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New liquid treatment stops tooth decay painlessly

By: WENCY LEUNG, www.theglobeandmail.com A few weeks ago, an Edmonton dentist received her first shipment of a new, non-invasive treatment for tooth decay called silver diamine fluoride. When applied to an affected tooth, the liquid treatment stops decay by killing cavity-causing bacteria, then remineralizes, or hardens, soft spots in the tooth, eliminating the need for drilling and filling. So far, Roche has tried it on about a dozen patients, some as young as five. But she already believes it “really revolutionizes the care” for children, seniors and other patients who don’t tolerate dental procedures well. “You just paint it on like a little bit of varnish … no freezing and drilling. It takes a minute to apply this material,” said…

Close-up of little boy opening his mouth during dental checkup

Fighting cavities without a dentist drill

By: Melanie Falcon, www.wfmz.com Not many people look forward to going to the dentist, especially children. Now, there’s a new liquid doctors are using to fight cavities painlessly, without a drill. Just ask Uriah’s mom how much they both hate the dentist’s office. “Crying, screaming, running, don’t want you to look in his mouth,” said Andrea Webb. But those nightmarish appointments may be just a bad memory, even for someone with cavities, thanks to a new liquid called silver diamine fluoride. It’s been used in other countries for decades, but it was only recently approved by the FDA for the United States. It’s marketed as advantage arrest. Here’s how it works: The liquid desensitizes the tooth. The anti-microbial properties also…

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Silver Diamine Fluoride in Caries Management

By: www.ada.org A recent article in the New York Times highlighted use of silver diamine fluoride (SDF) as an alternative approach to treatment of cavities in children.1 The article highlighted that SDF was faster and cheaper than drilling and filling; and it mentioned the downside that when applied, SDF blackens the tooth. Silver diamine fluoride (SDF) is a colorless liquid that at pH 10 is 24.4% to 28.8% (weight/volume) silver and 5.0% to 5.9% fluoride.2 Just as 5% sodium fluoride varnish has FDA clearance as a Class II medical device for the treatment of tooth hypersensitivity, FDA classified SDF as a fluoride and cleared its use as a Class II medical device for the same indication. A number of products…

Young boy in a dental surgery

A Cavity-Fighting Liquid Lets Kids Avoid Dentists’ Drills

By CATHERINE SAINT LOUIS, www.nytimes.com Nobody looks forward to having a cavity drilled and filled by a dentist. Now there’s an alternative: an antimicrobial liquid that can be brushed on cavities to stop tooth decay — painlessly. The liquid is called silver diamine fluoride, or S.D.F. It’s been used for decades in Japan, but it’s been available in the United States, under the brand name Advantage Arrest, for just about a year. The Food and Drug Administration cleared silver diamine fluoride for use as a tooth desensitizer for adults 21 and older. But studies show it can halt the progression of cavities and prevent them, and dentists are increasingly using it off-label for those purposes. “The upside, the great one,…

child-pedo

Silver diamine fluoride arrests untreated dental caries

By: Elise Sarvas, D.D.S., M.S.D., M.P.H. and Jeffrey M. Karp, D.M.D., M.S., http://www.aappublications.org Untreated dental caries are a significant pediatric public health problem. One in every seven U.S. children ages 2 to 8 years has untreated dental caries in primary teeth, according to National Health and Nutrition Examination Survey data (Dye BA, et al. NCHS data brief, no 191. Hyattsville, Md.; National Center for Health Statistics, 2015). One in every seven U.S. children ages 2 to 8 years has untreated dental caries in primary teeth. While fluoride varnish application is a well-established primary intervention for preventing dental caries, it does not restore deeper cavitated lesions. Untreated dental decay extending through the tooth’s enamel layer requires mechanical removal of decayed tissue…

child smiling

Dentists adopting drill-and-fill alternative

By Kathleen McLaughlin, www.bendbulletin.com Preschoolers, elderly people and others who are ill-suited to go under a dentist’s drill have an alternative that proponents say will stop their tooth decay quickly, painlessly and cheaply. A subsidiary of Advantage Dental of Redmond has been marketing since last spring a silver fluoride product called Advantage Arrest, which the U.S. Food and Drug Administration approved to treat dental sensitivity. Its real purpose, however, is to stop tooth decay, and it’s about to become even easier for dentists in Oregon and across the country to use it. The American Dental Association approved a new billing code that can be used for silver fluoride treatments starting in January, said Gary Allen, dental director for Advantage, which…

brushing-teeth

Alternative for fill and drill treatment of cavities

By: Andrea K. McDaniels, www.baltimoresun.com Heather got a big surprise when she took her 4-year-old son for a routine dental checkup — young Eli had several cavities and needed eight crowns on his back teeth. The Baltimore mom worried about her child undergoing such a complex medical treatment, which the doctor said would require general anesthesia. “I could not wrap my head around the fact that my kid would have to go through a procedure of this magnitude,” Powell said. Desperate for an alternative, Powell began searching the Internet for other options. She discovered a handful of dentists around the country who use a mixture called silver diamine fluoride to freeze cavities, preventing the infection from spreading. The clear concoction…

Child-smiling

New way to treat cavities is quick, painless

By: Kerry Cavanaugh, www.wbaltv.com A new way to treat cavities that’s quick and painless could be perfect for kids who can’t sit for a filling, and it’s saving families hundreds of dollars. Anniyah James was all smiles as she settled into the dental chair. Her dentist sealed the 3-year-old’s cavity in 30 seconds without a needle or a drill. The silver bullet for Anniyah is called silver diamine fluoride, a topical product that seals cavities and stops them from growing. “The silver kills the germs that are in the tooth and the fluoride helps re-mineralize the tooth so that the tooth structure is no longer soft in decay, it’s hard,” Brill said. Brill said the only downside is that the…