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Silver diamine
fluoride (SDF) treatment can be an effective treatment of root surface
lesions older, frail adult patients.
Frequent use of 38
% silver diamine fluoride (SDF) topically every 6 months
can be effective in preventing the decay of root surface lesions and lesions
around crowns in elderly, a study in Journal of Dentistry revealed.
Chelsea Mitchell et al. performed a case series to
study the arrest of root surface caries lesions in 62 adults (aged ≥55 years)
when teeth were treated 38 % SDF topically. The inclusion criterion was that the patient needed to
have a minimum of 1 active root caries lesion. The lesions were rinsed and then
air-dried, segregated, and thereafter microbrush application of 38 % SDF was
done for 2 minutes. At 2 to 3 weeks a re-evaluation of the treated lesions was
done. After 6 months, the treatment was done again. Likelihood of dental
caries lesion arrest was assessed for root surfaces and crown margins.
As found, 55 patients (44
% female, mean age 79.8) revisited for follow-up. Chances of a lesion
arresting with treatment varied from 82.9 to 91.6%. At 18 months, higher arrest
rates were observed in root surfaces (91.6 %) as compared to surrounding the
crown margins (89.8 %). Seven patients had All
furcal lesions (100%) prevented by 6 months.
Journal of Dentistry
Silver diamine fluoride treatment of active root caries lesions in older adults: A case series
Chelsea Mitchell et al.
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