SILVER DIAMINE FLUORIDE: MINIMALLY INVASIVE STRATEGY IN CARIES MANAGEMENT
Dr. Mridula Goswami is a ‘Senior Professor’ & Head, Department of Pediatric & Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India, with 25 years dedicated to Pediatric Dentistry.
She is further qualified with ‘Diploma in Hospital Management’. She is a Member of the Faculty of Dental Surgery, Royal College of Physicians & Surgeons, Glasgow (UK). She is also a Certified Hypnosis & NPL Practitioner by Indian Board of Hypnosis & Neuro Linguistic Programming.
Dr. Mridula Goswami is a Graduate (1996) and Postgraduate (1998) in dentistry from Mumbai University, India, with Gold Medal in the subject of Pedodontics. Her academic career has many medals & awards. She has been awarded academic scholarships from Indian Dental Association (IDA) and Colgate Palmolive (INDIA) Ltd. She has received ‘Colgate Bright Smile Bright Future Award’ at IAPD Congress 2019 at Cancun, Mexico. She has also received “Indian Dental Diva Award 2019” for being the “Dental Specialist of the Year (Pedodontist)”-2019. She was given the “Award for Excellence in Research” and “Best Faculty Award” during the 3rd Academic Brand Awards 2018. Apart from various international and national publications, she has contributed chapters in four popular textbooks. She has received the “Fellowship of International College of Dentists” (ICD).
She is active at Dental Conferences and has participated in more than 100 conferences both nationally & internationally. She is Life member of various dental societies. At IAPD, she is serving as the Standing Committee member of the Membership Committee. She is the Executive Committee member of Indian Society of Pedodontics & Preventive Dentistry (ISPPD) and Indian Society of Dental Traumatology (ISDT).
Her keen interest areas are Special Care Dentistry, Dental Trauma, Sports Dentistry & Regenerative Endodontics.
Silver and fluoride, in combination, have been used and studied extensively for efficacy in caries prevention and management. Numerous international studies have reported on the effectiveness of 38% Silver Diamine Fluoride (SDF) in preventing and arresting dental caries and for treatment of dentine hypersensitivity. The U.S. Food and Drug Administration (FDA) cleared the new formulation of 38% SDF in 2014. Application of SDF is simple and noninvasive where the silver component acts as an anti-microbial agent on bacteria, while the fluoride acts to prevent further demineralization of tooth structure. In 2016, the FDA announced ‘Breakthrough Designation Therapy’ to 38% SDF.
Silver diamine fluoride has the potential to play a very important role in minimally invasive dentistry for patients of all age groups. It is also helpful for patients who are unable to receive conventional restorative treatment or are awaiting dental treatment under general anesthesia. Some have called SDF as ‘NO DRILLING, cavity fighting liquid’. SDF is a strong example of changing paradigm in dentistry away from the traditional ‘drill and fill’, along with prevention of future decay.
This presentation brings the latest update on this ‘Magical Silver Fluoride Bullet’ i.e. SDF!