Oral Science is happy to share once more with Canadian dental professionals that the World Well being Group (WHO), has for the primary time in 2021, added dental caries medicines to its record of Important Drugs (EML and EMLc). Part 30 of the launched doc defines Fluoride toothpaste, Silver Diamine Fluoride, and Glass Ionomers as Important Drugs.

This designation is a large step for dentistry and the battle for medical therapy of caries. It would possible result in coverage adjustments in quite a few international locations and protection of those merchandise underneath numerous fee techniques. You possibly can see the complete publication right here : https://apps.who.int/iris/bitstream/deal with/10665/345554/WHO-MHP-HPS-EML-2021.01-eng.pdf

The report states the next; “The Committee additionally beneficial inclusion of glass ionomer cement and silver diamine fluoride preparations on the core record of the EML and EMLc for the prevention and therapy of dental caries. The Committee famous that these merchandise provide related advantages and can be utilized in atraumatic restorative therapy methods and in non-specialized settings in alignment with WHO steerage on oral well being interventions.”

Benefit Arrest: 38% Silver Diamine Fluroide

Launched in 2017 as the primary Silver Diamine Fluoride therapy, Benefit Arrest^® was granted the first breakthrough remedy designation by the FDA for an oral care product.

Since then, Benefit Arrest^® continues to be the chief of SDF therapy as being the one one indicated by Well being Canada to assist arrest the development of an already fashioned caries in everlasting and first dentition.

Moreover, it’s 38% Silver Diamine Fluoride formulation with out Potassium Iodine (KI) affords a number of advantages for the dental professionals:

• SDF + KI therapy inhibited improvement of secondary caries on GIC restorations, however was not as efficient as SDF therapy alone. Furthermore, SDF + KI therapy precipitated a perceptible staining on the restoration margin, however the depth was lower than that with purely SDF therapy alone. [1]^,[2]
• As acknowledged KI is just indicated to be used in important everlasting posterior dentition (KI shouldn’t be indicated for pediatric dentistry/main dentition). [3]
• Storage requires refrigeration and shelf life of two years in comparison with 3 years for Silver Diamine Fluoride (Benefit Arrest^®) .
• A number of steps are wanted to finish the applying.

Sources

[1] Turton, B., Horn, R., Durward, C. (2020). Caries arrest and lesion look utilizing two totally different silver fluoride therapies on main tooth with and with out potassium iodide: 12-month outcomes. Scientific and Experimental Dental Analysis, web page 1 – 11.

[2] Zhao, I., et al. (2017). Impact of Silver Diamine Fluoride and Potassium Iodide Therapy on Secondary Caries Prevention and Tooth Discoloration in Cervical Glass Ionomer Cement Restoration. Worldwide Journal of Molecular Science, Quantity 18, Quantity 340, pages 1- 12.

[3] Riva Star – SDI retrieved from  https://www.sdi.com.au/en-ca/product/rivastar/