3BDS: Paedriatic module session 1

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What is SDF used for
manage and prevent dental caries, as well as relieving dentinal hypersensitivity
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how does it look like and what's it composed of. what pH is it
colourless, odourless liquid composed of silver, ammonium, and fluoride ions at a pH of 10.4.
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what is the major disadvantage of SDF
SDF will stain most oxidisable surfaces (skin, soft tissues, carious lesions, clinic surfaces and clothes) black upon exposure to light due to the formation of a silver oxide layer.
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What is the role of silver ions in SDF
- possess antimicrobial properties
- interacts with bacterial cell membranes and bacterial enzymes that can inhibit bacterial growth. Silver ions degrade cell walls, disrupt bacterial DNA synthesis and disrupt intracellular metabolic processes leading to
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What is the role of fluoride in SDF
used in the remineralisation of enamel and dentine on teeth for preventing and arresting dental caries.

Enhances mineral formation – Fluorapatite which has a reduced solubility
• Inhibits metalloproteinase activity to inhibit dentine collagen degradation
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What is the role of ammonia molecules in SDF
help maintain a constant concentration, increase the
compound’s stability and reduce its oxidative potential – synergistic effect to arrest of dentine caries
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Why is this procedure beneficial to child
- No injection, no drilling. Can put straight into lesion
- No AGP
- Simple procedure
- When patient can’t cooperate
- No scary noisy equipment required
- Issues with moisture control avoided
- Quick
- Treatment challenged by behavioural
- Evidence
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can this procedure be done if the pulp is involved
no
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what are the indications for use
- Patients at high risk of developing caries (xerostomia or severe early childhood caries).
• Pre-cooperative children (very young children).
• Treatment challenged by behavioural or medical conditions.
• Patients with several carious lesions that may not
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what are the contraindications for use
Silver allergy
• Pain - Irreversible pulpitis or periapical periodontitis
• Spontaneous, severe, constant pain or wakening child at night
• Infection
• Swelling of soft tissues, abscess or fistula
• Patient refusing treatment or unable to cope
• Unable t
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what is ART. What what does it stand for?
Minimally interventive approach that involves selective caries removal using only hand instruments and the placement of a Glass Ionomer Cement (GIC) restoration

Atraumatic restorative treatment
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what kind of cavities can be managed by this method
single surface cavities in primary and permanent teeth.
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does it matter if the single surface lesions are cavitated or non cavitated
no
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when can you not carry out ART
If the pulp is involved. so there must be a clear band of dentine between the lesion and dental pulp
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is this treatment considered a definitive treatment option for the permanent dentition.
no. may be used in situations where cooperation is limited. The long term treatment plan must always be considered for teeth to last the patients’ lifetime.
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what does this procedure focus on? and how is it achieved
establishing clean peripheral margins for efficient sealing, preventing lesion progression. This is achieved with sharp hand instruments such as excavators
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why's this procedure useful for children
no need for use of local anaesthetic or rotary instruments.
pre-cooperative or anxious ones, who may not tolerate the use of dental burs for selective caries removal.
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what of there are multi surface cavities? is this procedure successful or?
ART restorations have a lower success rates for restoring multi-surface compared to single-surface cavities. When presented with these cavities, other treatment options such as the Hall Technique should be considered.
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should you remove caries from the base of the cavity for ART?
There is no need to remove caries from the base of the cavity except to provide adequate depth for the restorative material being used.
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Other cards in this set

Card 2

Front

how does it look like and what's it composed of. what pH is it

Back

colourless, odourless liquid composed of silver, ammonium, and fluoride ions at a pH of 10.4.

Card 3

Front

what is the major disadvantage of SDF

Back

Preview of the front of card 3

Card 4

Front

What is the role of silver ions in SDF

Back

Preview of the front of card 4

Card 5

Front

What is the role of fluoride in SDF

Back

Preview of the front of card 5
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