Desvendando o diamino fluoreto de prata

Abstract

The objective of the work was to prepare an educational material entitled “Uncovering Silver Diamine Fluoride”, in e-book format, which aims to provide guidance to dentists and dentistry students about the indications for use, concentrations, advantages and disadvantages, in addition to the step-by-step application of DFP solutions available on the national market, considering the outcomes of caries and hypersensitivity. The e-book was prepared free of charge on the Canva platform (Sydney, Australia), and also reports that the cost of treatment with DFP is low, since it does not require expensive equipment, which facilitates its inclusion in dental care. On the market, there are DFP solutions with concentrations ranging from 12% to 38%, with and without potassium iodide (KI), whose function is to alleviate the darkening caused by DFP. This staining/darkening is the most reported adverse effect in studies and, therefore, it is an issue that should be clarified before being applied. The following products commercially available in Brazil are covered in the e-book: Cariestop® 30%, Riva Star® 38% and Riva Star Aqua® 38%, always emphasizing that the manufacturer's recommendations for both dental caries and hypersensitivity should be followed. As for caries, only the 30% and 38% solutions presented satisfactory clinical results regarding the paralysis of dentin lesions. Regarding hypersensitivity, DFP is still little used for this outcome, with the 38% solution, with and without KI, being the most widely used. The theoretical content of the e-book was validated by a team of 8 professionals from different areas of Dentistry, as well as the layout and illustration. This e-book has a simple and clear language, aimed at dentists and dentistry students as an updated educational material, which will contribute positively to the guidance on the clinical applications of the different DFP solutions, considering outcomes such as caries and dentin hypersensitivity.