Turkiye Klinikleri Journal of Dental Sciences

.: REVIEW
Gümüş Diamin Florürün Çürük Yönetimindeki Yeri
The Role of Silver Diamine Fluoride on the Management of Dental Caries
Elif BALLIKAYAa, Zafer Cavit ÇEHRELİa
aHacettepe Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2020;26(2):276-84
doi: 10.5336/dentalsci.2019-66600
Article Language: TR
Full Text
ÖZET
 Diş çürüğü, bilinen en yaygın enfeksiyöz hastalık olup, diş sert dokularında kavitasyon evresine ulaştığında medikal ve restoratif yöntemlerle tedavi edilmesi gerekir. Çürüğün medikal yönetimi, hastalığı tedavi etmek için topikal ve minimal invaziv yaklaşımlar kullanan farklı bir tedavi felsefesidir ve genel anestezi altında kapsamlı operatif tedaviyi takiben hastalık nüks oranlarını önlemenin yanında, geleneksel bakımın bir alternatifi veya tamamlayıcısı olarak önerilmiştir. Gümüş diamin florür (GDF), noninvaziv tedavi sağlayabilen etkili bir ajandır. Gümüş diamin florür, florürün bilinen remineralize edici etkisini gümüşün antibakteriyel özelliği ile birleştirerek, aktif çürük lezyonlarının stabilize edilmesinde popülerliği gittikçe artan bir ajan hâline gelmiştir. Florür ve gümüşün etkileri uzun yıllardır bilinmekle birlikte, GDF formunda bir araya geldiklerinde, her yaştan bireyin aktif çürük lezyonlarına pratik, ucuz ve nonrestoratif bir müdahale seçeneği sunabilmektedir. Bu özelliği ile GDF, bazı bireylerde kalıcı tedavilere hazırlık döneminde hekim ve hastaya zaman kazandırabilirken, diğer bireylerde periyodik uygulamalarla restoratif tedavi gereksinimini ortadan kaldıran veya basitleştirebilen bir uygulamaya dönüşebilmektedir. Bu avantaj; yaş, sağlık durumu, ekonomik yetersizlikler gibi rutin diş tedavilerine engel olabilecek faktörlerin karşısında, GDF'nin temel dezavantajı olan kalıcı siyah renklenmeyi bile arka planda bırakabilmektedir. GDF, bazı uzun süreli geçici tedavi yöntemleri ile kombine de edilebilmektedir. Bu kısa literatür özetinde, GDF'nin etki mekanizması ve diş çürüğünün yönetimindeki yeri, mevcut literatür ışığında değerlendirilecektir.

Anahtar Kelimeler: Gümüş diamin florür; diş çürüğü
ABSTRACT
 Dental caries is the most prevalent infectious disease and requires medical and operative treatment when cavitation occurs on dental hard tissues. The medical management of dental caries is an alternative treatment approach that utilizes topically-administered agents and minimal invasive interventions, and has been proposed as a preventive measure to halt recurrence of caries after comprehensive treatments under general anesthesia, besides being an alternative preventive approach. Silver diamine fluoride (SDF) is an effective agent that can provide a non-invasive treatment. Silver diamine fluoride has become increasingly popular for stabilizing active caries lesions by virtue of the remineralizing effect of fluoride and the antibacterial properties of silver. Although individual effects of the latter two components have been recognized for many years, their synergistic use in the form of silver diamine fluoride can provide a practical, inexpensive and non-surgical restorative alternative to active caries lesions in every age. SDF could not only help buy time before complex permanent treatments, but it also can be turned into a permanent, regular treatment modality that eliminates or simplifies the need for restorative treatment. These advantages outweigh permanent black staining of lesions, the main disadvantage of SDF, particularly when factors such as age, health problems and poverty is an obstacle to routine dental treatment. In this mini-review, the mechanism of SDF on dental caries management will be evaluated in light of the current literature.

Keywords: Silver diamine fluoride; dental caries
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"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com