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

After mechanical caries removal

Treating affected Dentin

This crown has a much

better chance for success

IconThe Caries Infiltration Conceptand Methodology

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

Who has Chart Like this? Watching

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.

Both SDF and Icon (and Laser and BioActiva) provide me/the patient with more Minimally Invasive options.

• Icon is not a silver bullet

• Icon does provide an option when others seems less plausible

• Icon does seem to be effective

• Same goes for SDF