PMID: 8961607Oct 1, 1996Paper

Pulp response in primary teeth with deep residual caries treated with silver fluoride and glass ionomer cement ('atraumatic' technique)

Australian Dental Journal
T Gotjamanos

Abstract

Histological assessment of the dental pulps of 55 carious primary teeth was carried out 3 to 58 months after treatment by the 'atraumatic' technique involving application of 40 per cent silver fluoride to residual caries followed by restoration with glass ionomer cement. Fifty of the 55 teeth examined showed a favourable pulpal response, inducing presence of abundant reparative dentine and a wide odontoblast layer. Histological comparisons were made between these teeth and others not treated with silver fluoride but restored with glass ionomer cement, amalgam or zinc oxide and eugenol. Possible mechanisms of the action of silver fluoride in arresting residual caries are discussed. The question of whether or not treatment of carious dentine with silver fluoride represents a biologically acceptable clinical procedure cannot be answered on the basis of pulpal histology alone. The very high concentration of fluoride in commercial preparations of silver fluoride raises several questions concerning its clinical safety.

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Citations

Jun 17, 2000·Journal of Dentistry·N SixM Goldberg
May 25, 2012·Operative Dentistry·R L QuockS A Patel
Dec 23, 2015·International Dental Journal·May Lei MeiChun-Hung Chu
Dec 22, 2015·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Alan Deutsch
May 12, 2017·Brazilian Dental Journal·Rafael Menezes-SilvaJoão Luiz de Miranda
Apr 1, 2006·Journal of Applied Oral Science : Revista FOB·Alberto Carlos Botazzo DelbemRobson Frederico Cunha
Mar 13, 2009·Journal of Dental Research·A RosenblattR Niederman
Jan 23, 2018·Advances in Dental Research·J O Burgess, P M Vaghela
Oct 11, 2017·International Journal of Environmental Research and Public Health·Duangporn DuangthipChun Hung Chu
Aug 8, 2018·The Journal of Clinical Pediatric Dentistry·Enrique Bimstein, Douglas Damm
Jun 1, 1997·Australian Dental Journal·T Gotjamanos
Feb 1, 1997·Australian Dental Journal·T Gotjamanos, F Afonso
May 20, 2003·Community Dentistry and Oral Epidemiology·Saul M PaivaJaime A Cury
Jun 17, 2020·British Dental Journal·Joseph Greenwall-CohenSiobhan Barry
Aug 11, 2018·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·S HuM Duggal
Jul 30, 2021·Journal of Dental Research·R M SulyantoS P Ho

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