Work

Potassium Iodide. The Solution to Silver Diamine Fluoride Discoloration?

Year: 2017
Type: article
Abstract: Introduction: Silver diamine fluoride (SDF) is increasingly recognized as a cost-effective, easy-to-use alternative to reduce sensitivity and arrest caries.However, SDF causes black staining of caries.Potassium iodide (KI) treatment with SDF may decrease or lessen the staining.However, the effectiveness of KI on staining has not been investigated.This study examined SDF/KI with various restorative materials, on carious and sound tooth structure.Methods: Ten groups of teeth were treated to evaluate the effect of KI and SDF treatment.Visual examination and color measurements were used to evaluate color changes among the groups.Results: All groups with KI treatment showed minimal to no staining after four weeks.Groups that underwent SDF treatment alone were noticeably darker (ΔL) compared with groups that had KI treatment.The staining varied among the groups of restorative materials; however, all of the teeth that received the KI treatment were lighter than teeth that only received the SDF treatment.Conclusion: Treatment with SDF followed by KI had little to no darkening, compared to SDF treatment, when used with glass ionomer (self-cure), resin modified glass ionomer, composite, or no restorative on carious and sound teeth.Practical implications: Silver diamine fluoride treatment followed by application of a saturated solution of potassium iodide markedly reduced staining compared to silver diamine fluoride alone, with or without common restorative materials.Background: Adults' are poorly informed on how to care for children's teeth, according to a national survey conducted for the Children's Dental Health Project (CDHP) [1].Key findings include that 2 out of 5 US adults believe they cannot prevent their child from developing caries, and few know when children should begin brushing or proper brushing techniques.Dental caries is the most common chronic childhood disease; five times more common than asthma, four times more common than childhood obesity, and twenty times more common than diabetes [2].Forty two percent of US children between ages 2 and 11 have had dental caries in their primary teeth [3].
Language: English
Subfield: Periodontics
Field: Dentistry
Open Access status: diamond
OpenAlex ID: W2747867741
FWCI: 2.261
Cites: 14
Cited by: 57
Related to: 10