arresting caries among children. Review. JDR Clinical & Translational Research. 2016;(1) 1–10.

38. Milgrom P, Horst JA, Ludwig S, Rothen M, Chaffee BW, Lyalina S, et al. Topical silver diamine fluoride for dental caries arrest in preschool children: A randomized controlled trial and microbiological analysis of caries associated microbes and resistance gene expression. J Dent. 2018;68:72–8.

39. American Academy of Pediatric Dentistry. Chairside guide: silver diamine fluoride in the management of dental caries lesions. Pediatr Dent. 2017;39(6):478–9.

40. Brooke MO, Fukuoka DMD. Features L. Clinical use of silver diamine fluoride. Decisions in Dentistry. 2018;4(2):30-32,35-36.

41. Duangthip D, Wong MCM, Chu CH, Lo ECM. Caries arrest by topical fluorides in preschool children: 30-month results. J Dent. 2018;70:74–9.

42. Mei ML, Li QL, Chu CH, Lo EC, Samaranayake LP. Antibacterial effects of silver diamine fluoride on multi-species cariogenic biofilm on caries. Ann Clin Microbiol Antimicrob 12, 4 (2013). https://doi. org/10.1186/1476-0711-12-4

43. Knight GM, McIntyre JM, Craig GG, Mulyani PS, Zilm NJ. Gully N. Inability to form a biofilm of Streptococcus mutans on silver fluoride- and potassium iodide-treated demineralized dentin. Quintessence Int. 2009; 40 (2) 155–161.

44. Rosenblatt A, Stamford TC, Niederman R. Silver diamine fluoride: a caries “silver-fluoride bullet”. J Dent Res. 2009; 88(2):116–125.

45. Horst JA, Ellenikiotis H, Milgrom P. UCSF protocol for caries arrest using silver diamine fluoride: rationale, indications and consent. J Calif Dent Assoc. 2016;44(1):16–28.

46. Chu CH, Lo EC, Lin H. Effectiveness of silver diamine fluoride and sodium fluoride varnish in arresting dentin caries in Chinese pre-school children. J Dent Res. 2002;81(11):767-770.

47. Yee R, Holmgren C, Mulder J, Lama D, Walker D, Helderman W. Efficacy of silver diamine fluoride for arresting caries treatment. J Dent Res. 2009; 88:644–647.

48. Rai M, Yadav A, Gade A. Silver nanoparticles as a new generation of antimicrobials. Biotechnology Advances 2009;27:76–83

49. Crystal YO, Janal MN, Hamilton DS, Niederman, R. Parental perceptions and acceptance of silver diamine fluoride staining. J Am Dent Assoc. 2017, 148, 510–518.

50. Chu CH, Mei ML, Lo ECM. Use of fluorides in dental caries management. Gen Dent 2010; 58: 37–43.

51. Mabangkhru S, Duangthip D, Chu CH, Phonghanyudh A, Jirarattanasopha V. A randomized clinical trial to arrest dentin caries in young children using silver diamine fluoride. J Dent. 2020 Aug;99:103375. doi: 10.1016/j.jdent.2020.103375. Epub 2020 May 16. PMID: 32428523.

52. Zhao IS, Gao SS, Hiraishi N, Burrow MF, Duangthip D, Mei ML, Lo ECM, Chu CH. Mechanisms of silver diamine fluoride on arresting caries: a literature review. Inter Dent J 2018; 68: 67–76.

53. Gao SS, Lo ECM, Chu CH. Arresting early-childhood-caries with silver nitrate and sodium fluoride 12-month results. J Dent Res. 2017;96.

54. Chou R, Cantor A, Zakher B, Mitchell JP, Pappas M. Prevention of dental caries in children younger than 5 years old: systematic review to update the U.S. Preventive Services Task Force recommendation. Evidence Synthesis No.104. AHRQ Publication No. 12-05170-EF-1. Rockville, MD: Agency for Healthcare Research and Quality (US); 2014.

55. Hyde EJ. Caries-inhibiting action of three different topically-applied agents on incipient lesions in newly erupted teeth: results after 24 months. J Canada Dent Assoc 1973;39(3):189-93.

56. Zhi QH, Lo EC, Lin HC. Randomized clinical trial on effectiveness of silver diamine fluoride and glass ionomer in arresting dentine caries in preschool children. J Dent. 2012;40(11):962–967.

57. Molina GF, Cabral RJ, Mazzola I, Lascano LB, Frecken JoE. Mechanical performance of encapsulated restorative glass-ionomer cements for use with Atraumatic Restorative Treatment (ART). J Appl Oral Sci 2013;21(3):243-9.

58. Mei ML, Ito L, Cao Y, Li QL, Lo ECM, Chu CH. Inhibitory effect of silver diamine fluoride on dentine demineralization and collagen degradation. J Dent 2013 41(9):809-817.

59. Liu BY, Lo EC, Li CM. Effect of silver and fluoride ions on enamel demineralization: a quantitative study using micro-computed tomography. Aust Dent J 2012 57: 65-70.

60. Chu CH, Lo EC. Microhardness of dentine in primary teeth after topical fluoride applications. J Dent 2008 36: 387–391.


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