Silberdiaminfluorid zum Kariesmanagement

Ein verändertes Verständnis zur Kariesentstehung hat dazu geführt, dass heute zunehmend Behandlungsoptionen eingesetzt werden, die eine Kariesarretierung als Behandlungsziel haben. Unter diesen Maßnahmen ist die Applikation von Silberdiaminfluorid (SDF) eine einfache und effektive Maßnahme, um gerade in vulnerablen Gruppen wie Kleinkindern oder Pflegebedürftigen eine Kariesbehandlung durchzuführen. Der folgende Artikel beleuchtet verschiedene Aspekte rund um die Wirkung von SDF und dessen klinischen Einsatz in der Kinder- und Alterszahnmedizin.

• Literatur

• 1 Takahashi N, Nyvad B. The role of bacteria in the caries process: ecological perspectives. J Dent Res 2011; 90: 294-303
• 2 Takahashi N, Nyvad B. Ecological Hypothesis of Dentin and Root Caries. Caries Res 2016; 50: 422-431
• 3 Paris S, Banerjee A, Bottenberg P. et al. How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement. Caries Res 2020; 54: 1-7
• 4 van Strijp G, van Loveren C. No Removal and Inactivation of Carious Tissue: Non-Restorative Cavity Control. Monogr Oral Sci 2018; 27: 124-136
• 5 Meyer-Lueckel H, Machiulskiene V, Giacaman RA. How to Intervene in the Root Caries Process? Systematic Review and Meta-Analyses. Caries Res 2019; 53: 599-608
• 6 Mei ML, Lo ECM, Chu CH. Arresting Dentine Caries with Silver Diamine Fluoride: What’s Behind It?. J Dent Res 2018; 97: 751-758
• 7 Xu GY, Zhao IS, Lung CYK. et al. Silver Compounds for Caries Management. Int Dent J 2024; 74: 179-186
• 8 Peng JJ, Botelho MG, Matinlinna JP. Silver compounds used in dentistry for caries management: a review. J Dent 2012; 40: 531-541
• 9 Zheng FM, Yan IG, Duangthip D. et al. Silver diamine fluoride therapy for dental care. Jpn Dent Sci Rev 2022; 58: 249-257
• 10 Horst JA, Ellenikiotis H, Milgrom PL. UCSF Protocol for Caries Arrest Using Silver Diamine Fluoride: Rationale, Indications and Consent. J Calif Dent Assoc 2016; 44: 16-28
• 11 Li R, Lo EC, Liu BY. et al. Randomized clinical trial on arresting dental root caries through silver diammine fluoride applications in community-dwelling elders. J Dent 2016; 51: 15-20
• 12 Crystal YO, Janal MN, Hamilton DS. et al. Parental perceptions and acceptance of silver diamine fluoride staining. J Am Dent Assoc 2017; 148: 510-518.e4
• 13 Sommerfeldt W, Gellert P, Muller A. et al. Older patients’ perception of treating root caries with silver diamine fluoride – a qualitative study based on the Theoretical Domains Framework. J Dent 2023; 130: 104408
• 14 Schmoeckel J, Gorseta K, Splieth CH. et al. How to Intervene in the Caries Process: Early Childhood Caries – A Systematic Review. Caries Res 2020; 54: 102-112
• 15 Splieth CH, Banerjee A, Bottenberg P. et al. How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement. Caries Res 2020; 54: 297-305
• 16 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: 962-967
• 17 Sirivichayakul P, Jirarattanasopha V, Phonghanyudh A. et al. The effectiveness of topical fluoride agents on preventing development of approximal caries in primary teeth: a randomized clinical trial. BMC Oral Health 2023; 23: 349
• 18 Mohammed SME, Awad SM, Wahba AH. Comparison of Clinical Outcomes of Silver-modified Atraumatic Restorative Technique vs Atraumatic Restorative Technique in Primary Teeth: A Randomized Controlled Trial. J Contemp Dent Pract 2022; 23: 1140-1145
• 19 Toopchi S, Bakhurji E, Loo CY. et al. Effect of Light Curing on Silver Diamine Fluoride in Primary Incisors: A MicroscopicEx VivoStudy. Pediatr Dent 2021; 43: 44-49
• 20 Schwendicke F, Krois J, Kocher T. et al. More teeth in more elderly: Periodontal treatment needs in Germany 1997–2030. J Clin Periodontol 2018; 45: 1400-1407
• 21 Schwendicke F, Krois J, Schiffner U. et al. Root caries experience in Germany 1997 to 2014: Analysis of trends and identification of risk factors. J Dent 2018; 78: 100-105