ADHA Access August 2012 : Page 20
alone. 18 Formation of reparative dentin also is promoted by placing VLOYHUÀXRULGHEHQHDWKDJODVVLRQRPHUFHPHQWUHVWRUDWLRQLQGHFLGX -RXVWHHWK 19 7KLVSURFHGXUHLVHVSHFLDOO\EHQH¿FLDOIRUSHRSOHDWKLJK risk for caries. 17 References :RUOG+HDOWK2UJDQL]DWLRQ*OREDOFRQVXOWDWLRQRQRUDOKHDOWKWKURXJK ÀXRULGH $YDLODEOHDWd;ZZZZKRLQWRUDOBKHDOWKHYHQWV *OREDOBFRQVXOWDWLRQHQLQGH[KWPO 3HWHUVHQ3(�b;:RUOGKHDOWKRUJDQL]DWLRQJOREDOSROLF\IRULPSURYHPHQWRI RUDOKHDOWK±ZRUOGKHDOWKDVVHPEO\ a;,QW'HQW- b;e;b;�b;�c;d;  :RUOG+HDOWK2UJDQL]DWLRQ0HGLDFHQWUHd;RUDOKHDOWK a;$YDLODEOHDWd; ZZZZKRLQWPHGLDFHQWUHIDFWVKHHWVIVb;HQLQGH[KWPO :RUOG+HDOWK2UJDQL]DWLRQ2UDOKHDOWKLQDJHLQJVRFLHWLHVd;LQWHJUDWLRQRI RUDOKHDOWKDQGJHQHUDOKHDOWK$YDLODEOHDWd;ZZZZKRLQWRUDOBKHDOWK HYHQWV$JHLQJBVRFLHWLHVHQLQGH[KWPO 'HQWDO+HDOWK,QWHUQDWLRQDO1HGHUODQG0DQXDOIRUWKH$57DSSURDFKWR FRQWUROGHQWDOFDULHV$YDLODEOHDWd;ZZZGKLQQODUWBPDQXDO :RUOG+HDOWK2UJDQL]DWLRQ7KHREMHFWLYHVRIWKH:+2JOREDORUDOKHDOWK SURJUDPPH�b;25+�c;$YDLODEOHDWd;ZZZZKRLQWRUDOBKHDOWKREMHFWLYHVHQ LQGH[KWPO a;&KX&+�f;0HL0/�f;/R(&08VHRIÀXRULGHVLQGHQWDOFDULHVPDQDJHPHQW *HQ'HQW  e;b;d;a;  b;+HDOWK\3HRSOH  6XPPDU\RIREMHFWLYHVd;RUDOKHDOWK$YDLODEOHDWd; ZZZKHDOWK\SHRSOHJRY  WRSLFVREMHFWLYHV  SGIV2UDO+HDOWKSGI c;5RVHQEODWW$�f;6WDPIRUG7&0�f;1LHGHUPDQ56LOYHUGLDPLQHÀXRULGHd;DFDULHV ³VLOYHU ÀXRULGHEXOOHW´ c;-'HQW5HVb;b;�b;�c;d;   +LUDLVKL1�f;<LX&.<�f;.LQJ10�f;HWDO$QWLPLFURELDOHI¿FDF\RIb;VLOYHU GLDPLQHÀXRULGHDQGLWVHIIHFWRQURRWGHQWLQ-(QGRGRQW  e;�b;�c;d;   c; <HH5�f;+ROJUHQ&�f;0XOGHU-�f;HWDO(I¿FDF\RIVLOYHUGLDPLQHÀXRULGHIRU DUUHVWLQJFDULHVWUHDWPHQW-'HQW5HV c;e;b;b;�b;a;�c;d; a; 7DQ+3�f;/R(&0�f;'\VRQ-(�f;HWDO$UDQGRPL]HGWULDORQURRWFDULHVSUHYHQ -WLRQLQHOGHUV-'HQW5HV  e;b;c;�b; �c;d; b; c;  7DQ+3UHYHQWLRQDQGDUUHVWRIURRWVXUIDFHFDULHVLQ&KLQHVHHOGHUVOLYLQJ LQUHVLGHQWLDOKRPHV e;'RFWRUDOWKHVLV�f;8QLYHUVLW\RI+RQJ.RQJ$YDLO -DEOHDWd;KXEKNXKNELWVWUHDP a; c;a;$EVWUDFWKWPO .LGG($0+RZµFOHDQ¶PXVWDFDYLW\EHEHIRUHUHVWRUDWLRQ"&DULHV5HV  e;b;d;   3HWHUVHQ3(�f;.ZDQ6�f;=KX/�f;HWDO(IIHFWLYHXVHRIÀXRULGHVLQWKH3HRSOH¶V 5HSXEOLFRI&KLQD±DPRGHOIRU:+2PHJDFRXQWU\LQLWLDWLYHV&RPPXQ 'HQW+HDOWK b;e;�b;�c;d;a; a; %UDJD00�f;0HQGHV)0�f;%HQHGHWWR06�f;,PSDUDWR-&3(IIHFWRIVLOYHUGLDP -PLQHÀXRULGHRQLQFLSLHQWFDULHVOHVLRQVLQHUXSWLQJSHUPDQHQW¿UVWPRODUVd; $SLORWVWXG\-'HQW&KLOG c;e;a;�b;�c;d;  a;$ULI¿Q=�f;1JR+�f;0F,QW\UH-(QKDQFHPHQWRIÀXRULGHUHOHDVHIURPJODVV LRQRPHUFHPHQWIROORZLQJDFRDWLQJRIVLOYHUÀXRULGH$XVW'HQW- e; �b;�c;d;b;  b;.QLJKW*0�f;0F,QW\UH-0�f;&UDLJ**�f;0XO\DQL,RQXSWDNHLQWRGHPLQHUDO -L]HGGHQWLQHIURPJODVVLRQRPHUFHPHQWIROORZLQJSUHWUHDWPHQWZLWKVLOYHU ÀXRULGHDQGSRWDVVLXPLRGLGH$XVW'HQW- e;�b;�c;d;a;  c;.QLJKW*0�f;0F,QW\UH-0�f;&UDLJ**�f;HWDO$QLQYLWURPRGHOWRPHDVXUHWKH HIIHFWRIDVLOYHUÀXRULGHDQGSRWDVVLXPLRGLGHWUHDWPHQWRQWKHSHUPHDELO -LW\RIGHPLQHUDOL]HGGHQWLQHWR6WUHSWRFRFFXVPXWDQV$XVW'HQW- e;  �b;�c;d;   /R(&0�f;&KX&+/LQ+&$FRPPXQLW\ EDVHGFDULHVFRQWUROSURJUDPIRU SUH VFKRROFKLOGUHQXVLQJWRSLFDOÀXRULGHVd;b; PRQWKUHVXOWV-'HQW5HV  e;b; �b;�c;d; a;  The Pros of SDF $IWHUFRQGXFWLQJDFULWLFDOUHYLHZRIUHVHDUFKVWXGLHVUHJDUGLQJ 6')�f;5RVHQEODWWDQGDVVRFLDWHVFRQFOXGHGWKDWLWKDVWKHLGHDOSURG -XFWTXDOLWLHVWKH,20DQG:+2DGYRFDWHIRUWKHVWFHQWXU\ 9 SDF is HIIHFWLYHLQWKHWUHDWPHQWDQGSUHYHQWLRQRIGHQWDOFDULHV�f;LQH[SHQ -VLYHDQGHDV\WRXVHZLWKPLQLPDOWUDLQLQJQHFHVVDU\IRUSHUVRQQHO�f; DVZHOODVKDYLQJDPLQLPDOWUHDWPHQWWLPHDQGLQYDVLYHQHVV 9 SDF FDQEHSDLQWHGRQZLWKDPLFUREUXVKRUGDEEHGRQZLWKDVPDOOFRW -WRQEDOOLQRQO\DPLQXWH 9 7KHDUPDPHQWDULXPIRU6')DSSOLFDWLRQLV VLPSOH�f;ZLWKRXWWKHQHHGIRUSOXPEHGZDWHUVRXUFHV�f;HOHFWULFLW\RUH[ -SHQVLYHHTXLSPHQW 20 7KHVHTXDOLWLHVPDNHLWDQH[FHOOHQWFDQGLGDWH IRULQFOXVLRQLQ:+2¶VDQG,20¶VDUVHQDODJDLQVWFDULHV�f; 9 especially in GLVDGYDQWDJHGSRSXODWLRQV 7 Staining $OWKRXJK6')KDVPDQ\DSSHDOLQJTXDOLWLHV�f;WKHUHDUHVRPHGUDZ -EDFNVWKDWPXVWEHGLVFXVVHG%\IDUWKHPRVWFRPPRQO\PHQWLRQHG QHJDWLYHDVSHFWLVWKHEODFNVWDLQLQJWKDWDFFRPSDQLHVLWVXVHZKHQ applied to active caries, 9-13,16-20 DVZHOODVWKHSRVVLEOHVWDLQLQJRI QHLJKERULQJJODVVLRQRPHUFHPHQWV 18 ,QWDFWWRRWKVXUIDFHVGRQRW discolor, 9 DQGEODFNHQHG�f;DUUHVWHGFDULHVDUHQRWGXHH[FOXVLYHO\WR 6')DORQH²GLVFRORUDWLRQDOVRRFFXUVLQDUUHVWHGFDULHVKDYLQJKDGQR LQWHUYHQWLRQRUDIWHUVRGLXPÀXRULGHYDUQLVKWUHDWPHQW+RZHYHU�f;WKH 6')WUHDWHGVDPSOHVKDGDKLJKHUSHUFHQWDJHRIEODFNHQLQJ 20 After WKHDSSOLFDWLRQRI6')WRDFDULRXVOHVLRQ�f;H[FHVVVLOYHUDQGSKRV -SKDWHFRPSRQHQWVUHDFWFKHPLFDOO\WRIRUPVLOYHUSKRVSKDWH�f;ZKLFK DFWVDVDKDUG�f;LQVROXEOHOD\HUIRUPLQJDEDUULHU�f;OLPLWLQJWKHVROXELOLW\ RIWRRWKVWUXFWXUHDQGDUUHVWLQJWKHFDULHVSURFHVV 13 7KHXQDWWUDFW -LYHDSSHDUDQFHRIWKLVEODFNHQHGVLOYHUSKRVSKDWHOD\HULVWKHPRVW FRPPRQXQGHVLUDEOHHIIHFWWRZKLFKSDWLHQWVREMHFW 9-13, 16-20 $QRWKHU XQGHVLUDEOHWUDLWLV6')¶VXQDSSHDOLQJPHWDOOLFWDVWH 20 Conclusion $OOLQDOO�f;WKHLQIRUPDWLRQRQVLOYHUÀXRULGHLVLQWHUHVWLQJDQG SURPLVLQJ7KHSRWHQWLDOEHQH¿WRI6')LVUHPDUNDEOHd;LWVSXUSRUWHG DELOLW\WRDUUHVWGHQWDOFDULHVe;PLQLPDOUHTXLUHPHQWVIRUWUDLQLQJ�f;VXS -SOLHVDQGSHUVRQQHOe;DQGUHGXFHGFRVWRIWUHDWPHQWZKHQFRPSDUHG WRUHVWRUDWLYHFDUH3K\VLFDODQGHPRWLRQDOWUDXPDH[SHULHQFHGE\ WKHSDWLHQWFDQDOVREHUHGXFHGE\KDYLQJFDULHVWUHDWPHQWWKDWLV OHVVLQYDVLYH�f;OHVVSRWHQWLDOO\SDLQIXO�f;DQGSUHYHQWLYHUDWKHUWKDQUH -VWRUDWLYH$VROXWLRQWRWKHJOREDOGHQWDOFDULHVSUREOHPLVQHFHVVDU\ WRDGGUHVVWKHXQPHWGHQWDOQHHGVRIPLOOLRQVRISHRSOH:LWKIXUWKHU UHVHDUFK�f;WKHHVWDEOLVKPHQWRIDSURWRFROIRU6')DSSOLFDWLRQFDQEH GHWHUPLQHG:LWKRXWTXHVWLRQ�f;PRUHUHVHDUFKLVQHHGHG�f;HVSHFLDOO\ LQYLYRVWXGLHVZLWKORQJ WHUPUHVXOWVUHSRUWHGIRUWKHXVHRI6')RQ KXPDQV'HQWDOK\JLHQLVWVDUHZDLWLQJIRUWKHGD\ZKHQWKLVPHGLFD -PHQWFDQEHLQFOXGHGLQWKHVWDQGDUGRIFDUHZHSURYLGHRXUSDWLHQWV Monika Alcorn, RDH, BSDH, is a freelance writer currently working as DIXOO WLPHFOLQLFDOGHQWDOK\JLHQLVWLQDSULYDWHRI¿FHLQ3RUWODQG�f;2UH 6KHJUDGXDWHGIURP3DFL¿F8QLYHUVLW\¶V'HQWDO+HDOWK6FLHQFH3URJUDP LQ b;DQGLVFXUUHQWO\ZRUNLQJRQKHUPDVWHU¶VGHJUHHLQGHQWDO K\JLHQHIURP,GDKR6WDWH8QLYHUVLW\+HUHPSKDVLVLQWKDWSURJUDPLV &RPPXQLW\DQG5XUDO+HDOWK { Physical and emotional trauma experienced by the patient can be reduced by having caries treatment that is less invasive, less potentially painful, and preventive rather than restorative. (OOHQ-5RJR�f;5'+�f;3K'�f;LVFXUUHQWO\DQDVVRFLDWHSURIHVVRULQWKH 'HQWDO+\JLHQH'HSDUWPHQWDW,GDKR6WDWH8QLYHUVLW\LQ3RFDWHOOR�f; ,GDKR6KHKDVEHHQDGHQWDOK\JLHQHHGXFDWRUIRUPRUHWKDQ  \HDUVZLWKDGPLQLVWUDWLYHOHDGHUVKLSSRVLWLRQVLQHGXFDWLRQ+HUPRVW recent experience involves developing curriculum and teaching online FRXUVHVLQD0DVWHURI6FLHQFHLQ'HQWDO+\JLHQHGHJUHHSURJUDP6KH continues to mentor students and faculty in research, grant writing DQGSXEOLFDWLRQ+HUDFFRPSOLVKPHQWVLQFOXGHQXPHURXVQDWLRQDODQG LQWHUQDWLRQDOSUHVHQWDWLRQVDQGSXEOLFDWLRQV,QDGGLWLRQ�f;VKHKDVZULW -WHQVHYHUDOERRNFKDSWHUVDQGUHFHLYHGJUDQWVWRFRQGXFWUHVHDUFK ■ 20 AUG 2012 access
Publication List
Using a screen reader? Click Here