DR. CARLOS GONZÁLES-CABEZAS

DDS, MSD, PhD; Richard Christiansen Collegiate Professor, Oral and Craniofacial Global Initiatives
Associate Professor, Director of Global Initiatives, Oral and Craniofacial Health

Integrating Silver Diamine Fluoride (SDF) in the Management of High Caries Patients

Silver Diamine Fluoride (SDF) is becoming an integral part in the management of dental caries for some patients.  In this lecture, the role and mechanism of action of silver ions in caries arrest, prevention and management will be discussed.  The advantages and disadvantages of silver products will be compared to other caries management products used to manage dental caries.  The indications and contraindications for using SDF in dental practice will be examined.  Lastly, a clinical protocol on how to use SDF will be presented.

Optimizing the Anticaries Effectiveness of Dentifrices

Fluoride-containing dentifrices have been shown to prevent dental caries and remineralize caries lesions.  However, formulation and usage behavior significantly affect the anticaries effectiveness of dentifrices.  This presentation will discuss how toothbrushing behavior and different elements in a dentifrice formulation affect dentifrice anti-caries effectiveness.  It will also provide guidance on how to develop personalized recommendations for patients to optimize the anticaries effect of the dentifrice.

Recent Advances in Caries Remineralization Therapies

Saliva ions can remineralize caries lesions naturally.  Remineralization can be accelerated by external factors or elements such as fluoride. Numerous studies have demonstrated the remineralizing efficacy of fluoride therapies as well as their limitations with some groups of the population. Consequently, developing new remineralization therapies to close this gap in efficacy has been a priority for the last two decades. In this presentation, a summary of some of the latest advances in remineralization therapies will be presented. Most new therapies try to enhance the effect of fluoride by adding other potentially active ingredients to the formulation, such as calcium, phosphate, stannous, xylitol, and arginine. Other remineralization strategies have focused on creating remineralizing scaffolds within the lesions (e.g., self-assembling peptides). Some of the new remineralization strategies have progressed significantly in recent years, for most of them, the evidence is still insufficient to assess their true clinical potential.