Silver diamine fluoride for caries management?

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This umbrella review of silver diamine fluoride (SDF) for the management of carious lesions in children and adults included 11 systematic reviews reporting on 30 unique primary studies. A consistent and growing body of research supports supports SDF’s effectiveness for arresting coronal carious lesions in the primary dentition and arresting and preventing root carious lesions in older adults.

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Atraumatic restorative treatment or conventional treatment for root caries in older adults?

This study is the first of its kind from an RCT perspective which clearly shows that treating major depression in older adults using interventions in primary care settings can extend life

This review of atraumatic restorative treatment or conventional treatment for restoration of root caries lesions in older adults included 3 RCTs providing is insufficient data to clearly rule out whether differences between ART and CT exist.

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Atraumatic Restorative Treatment (ART)

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15 RCTs were included in this Cochrane review of Atraumatic Restorative Treatment (ART) comparing with conventional treatment for managing dental caries lesions in the primary and permanent teeth provided low quality evidence that ART using H-GIC may have a higher risk of restoration failure in primary teeth.

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Atraumatic restorative treatment for older adults

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This randomised controlled trial compares atraumatic restorative treatment in older patients to conventional care finding no statistically significant difference at 2 years.

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Atraumatic restorative treatment had good 1-year survival and cost effectiveness in older adults

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The proportion of older people in the population is rising and because of improvement in oral health more of them as retaining their teeth. Consequentially more people in this age group will have more teeth at risk of caries. Dental service utilization is also lower in older age groups and chronic medial conditions; poly-pharmacy, frailty [read the full story…]

Atraumatic restorative treatment had similar survival rates to conventional approaches in primary teeth but evidence limited

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Atraumatic restorative treatment (ART) involves the removal of so softened carious enamel and dentine with hand instruments and filling the cavity with a adhesive restorative material. Typically this is a high-viscous glass ionomer cement (GIC).   This approach was about 25 years ago  to provide care in less industrialised areas with high disease levels but is [read the full story…]