Post on 21-May-2018
Silver Diamine Fluoride and Icon
Erik Harrington DDS, PhD
Quick Bio: Pediatric, Family and Hospital Dentistry. Five practices in the Dallas and Kaufman county. Serve Medicaid. About 15k patient visits a year. Over a 100 offices refer their most acute cases. About 1200 hospital cases a year at ChildrensHealth.
Both SDF and Icon provide me/the patient with more options.
• SDF is not a silver bullet
• SDF does provide an option when others seems less plausible
• SDF does seem to be effective (AAPD Guidelines, 40y in Japan, personal)
• Same goes for Icon
Use of SDF for insuring
successful outcome.
Another use for SDF for us in Pedo
Reducing Failure, Repeat Offenders
What is Icon?
Caries infiltration is a breakthrough microinvasive technology that treats early caries lesions without the need for anesthesia, drilling or sacrificing any tooth structure.
It will also correct white spot lesions in a single office visit and return the tooth to the look of healthy tooth structure.
1. “Radiographic lesion progression of infiltrated lesions vs. control” (Charité’- University of Medicine, Berlin;2. “Modern Detection, Assessment and Treatment of Initial Approximal Lesions” 1.Caries Research Unit UNICA, University El Bosque, Bogota, Columbia, 2. Department of Operative Dentistry and
Perio, Christian-Albrechts- University Kiel, Germany
Icon: Changes When Treatment Begins
Healthy
tooth
End the “Watch & Wait” Approach
White spots & Incipient Lesions Restorable
with InfiltrationConventional Restoration
Kidd EA, Fejerskov O. What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. J Dent Res 2004; 83 Spec No C: C35-38
When Is Icon Used?Lesions Treatable with Icon
• When we discover incipient caries that are beyond preventive therapies, though too early for restorative treatment, Icon offers a simple alternative to the “wait and see” approach.
Acceptable Lesion Depth Unacceptable Lesions
Recent case of mine. 13 yo, high sensory. Needs Ortho Extractions, A few restorations, but also has 4-5 lesions that concern me.