Erken Çocukluk Çağı Çürüklerinin Tedavisinde Gümüş Diamin Florürün Yeri ve Etki Alanlarıyla İlgili Yapılan Çalışmaların Derlenmesi

Abstract

Diş çürüğü dünya genelinde en sık görülen halk sağlığı sorunlarından biridir. Çocuklarda oldukça yaygın olarak görülen tiplerinden Erken Çoculuk Çağı Çürükleri (EÇÇ) bu dönemde en sık görülen kronik hastalıklardan biridir ve çocukların sadece ağız sağlığını olumsuz yönde etkilemekle kalmaz genel sağlık durumunu, beslenmesini, büyüme ve gelişimini, yaşam kalitesini ve sosyal hayatını olumsuz yönde etkileyebilmektedir. Yönetiminde ve tedavisinde kullanılmak üzere geçmişten günümüze çok çeşitli planlamalar yapılmış ve yeni materyaller geliştirilmiştir. Diş çürüğünün durdurulmasında en yaygın olarak kullanılan florür içerikli ajanlara gümüşün eklenenerek etkinliğinin arttırılması düşünülmüş ve Gümüş Diamin Florür (GDF) içerikli solüsyonlar geliştirilmiştir. Uygulaması kolay, basit ve noninvaziv bir solüsyondur. Çürük dokusu üzerinde antibakteriyel ve remineralize edici etkinliğinin olduğu, çürüğün ilerlemesini durduğu yapılan çalışmalarda gösterilmiştir. En önemli dezavantajının ise diş dokularında siyah renklenmeye neden olabilmesi olarak bildirilmektedir. Hangi konsantrasyonun ve hangi uygulama protokolünün kullanılmasının daha iyi sonuçlar vereceğine dair daha çok çalışmaya ihtiyaç bulunmaktadır. Bu derlemenin amacı EÇÇ tedavisinde kullanımı gittikçe yaygınlaşan GDF içerikli solüsyonların etki alanları ile ilgili yapılan çalışmaların derlenmesidir.

Keywords

• Çocuk
• Erken çocukluk çağı çürüğü
• Gümüş diamin florür.

Compilation of Studies on the Role and Scope About Silver Diamine Fluoride in the Treatment of Early Childhood Caries

Abstract

Dental caries is one of the most prevalent public health issues worldwide. One of the most prevalent types commonly observed in children, Early Childhood Caries (ECC), is among the most frequent chronic diseases during this period. It not only adversely affects children's oral health but also has a negative impact on their overall health, nutrition, growth and development, quality of life, and social well-being. Over the years, various plans have been devised, and new materials have been developed for the management and treatment of dental caries. To enhance the effectiveness of fluoride-containing agents, commonly used to arrest dental caries, silver has been incorporated, leading to the development of Silver Diamine Fluoride (SDF) solutions. Its application is an easy, simple, and non-invasive solution. Studies have demonstrated its antibacterial and remineralizing effects on carious tissues, effectively halting the progression of caries. However, notable disadvantage is its potential to cause discoloration, turning dental tissues black. Further research is needed to determine the optimal concentration and application protocol for achieving better results. The aim of this review is to compile studies related to the scope of effectiveness of SDF-containing solutions, which are increasingly used in the treatment of ECC.

Keywords

• Child
• Early childhood caries
• Silver diamine fluoride

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