ÇOCUK DİŞ HEKİMLİĞİNDE GÜMÜŞ DİAMİN FLORÜR KULLANIMI

Year 2022, Volume: 9 Issue: 2, 652 - 661, 24.08.2022

Zeynep Uçar , Bahar Melis Akyıldız

https://doi.org/10.15311/selcukdentj.980001

Cited By: 1

Abstract

Öz:
Gümüş diamin florür (GDF); diamin gümüş iyonu ve florür iyonundan oluşan renksiz ve topikal olarak uygulanabilen alkalen bir çözeltidir. Gümüş iyonlarının antibakteriyel özelliği ile florun çürük önleyici etkileri birleştirilerek Japonya’da 1969’ların sonunda GDF geliştirilmiştir. 2014 yılında ise Amerikan Gıda ve İlaç Dairesi (U.S Food and Drug Administration, FDA) tarafından diş hassasiyeti tedavisi için onaylanmıştır. Ancak son zamanlarda anti-karyojenik özellikleri ve dental plak biyofilminin büyümesini inhibe etmesi nedeniyle çürük kontrolünde kullanılmaktadır.
GDF içerisindeki gümüş (Ag) iyonları, Streptokok mutans’ın büyümesini inhibe etmekte ve dental plaktaki S.mutans’ın metabolik aktivitesini azaltmaktadır. GDF içerisindeki flor iyonları ise çürüğün ilerlemesini önlemektedir. Gümüş ve florun sinerjistik etkileri ile çürük sürecinin durdurulabileceği ve yeni lezyon gelişiminin önlenebileceği ileri sürülmüştür. Amerikan Pediatrik Diş Hekimleri Birliği; özel sağlık bakım ihtiyacı olan çocuklar da dahil olmak üzere çocuk ve ergenlerde çürük yönetimi için GDF kullanımını tavsiye etmektedir.Bu derlemenin amacı; gümüş diamin florürün özellikle çürük riski yüksek çocuklarda ve tedavi imkanının kısıtlı olduğu durumlarda restoratif materyallere alternatif olarak daha yaygın olarak kullanılmasını sağlamaktır.
Abstract:
Silver diamine fluoride is a colorless and topically applicable alkaline solution consisting of diamine silver ion and fluoride ion. SDF was developed in Japan in the late 1969 by combining the antibacterial properties of silver ions with the caries preventive effects of fluorine ions. In 2014, it was approved by the US Food and Drug Administration (U.S. Food and Drug Administration, FDA) for the treatment of tooth sensitivity. However, it has recently been used in the control of dental caries due to its anti-cariogenic properties and inhibition of dental plaque biofilm growth. Silver (Ag) ions in SDF inhibit the growth of Streptococcus mutans and reduce the metabolic activity of S.mutans in dental plaque. Fluorine ions in SDF prevent the progression of caries.
It has been suggested that the caries process can be stopped and new caries lesion development can be prevented with the synergistic effects of silver and fluorine. The American Association of Pediatric Dentists recommends the use of SDF for caries management in children and adolescents, including children with special health care needs. The aim of this review is to ensure that silver diamine fluoride solution is used more widely as an alternative to restorative materials, especially in children with high caries risk and in cases where treatment possibilities are limited.

Keywords

gümüş diamin florür, antibakteriyel etki, çürük durdurma

Supporting Institution

yoktur.

Project Number

yoktur.

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