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04 INTERVIEW Dental Tribune Asia Pacific Edition | 11/2017 “The pattern of decay is slowly changing” An interview with paediatric dentist Dr Rana Yawary, Australia In Australia, dental caries is the highest cause of preventable hos- pitalisations of children. In search of a potent anti-caries approach, Dental Health Services Victoria has announced that it is conducting a Can you explain how and why SDF is used in dentistry? Can you briefly introduce the study design and its objectives? Topical application of 38 per cent SDF, a liquid cavity cleanser and desensitiser, has been shown to arrest 81 per cent of active caries For the first time in Victoria, we aim to standardise a protocol incorporating oral health educa- tion in twice-daily toothbrush- childhood caries in children that aren’t able to cope with extensive dental treatment in the chair. It doesn’t require local anaes- thetic—the needle! With each successive dental visit, even the Dr bana Yawary is a specialist paediatric dentist with significant experience in pub- lic oral healthcare. In collaboration with Dental Health Services Victoria, she aims to trial and implement new models of care and drive initiatives relating to oral disease prevention and improved health outcomes. “[...] even the youngest children are consistently more cooperative because they experience their dental visits without pain or discomfort.” study on the use of silver diamine fluoride (SDF) for the management of caries. In an interview with Dental Tribune, research project manager Dr Rana Yawary spoke about the benefits and drawbacks of the method and why she thinks SDF has the potential to increase treatment compliance and thereby help ease social inequalities. in primary teeth. Because this treatment is non-invasive and eas- ily performed, it can be a promis- ing strategy for management of dental caries in very young chil- dren and avoids dental general an- aesthesia. Apart from staining the arrested lesion, there has been no reported significant complication of SDF use among children. AD ing with a fluoride-containing toothpaste, comprehensive die- tary counselling and twice- yearly application of 38 per cent SDF. The study will closely fol- low more than 400 children aged 2–10 years. The research- ers will treat children and mon- itor them over a year to study the impact of the protocol on cavity progression. They will also measure oral health-re- lated quality of life and treat- ment satisfaction and accepta- bility. These results will be compared with those for chil- dren who are referred for treat- ment under general anaes- thesia. What are the benefits of SDF com- pared with other anti-caries ap- proaches? The use of SDF provides an alternative in managing early youngest children are con- sistently more coopera- tive because they expe- rience their dental vis- its without pain or discomfort. It’s easy to apply and non- invasive and has the potential to sig n i f ic a nt ly increase ac- cess to oral hea lt hcare across the state. is one There major drawback to the substance, at least aesthetically: it can cause carious tooth structure to turn brown or black. That is right, and this forms an impor- tant component of the informed con- sent. However, the Light-curing micro-hybrid composite (cid:149) applicable for various indications and all cavity classes (cid:149) high translucency and a perfect colour adaption (cid:149) Polishable to a high gloss (cid:149) excellent physical properties for durable fillings (cid:149) high filler content (cid:149) packable consistency (also available as Composan LCM flow) Temporary crown & bridge material (cid:149) less than 5 min. processing time (cid:149) strong functional load (cid:149) perfect long-term aesthetics (cid:149) excellent biocompatibility Visit www.promedica.de to see all our products Dental Material GmbH 24537 Neumünster / Germany +49 43 21 / 5 41 73 Tel. +49 43 21 / 5 19 08 Fax eMail info@promedica.de Internet www.promedica.de © Lucky Business/Shutterstock.com