Indirect Pulp Treatment with Silver Diamine Fluoride in Permanent Teeth: A Case Series
Keywords:
Silver diamine fluoride, Indirect pulp treatment, Deep cariesAbstract
Background: Silver diamine fluoride (SDF) is effective in dental caries management by promoting remineralization and arresting the carious process. These properties might be suitable for using SDF as an indirect pulp capping material. Objective: To report clinical and radiographic outcomes of indirect pulp treatment (IPT) with SDF in permanent teeth Methods: 13 permanent teeth (11 molars and 2 canines) with diagnosis of reversible pulpitis were included. Clinical procedures consisted of removing infected dentin and lining the caries-affected dentin with SDF. Teeth were then restored with resin composite, amalgam, or glass ionomer cement and followed up both clinically and radiographically at 6 and 12 months. Results: At 6 and 12 months follow up, 10 teeth showed clinical and radiographic success. 3 cases showed presence of spontaneous pain and/or periapical lesions which were regarded as treatment failure. Conclusion: SDF may be an effective alternative indirect pulp capping material when used in the management of permanent teeth with deep carious lesions.
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