Dental carries is one of the most common oral diseases in the world, and it often goes untreated due to the expense of treatment. According to the World Health Organization (WHO) 60 to 90 percent of school aged children throughout the world suffer from untreated dental carries. Ethnic minorities, the poor, the elderly, and those who are mentally and/or physically disabled are other disparities who also suffer from untreated dental caries (Alcorn & Rogo; 2012). Looking for a way to solve the epidemic of dental caries by providing affordable treatment, silver diamine fluoride (SDF), also known as the “silver fluoride bullet,” was created. Claiming to be both affordable and effective, SDF could be the answer to low cost carries treatment the world has been searching for. The purpose of this paper is to research the efficacy of silver diamine fluoride in comparison to sodium fluoride varnish. Our PICO question is: In a patient with dentinal caries, will the use of silver diamine fluoride compared to sodium fluoride varnish, be more effective at arresting caries?
Fluoride has been established for many years as an effective material in the fight against caries. Silver has been used in health care as an anti-bacterial agent in many medical applications such as silver sutures and silver catheters. Silver diamine fluoride was created to conjoin the effectiveness of both. According to a critical review by Rosenblatt et al (2009), “…silver interacts with sulfhydryl groups of proteins and with DNA, altering hydrogen bonding and inhibiting respiratory processes, DNA unwinding, cell-wall synthesis, and cell division (Pg #?).” It is through those means that pathogens are destroyed and biofilm formations are hindered. The study by Lou et al (201...
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... teeth was 79% and 65% in the permanent first molars. The arrest rate for caries on both permanent and primary teeth was 77%. In comparison, a study done on children in Greenland, the arrest rate for dentinal caries applied with just NaF varnish was only 33%(Ekstrand, et al; 2010)
In answering the PICO question, silver diamine fluoride is more effective at arresting dentinal caries than sodium fluoride varnish. In reviewing these research studies, SDF is an affordable, effaceable alternative to restorative treatment that can be particularly helpful in areas without much dental personal, equipment, or facilities. Further study is needed to determine the recommended interval, exact application, and longer term outcomes. In conclusion, research suggests SDF would be a great carries treatment solution for people around the world, especially those in disparity groups.
Thesis Statement: Concerns for water fluoridation stem from the toxicity of fluoride, the dangers fluoride pose to the body, and equal declining tooth decay seen for fluoridated and non-fluoridated countries.
My first argument for the fluoridation of water is that everyone in society should have equal opportunities for dental health improvements; water fluoridation achieves this as it promotes equity within society by making increased fluoride accessible to everyone. The principle of equity aims to ensure resources within society are distributed in a way that results in everyone their minimum requirements met (Reid & Robson, 2007). Public water fluoridation therefore creates equity for dental health improvements by making some level of preventative care available to everyone (Awofeso, 2012). This builds on the idea...
Pit and fissure sealants are tooth coloured materials that are applied on the occlusal surfaces of the posterior teeth in deep grooves, pits and fissures. They protect the tooth from various bacterial plaques in these caries prone areas of the teeth. The sealants protect these areas by sealing of the entrance to bacteria which give rise to dental caries in susceptible individuals especially in children. Pit and fissure sealants are now commonly being used due to the increase in the awareness among public about dental caries prevention
...at more tentatively, with fluoride gels and varnishes or a chlorhexidine varnish. Some dentists may restore root caries with amalgam restorations. Another treatment option used by some dentists to restore root caries is Glass Ionomer Cements. Glass ionomer cements were first introduced in the early 1970s. They have good adherence to mineralized tooth tissue, which keeps the removal of tooth structure to a minimum. Glass ionomer cements also have the ability to leak and absorb fluoride into the tooth, which decreases the rate of secondary caries. These factors have increased the potential for glass ionomer cements to replace amalgam as a restorative material. (Hammel)
Humans only get one set of adult teeth after losing all of their primary teeth therefore, it is important to take care of them. “Dental caries: Strategies to control this preventable disease” is an article written by Rugg-Gunn, Andrew presents several reasons why dental decay is a widespread disease. Rugg-Gunn cites that the main cause of dental decay is lack of fluoride, poor diet, bacteria from plaque, and sugars. Based on this evidence, Rugg-Gunn concludes that “dental caries can be prevented” (Rugg-Gunn128), but there is no evidence of stopping the disease from happening. While Rugg-Gunn raises a revolving problem around the world with human oral decay he however, does not have a good approach on what decay really is.
It is an assumption by many that Canada has one of the best healthcare systems in the world. But do they really? There are numerous health services in Canada which should be part of the universal care nonetheless are not. These include but are not limited to: dental care, vision care, physiotherapy, occupational therapy and prescription drug coverage. This report will solely focus on why basic dental care should be a part of the Canadian universal healthcare. Dental care is predominantly delivered in the private sector on a fee-for-service basis, with approximately 62.6% of Canadians paying for care through employment-based insurance and 31.9% through out-of-pocket expenditures and only a small amount of the Canadians, 5.5%, are qualified for public funding through government assistance programmes (Ramraj and Quinonez, 2012). It was seen that by 2009, dental coverage affordability became a problem not just for the low income families but also impacted middle-income earners as a result of their lack of, or decreased access to comprehensive dental insurance (Ramraj, 2013). It is stated by the World Health Organization that universal health care coverage should reassure access to necessary care and protect patients from financial hardship, and that the governments are obligated to
Professionalism in the dental profession refers to our responsibilities and obligations that exists throughout our entire dental career. “Professional competence is the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values and reflection in daily practice for the benefit of the individual and community being served (Kirk, 2007).” A health professional must be able to regulate their own behavior and comply with a code of ethics in professional practice. Fundamental principles of professionalism include primacy of patient welfare, social justice and patient autonomy (Kirk, 2007).
Improper nutrition and misbalance in our body may be the causes for tooth decay. Always pay attention to your nutrition when your teeth are considered, instead of choosing fluoride or dentistry. Our health can also be in danger when fluoride is used, even though the main reason for using fluoride is to make the teeth stronger. According to a recent study, mental disabilities are often made more difficult with the usage of fluoride. Among fluoride, mercury and arsenic are also dangerous in cases of autism
Seventy percent of the US population now receives fluoridated drinking water, an industrial grade level chemical most commonly associated with the prevention of tooth decay, and in Virginia especially, 95.7% of all public water is fluoridated (CDC). I present this numbers to your concern because for something that is almost in all public drinking water, it is not informed to the average Virginia citizen, but that is not the primary issue I am addressing you for. My main matter of concern is that more recent studies performed by scientist in the US and abroad are now finally advocating decade old cautions back then just acknowledged as unsubstantial research or even myths on how rather potentially hazardous the fluoridation of water is for
...the of the world has rejected fluoride and said it was ineffective to the body. Over 94% of the world’s population drinks unfluoridated water (12 Reasons). In Europe, only five out of 48 countries fluoridate, and European health officials have cited medical, effectiveness, and ethical concerns with it (12 Reasons). The people in Portland, Oregon and other countries that don't fluoridate could do other things to prevent tooth decay. Fluoridation is not a way to reduce the high cavity rates in the cities that have fluoridated their waters for a long time. In the city of Portland, To help protect childrens teeth, they should increase the access to dental care. “The Portland Metro Area untreated cavity rates are 21% which is below the average 29% by having better access to dental care and prevention Portland, Oregon could have a lower cavity rates by 2020” (12 Reasons)
Elevated glucose levels assist the harmful bacterias, Porphyromonas gingivalis and Treponema denticola, by providing the substance necessary to produce the acid that combines with our saliva to form the soft, sticky film referred to as plaque. In addition, plaque is created when we eat foods containing starches or sugars.
Well what does fluoride do for teeth when being consumed and applying to teeth? Fluoride has a great importance in the protection and development of teeth. Fluoride helps protect teeth in many ways. First, for the protection against demineralization, which is when the bacteria in your mouth combine with sugars that produce acid, and it’s this acid that can erode tooth enamel and causes damage to teeth (Nordqvist 4). This damage is the lose of tooth enamel which is when minerals are lost from the enamel layer when acids are formed (Dental 1). Second, is remineralisation, which is what rebuilds the teeth’s enamel. How this works is fluoride,
Dental plaque is a bacterial collection with their products on the teeth or other solid oral structures, covered by a jelly-like tenacious material and it is responsible for two major dental diseases; caries and periodontal disease (Chandra, 2000). Good oral hygiene is a foundation step in the development of disease-free oral cavity of infants through adolescents (Srivastava, 2011). Plaque control is of prime importance for the prevention of these diseases and for good dental health as it helps to reduce the number of microorganisms present in the oral cavity, hence, reducing the dental plaque (Muthu and Sivakumar, 2009; Tare, 2007).
Our analysis revealed that Affinis® had more dimensional stability in comparison to Panasil® and in the Panasil® impression material, the percentage of dimensional change was significant after 168 h. However, dimensional changes in all of the evaluation times were in the American Dental Association (ADA) standard range. Therefore, these materials had acceptable clinical dimensional stability for approximately 168 h. In the current study, impressions were made from stainless steel dies following the ADA specification for impression materials. This provides a protocol that can be easily replicated by others and it is the same as making a clinical
Dental disease, caries are the warning signals for other health complications and development of diabetes, obesity and coronary heart disease. Undernutrition condition associated with high intake of sugar may lead to risk of dental caries. Dental caries affect people physically as well pschycologically and influences how they grow, enjoy their life, look, speak, taste food and socialize themselves. During severe caries they experience pain, discomfort, eating and sleep disturbance, loss of school days and costs of treatment. There is a wealth of evidence that sugars are undoubtedly the most important factors in the development of dental caries. Another factor of dental caries occur because of demineralization of enamel and dentine by organic acids formed by bacteria in dental plague through the anaerobic metabolism of sugar obtained for the diet. Organic acid increased the solubility of hydroxyapatite (main inorganic constituent of tooth enamel and bone) in the dental hard tissues and demineralization occurs. Saliva is supersaturated with calcium and phosphorus at PH 7 promotes remineralization. If the oral PH varies high in for sufficient time then complete remineralization of enamal may occur.If the acid challenge is too high however demineralization dominates then enamel become more porous and a carious lesion will developed. Frequency