Page 24 - GP Spring 2025

7. Almansour MI. Surgical endodontic Silver Diamine Fluoride as Adult Treatment
treatment of maxillary incisors: Case report.
Clin Case Rep. 2023 Jan 20;11(1):e6884. for Root Caries: A Case Report
doi: 10.1002/ccr3.6884. PMID: 36698516;
PMCID: PMC9860134. Authors: Maria Madonna, DDS, Gabriela Infantino, DDS, and Juliessa Criollo, DDS
8. Gulati S, Sumanthini MV, Shenoy V.
Retreatment of Silver Point Obturation: A ABSTRACT: not covering the medication. Kidney dis-
Case Report and an Overview. J Contemp Historically, the use of silver and fluoride ease was suggested and subject to further
Dent 2012;2(3):114-118. in dentistry dates back to the mid-20th cen- investigation due to a very high albumin/
9. Mehra N, Yadav M, Kaushik M, Roshni tury, with the formal development of silver creatinine ratio. Lymphocytes and platelet
R. Clinical Management of Root Resorp- diamine fluoride (SDF) occurring in Japan levels were low.
tion: A Report of Three Cases. Cureus. in the 1960s. Initially introduced for its an-
2018 Aug 27;10(8):e3215. doi: 10.7759/ ti-caries properties in pediatric dentistry, its The dental providers considered SDF treat-
cureus.3215. PMID: 30405991; PMCID: use expanded globally as studies demon- ment to prevent further exacerbation of the
PMC6205902. strated its efficacy in arresting decay in a dental caries even though comprehensive
10. Heboyan A, Avetisyan A, Karobari variety of patient populations. SDF was treatment involving periodontal treatment,
1
MI, Marya A, Khurshid Z, Rokaya D, FDA-approved in 2014 for the treatment extractions, and removable appliance fabri-
Zafar MS, Fernandes GVO. Tooth root of dentinal hypersensitivity, but its broader cation would be indicated. The patient was
resorption: A review. Sci Prog. 2022 use as a caries arrest agent was not fully uti- given an adequate visual and written expla-
Jul-Sep;105(3):368504221109217. doi: lized until more recent years. It has become nation of the proposed SDF treatment. In-
10.1177/00368504221109217. PMID: an important aspect of minimally invasive formed consent was obtained for treatment
35759366; PMCID: PMC10358711. dental care. Silver diamine fluoride (SDF) with SDF to arrest caries.
11. Fan J, Caton JG. Occlusal trauma and is a topical antimicrobial agent widely used
excessive occlusal forces: Narrative re- in dentistry for the management of dental Dental History: In 2023, the patient’s clin-
view, case definitions, and diagnostic con- caries and the preservation of natural teeth. ical exam revealed a Stage IV Grade C peri-
1
siderations. J Periodontol. 2018; 89(Suppl Composed of silver, fluoride, and ammonia, odontal diagnosis. Scaling and root planing
1): S214–S222. https://doi.org/10.1002/ SDF works by inhibiting bacterial growth, in all quadrants was performed. The patient
JPER.16-0581 remineralizing enamel and dentin, and ar- then continued with periodontal mainte-
resting caries progression. 2 nance appointments every 4 months.
Emily Silman is a
student in the class of Key Words: SDF, silver diamine Fluoride, Extraoral Exam: Within normal limits.
2026 at NYU College adult dentition, treatment, root caries
of Dentistry. Intraoral Exam: The patient had mul-
Case Presentation: tiple edentulous spaces (Figure 1). Also
Patient EC, a 55-year-old Hispanic male present in the maxilla was torus palatinus.
presented for an initial dental visit in 2023. The mandible has small lingual tori on the
His chief complaint was, “I want to get right and left side. The tongue was fissured.
Gal Sahar is a new dentures.” He wanted to improve the Many wear facets (attrition) were present
student in the class aesthetics of his smile and function of his in maxilla and mandible (Figure 2). The
of 2026 at NYU dentition. patient presented with root caries on teeth
College of Dentistry. #7 and #8 due to open margins of crowns
His past medical history includes type 2 (Figure 2).
diabetes, hypertension, GERD, and kidney
disease. The patient’s medications were re-
cently changed from Lisinopril to Losartan
Paul Baker, DDS is a 50 mg and Ondansetron HCl 4mg to reg-
faculty member in the ulate blood pressure. Metformin 750mg
Department of Oral and Tresiba FlexTouch U were prescribed
Maxillofacial Surgery to control diabetes. Several blood pressure
at NYU College of
Dentistry. readings were 166/106 and 163/107 with
pulse rates of between 88 and 98 beats per
minute. A medical consultation to clarify
the patient’s medical risks and dental mod-
Kim~Phung T. Hoan ifications was requested twice. Results of
is a faculty member the medical consult included a positive di- Figure 1. The patient’s smile reveals eden-
in the Department of
Endodontics at NYU agnosis of gastritis which was being treated tulous spaces on the right side which are
College of Dentistry. with pantoprazole (proton pump inhibitor) part of the aesthetic concerns of the pa-
and resulted in the physician withholding tient’s chief complaint.
hypertensive medication with a subsequent
increase in blood pressure. The HbA1c in-
creased to 10.8 since the patient stopped
www.nysagd.org l Spring 2025 l GP 24 Semaglutide (Ozempic) due to insurance