Silver modified atraumatic restorative treatment: a paradigm shift in dental caries management.

Prim Dent J

Damodar Hegde MDS Former Postgraduate Student, Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Published: June 2024

AI Article Synopsis

  • - Silver diamine fluoride (SDF) and atraumatic restorative treatment (ART) are minimally invasive methods for preventing and managing dental cavities, which together form a new technique called silver modified atraumatic restorative treatment (SMART).
  • - SMART involves applying SDF to arrest the progression of cavities before restoring them with glass-ionomer cement (GIC), allowing for effective treatment without unnecessary removal of tooth structure.
  • - The article analyzes existing research on SMART, discussing its practical advantages, potential challenges, areas for further study, and its clinical applications, especially in treating non-cooperative children.

Article Abstract

Silver diamine fluoride (SDF) and atraumatic restorative treatment (ART) are treatment modalities that are minimally invasive and used for the prevention and control of dental caries. The amalgamation of these two techniques has led to the development of silver modified atraumatic restorative treatment (SMART). In this approach the carious lesion is restored with glass-ionomer cement (GIC) after SDF application. SMART effectively arrests caries without removing additional tooth structure, making it a promising option for caries management in children who lack cooperative ability.This article reviews the literature on SMART, the evidence regarding its applications in dental practice, its advantages, drawbacks, the scope for research, and clinical use.

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Source
http://dx.doi.org/10.1177/20501684241249545DOI Listing

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