HOW TO CONTROL TOOTH CAVITIES IN ONE VISIT DURING THE PANDEMIC ?

SILVER DIAMMINE FLUORIDE AND ITS USE DURING THE PANDEMIC COVID 19

 

Do you or your kids suffer from tooth sensitivity?

Do you or your kids suffer from tooth decay?

Do you or your kids have a fear of drills in a dental office?

Do you or your kids have a fear of aerosol producing treatments?

Do you or your kids fear visiting dentist during the pandemic?

 

If your answers to any of the above questions is yes, and you need the most safe and effective treatment for your sensitivity or cavities, then Silver Diammine Fluoride is the perfect answer.

Our Pediatric Dentists at The Dental Specialists have thoroughly researched the needs of patients during the Covid pandemic and have come up with an ideal solution, Silver Diammine Fluoride application.

What’s Silver Diammine Fluoride(SDF)?

SDF is a liquid antibiotic that is used to treat or prevent progression of Dental cavities and sensitivity, especially in kids. It contains Silver, Ammonium and Fluoride ions.

What’s special about SDF?

The most important advantage of SDF is that it’s a topical medication. There is no drilling required. Anaesthesia is not needed. No aerosols are produced. It takes less than five minutes of chairside time. There is absolutely no pain. SDF is applied on affected tooth surfaces with the help of a small brush applicator.

All these advantages make SDF the most sought after treatment, especially during the pandemic.

How does SDF work?

Silver and Fluoride in the SDF act as antimicrobial agents. They remineralize enamel and Dentin. They prevent and arrest cavities.

Ammonium ions are added for stability of SDF.

How is SDF useful during the pandemic?

SDF is the safest, effective and efficient answer to your teeth sensitivity and cavities. It reduces the risks of covid 19 to almost zero when you visit dentist. This can be used on almost everyone, who needs an immediate attention but cannot or will not undergo extensive restorative procedures.

At The Dental Specialists, our Pediatric specialists have been using SDF since a long time, and found that SDF worked well in kids and adults as well, and its use has been highly recommended.

Who needs SDF?

SDF has been extensively used on children. However, it can be used in the following conditions:

In kids with severe caries, called rampant caries, which cannot be restored or extracted. SDF will prolong the life of milk teeth. This in turn will prevent orthodontic abnormalities in the future.

In patients who have high caries risk, like those who have reduced salivary flow, called xerostomia.

In infants with early caries, without much damage to tooth structure.

In uncooperative or special children

To retain the milk teeth to  prevent orthodontic complications like space closure

In conditions where aerosol production should be avoided(like in covid)

In asymptomatic milk teeth about to be shed, and non restorable

In hypersensitivity of Dentin and root caries

In clinics with minimal infrastructure.

In conditions were patient cannot afford the dental treatment SDF is economical and effective.

For negligible and incipient cavities which don’t need fillings.

 

Who cannot get SDF done?

Patients with allergy to any components, or patients with severe pain or abscesses in gums that require more complicated treatments than SDF. 

 

Is SDF safe during the pandemic?

Absolutely yes. SDF is a very efficient, effective and safest way to treat and prevent sensitivity and cavities during the pandemic. When you cannot visit dentist periodically, and when you need aerosol free procedure without drilling or pain, SDF is the best topical application solution available that works for a few months. It should be applied every 6 months with periodic evaluation of the status of sensitivity or caries progress.

The Dental Specialists has a dedicated pediatric dental unit that caters to children of all ages, specializes in all kids treatments, and most importantly uses the latest techniques and technology, following all covid protocols, while performing safest procedures in the safest environment stressing the need for prevention and maintenance, thus helping kids recognise the importance of teeth. This is the reason why kids and parents love The Dental Specialists

 

 

SILVER DIAMMINE FLUORIDE-ITS APPLICATION

 

Silver Diammine Fluoride, abbreviated as SDF is an antibacterial liquid composed of Silver, Ammonium and Fluoride. It’s main application is in pediatric dentistry along with satisfactory usage in adults as well. An excellent product being used especially in the Covid 19 pandemic time, when aerosols need to be avoided, this treatment offers the best possible time bound solution for sensitive and carious teeth till further complex treatments can be performed.

At The Dental Specialists, our Pediatric dental care unit treats several kids and adults with an intention of prevention and arrest of caries progress. It is also used successfully in cases of sensitivity.

simple application of sdf gel
SIMPLE SOLUTION FOR DENTAL CAVITIES DURING PANDEMIC

In the above picture you can see cavities near the gums in lower back teeth. When conditions impose application of SDF and other treatments are delayed, the following procedure is performed.

Initially patient is well explained everything about SDF,  it’s pros and cons, and an informed consent is taken with the patient’s or guardian’s signature.

 

 

Procedure of SDF application:

1.Applying Vaseline to the lips and outer mouth to prevent staining.

2.Exposure and isolation of teeth involved.

3.Cleaning debris, deposits, plaque and drying the entire area

4.Proper isolation of gums and lips or cheeks

sdf application to prevent cavities
SDF APPLICATION

 

5. Application of 38% SDF with a mini brush to the affected areas only

6.Leaving the area undisturbed for 1 to 3 minutes.

7.Potassium iodide can be applied to mask the stain caused

8.SDF stains everything it touches. In case of a stain, leaving it for 1 to 3 weeks will fade away the stains.

9.SDF causes permanent stains in carious teeth. This stain won’t go away. This can be masked by using glass ionomer or other restorations later, after a few weeks of evaluation.

STAINING OF DECAYED PART AFTER SDF APPLICATION
BLACK STAINING SHOWING WELL ARRESTED CAVITIES

10.SDF should be applied every 6 months. But it’s not a permanent solution. Appropriate treatments should be planned according to the evaluation.

Benefits of SDF:

1.No drilling, no anaesthesia, no aerosols( covid protocol compliant)

2.Super fast treatment, can be completed in just 5 minutes!

3.Very simple, easy, and extremely comfortable and convenient to both patient and dentist

4.Temporary solution to arrest and prevent cavities, and decrease sensitivity.

5.Remineralization of Dentin and enamel.

 

Disadvantage of SDF:

1.Black staining due to silver particles, which needs a masking agent later on. SDF stains everything it touches, though soft tissue stains are temporary.

2.Very rarely allergies to components of SDF.

3.Not a permanent treatment in extreme cases.

Are there any side effects of SDF?

Darkening or blackening of tooth surfaces after SDF application is very common. It’s not a medical complication. Skin around mouth may get stained but it’s reversible.

A metallic taste that subsided in a few hours was observed.

At The Dental Specialists Pediatric Dental experts diligently scrutinise each case and the need for SDF is explained, performed with prior consent, and evaluated regularly. Further treatment is done if required. However, SDF application is very common and our specialists have been stressing the need for a preventive approach, that’s been very successful among kids of all ages. SDF has been in use during the pandemic as well because of its advantages.

 

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MOUTH WASH ? GOOD OR BAD??

WHAT IS A MOUTHWASH?

Mouthwash, also called oral rinse, is a liquid product used to rinse your teeth, gums, and mouth. It usually contains an antiseptic to kill harmful bacteria that can live between your teeth and on your tongue.

Mouth wash in Dentistry

CAN MOUTHWASH  BE USED EVERYDAY?

The primary fact about mouth washes is that they are NOT a replacement for brushing and flossing in terms of oral hygiene and it’s only effective when used correctly. It’s also important to understand that different product formulas contain different ingredients, and not all mouthwashes can strengthen your teeth. Though most of the mouthwash products available readily claim efficacy in reducing bad breath, cavities, gum problems, it’s not advisable to buy and use them, just because they claim. Your dentist is the best judge to diagnose your oral condition and suggest a suitable mouthwash. 

HOW TO SELECT A MOUTHWASH, BASED ON ITS COMPOSITION?

Mouth washes are available in two types, cosmetic and therapeutic. Cosmetic mouthwash may temporarily control bad breath and leave behind a pleasant taste, but have no chemical or biological application beyond their temporary benefit. Therapeutic mouthwash, by contrast, has active ingredients intended to help control or reduce conditions like bad breath, gingivitis, plaque, and tooth decay. 

The most commonly found ingredients in mouthrinse include water, alcohol, cleansing agents, flavoring ingredients, and coloring agents. Depending on the type of mouthrinse, the active ingredients may vary as follows:

  1. Antimicrobial agents: by acting directly on oral bacteria, these agents help reduce plaque, decrease the degree of gingivitis, and control bad breath
  2. Fluoride: this ingredient helps reduce tiny lesions on tooth enamel, making teeth less susceptible to decay
  3. Astringent salts: these temporary deodorizers can be used to cover up bad breath
  4. Odor neutralizers: these agents work by chemically inactivating the compounds that cause breath odor

Patients should discuss with their dentist which mouthwashes are suitable for use as part of their oral hygiene cleaning measures.

HOW TO USE MOUTHRINSE OR MOUTHWASH?

Step 1: Pour 10 ml of mouthrinse or mouthwash in the cap. Unless specifically mentioned on the label, do not dilute with water. You can use a mouthwash before or after brushing as per your preference.

Step 2: Empty the cup into your mouth and keep it shut while swishing to prevent the liquid from squirting out.

Step 3: Swish the liquid in your mouth for 30 seconds to 1 minute. Check the directions on your product label to know the exact time the product you’re using requires you to swish.

Step 4: Once you’re done, spit out the liquid in the sink. Make sure that you don’t swallow the liquid as mouthrinses and mouthwashes contain chemicals that aren’t fit to be ingested.

Step 5: While using a fluoride mouthrinse, wait for at least half an hour before you rinse, eat or drink again. This is because fluoride ions take time to diffuse into the teeth’s enamel. By eating or drinking before 30 minutes, the ions may get washed off.

SIDE EFFECTS OF MOUTH WASHES:

  1. Mouthwash can damage some parts of the mouth: Mouthwashes with high alcohol content can burn the delicate mucus membranes in the mouth.
  2. Mouthwash can stain and darken teeth: When chlorhexidine gluconate, an ingredient present in some mouthwashes, comes in contact with food additives left in the mouth, it can result to staining or darkening of the teeth.
  3. Mouthwash can irritate canker sores:  Mouth washing can help heal canker sores, but when you use a type of mouthwash that has a high alcohol content, it can further aggravate the condition.
  4. Mouthwash can simply mask bad breath and not for a long time. Mouthwashing will never be a substitute for tooth brushing. Using mouthwash is just one of the many areas of proper oral health. While it can conceal problems by giving temporary fresh breath, it will not be able to address oral issues on its own.

ARE MOUTHWASHES SAFE FOR KIDS?

Mouthwash can be dangerous for children when ingested. Children are prone to accidentally ingesting mouthwash, and it can have serious health hazards for them. It can result to convulsions and in more serious cases, it can lead to comatose. Children between the ages of six and 12 should be under adult supervision when mouthrinsing. Meanwhile, those who are below five years old should only use mouthwash when prescribed by a pediatric dentist.

WHEN SHOULD KIDS START USING MOUTHWASHES?

From The age of 6 years, kids can start using regular mouth washes. Some mouth washes have been specially manufactured for kids, with exciting flavours, that your kids love! Make sure you teach your kids the importance of brushing and flossing and also rinsing well with water or mouthwash, so that it becomes a habit and keeps their oral hygiene at their best!

Kids can start practising using normal water first, so that they gain motor reflex control and once they master rinsing and gargling, then they can start using regular mouth washes usually with fluorides for preventing decay.  Your paediatric dentist will explain and demonstrate how to use a kids mouthwash. Keep the mouthwash away from the reach of children. Avoid alcohol based mouthwash. Our paediatric dental speciality at The Dental Specialists has a team dedicated to the cause of prevention through care and education followed by meticulous treatment protocols. 

POINTS TO REMEMBER:

  1. Use prescription mouthwashes as directed by The Dental Specialists team(i.e., dose, frequency, time in mouth). 
  2. With over-the-counter products, look for authentication.  The seal must show that a product is safe and effective for the purpose claimed.
  3. Using a mouthwash does not replace regular brushing and flossing.  Mouthwashes may offer additional benefit in terms of reducing the risk of bad breath, cavities, or gum disease; or for relief of dry mouth or pain from oral sores or any other conditions listed above. 
  4. While using mouthwash or rinse perfects your dental care regime, they are to supplement and not replace other crucial habits such as brushing, flossing and bi-annual dentist appointments. By maintaining a daily routine, you can effectively keep your mouth healthy.

For Appointments @ THE DENTAL SPECIALISTS

Whatsapp on : +91 90000 21174/ 9959448800

Call us on : +91 90000 21174/ 9959448800

Email us on: dentalspecialistsindia@gmail.com

Book appointment at: www.thedentalspecialists.in