A Minimally Invasive Approach to Caries Control: Nano Silver Fluoride Application

Yıl 2023, Cilt: 12 Sayı: 3, 467 - 473, 25.09.2023

Özge Bektaş

https://doi.org/10.54617/adoklinikbilimler.1220761

Öz

As a common chronic disease, dental caries negatively affects oral health and quality of life,
especially in children. The control of dental caries with minimally invasive methods is based
on non-restorative, non-invasive techniques that effectively eliminate the progression of the
carious lesion and reduce the loss of healthy tooth structure. One of these strategies is the use
of caries arrest agents with antibacterial and remineralizing properties. The use of silver
diamine fluoride (SDF) successfully prevents both primary tooth caries and permanent tooth
root caries. Although SDF is an effective anti-caries agent, it has some disadvantages such as
gingival irritation, metallic taste and tooth discoloration. As an alternative agent, Nano Silver
Fluoride (NSF) is preferred because it has a clinical effect like SDF without causing tooth
discoloration. It has preventive and antibacterial activities comparable to SDF. It is also economical and safe for children and adults. This review aims to highlight the superior
properties of NSF as an alternative anti-caries agent to the discoloration disadvantage of SDF.

Anahtar Kelimeler

dental caries, minimally invasive approaches, nano silver fluoride

Çürük Kontrolünde Minimal İnvaziv Bir Yaklaşım: Nano Silver Florür Uygulaması

Öz

Diş çürüğü yaygın bir kronik hastalık olarak özellikle çocuklarda ağız sağlığını ve yaşam
kalitesini olumsuz etkilemektedir. Diş çürüğünün minimal girişimsel yöntemlerle kontrolü;
çürük lezyonunun ilerlemesini etkili bir şekilde ortadan kaldıran, sağlıklı diş yapısının kaybını
azaltan, restoratif ve invaziv olmayan tekniklere dayanır. Bu stratejilerden biri de
antibakteriyel ve remineralize edici özelliklere sahip çürük durdurucu ajanların
kullanılmasıdır. Silver diamin florür (SDF) kullanımı hem süt diş çürüklerini hem de kalıcı
dişlerdeki kök çürüklerini başarıyla engellemektedir. SDF etkili bir çürük önleyici ajan
olmasına rağmen diş eti irritasyonu, metalik tat ve diş renklenmesi gibi bazı dezavantajlara
sahiptir. Alternatif bir ajan olarak Nano Silver Florür (NSF), dişlerde renklenme oluşturmadan
SDF gibi klinik etki gösterdiği için tercih edilebilir. SDF ile karşılaştırılabilir önleyici ve
antibakteriyel aktivitelere sahiptir. Ayrıca çocuklarda ve yetişkinlerde ergonomik, ekonomik
ve güvenlidir. Bu derleme SDF'nin renklenme dezavantajına alternatif kullanılan çürük
önleyici ajan olan NSF'nin üstün özelliklerini vurgulamayı amaçlamaktadır.

Anahtar Kelimeler

diş çürüğü, minimal invaziv yaklaşımlar, nano silver florür

Kaynakça

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