{"id":{"repo_id":"iupui","oai_identifier":"oai:scholarworks.indianapolis.iu.edu:1805/25296"},"canonical_url":"https://search.dev.ndltd.org/etd/iupui/oai:scholarworks.indianapolis.iu.edu:1805/25296","repository":{"repo_id":"iupui","name":"IUPUI","base_url":"https://scholarworks.indianapolis.iu.edu/server/oai/request"},"display":{"title":"Primary Coronal Caries Prevention with Silver Diamine Fluoride – Investigations into Efficacy and Mode of Action","abstract":"Dental caries continues to be one of the most prevalent preventable diseases worldwide. Silver diamine fluoride (SDF) is a topical solution comprised of silver, ammonia and fluoride. It is a safe, effective, efficient, noninvasive and cost-effective method in caries management. However, there is little clinical evidence supporting the use of SDF (or SDF followed by application of potassium iodide[KI] to mitigate staining) as anti-caries agents on sound enamel and early enamel carious lesions. In this dissertation, I studied the mechanism behind SDF’s ability to prevent coronal caries which has not been studied yet. In the first and second aims, I investigated the effectiveness of SDF, SDF+KI, fluoride (potassium fluoride [KF]) and silver (silver nitrate [AgNO3]) controls to SDF and deionized water (DIW) in preventing enamel demineralization and enhancing remineralization using chemical, biofilm and pH-cycling models. In both chemical demineralization and pH-cycling models there were no statistically significant differences between SDF and SDF+KI in preventing coronal caries. In the biofilm model, however, SDF+KI was significantly less effective in preventing demineralization than SDF. In the third aim, I investigated the efficacy of SDF, SDF+KI, KF, AgNO3, and DIW on the remineralization of active subclinical enamel carious lesions. Here, SDF+KI was significantly more effective in promoting remineralization than SDF. I calculated changes in color, and the results show applying KI after SDF significantly reduced the dark staining caused by SDF. In conclusion: SDF and SDF+KI appear to be effective options in preventing and in the treatment of primary coronal caries. Further clinical research is required to confirm the present findings.","abstract_html":"Dental caries continues to be one of the most prevalent preventable diseases worldwide. Silver diamine fluoride (SDF) is a topical solution comprised of silver, ammonia and fluoride. It is a safe, effective, efficient, noninvasive and cost-effective method in caries management. However, there is little clinical evidence supporting the use of SDF (or SDF followed by application of potassium iodide[KI] to mitigate staining) as anti-caries agents on sound enamel and early enamel carious lesions. In this dissertation, I studied the mechanism behind SDF’s ability to prevent coronal caries which has not been studied yet. In the first and second aims, I investigated the effectiveness of SDF, SDF+KI, fluoride (potassium fluoride [KF]) and silver (silver nitrate [AgNO3]) controls to SDF and deionized water (DIW) in preventing enamel demineralization and enhancing remineralization using chemical, biofilm and pH-cycling models. In both chemical demineralization and pH-cycling models there were no statistically significant differences between SDF and SDF+KI in preventing coronal caries. In the biofilm model, however, SDF+KI was significantly less effective in preventing demineralization than SDF. In the third aim, I investigated the efficacy of SDF, SDF+KI, KF, AgNO3, and DIW on the remineralization of active subclinical enamel carious lesions. Here, SDF+KI was significantly more effective in promoting remineralization than SDF. I calculated changes in color, and the results show applying KI after SDF significantly reduced the dark staining caused by SDF. In conclusion: SDF and SDF+KI appear to be effective options in preventing and in the treatment of primary coronal caries. Further clinical research is required to confirm the present findings.","abstract_has_math":false,"creators":["Sorkhdini, Parand"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Lippert, Frank","Gregory, Richard"],"committee_chairs":[],"committee_members":[],"year":2021,"date_issued":"2021-01","date_published":"2021-01","updated_at":"2026-07-24T02:41:30Z","subjects":[],"languages":["en_US"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://dx.doi.org/10.7912/C2/1659"],"render_values":[{"text":"http://dx.doi.org/10.7912/C2/1659","href":"http://dx.doi.org/10.7912/C2/1659","code":true}]}]},"links":{"outbound_url":"https://hdl.handle.net/1805/25296","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Lippert, Frank","Gregory, Richard"]},{"key":"dc:contributor.other","label":"Dc Contributor Other","values":["Martinez Mier, E. 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Silver diamine fluoride (SDF) is a topical solution comprised of silver, ammonia and fluoride. It is a safe, effective, efficient, noninvasive and cost-effective method in caries management. However, there is little clinical evidence supporting the use of SDF (or SDF followed by application of potassium iodide[KI] to mitigate staining) as anti-caries agents on sound enamel and early enamel carious lesions. In this dissertation, I studied the mechanism behind SDF’s ability to prevent coronal caries which has not been studied yet. In the first and second aims, I investigated the effectiveness of SDF, SDF+KI, fluoride (potassium fluoride [KF]) and silver (silver nitrate [AgNO3]) controls to SDF and deionized water (DIW) in preventing enamel demineralization and enhancing remineralization using chemical, biofilm and pH-cycling models. In both chemical demineralization and pH-cycling models there were no statistically significant differences between SDF and SDF+KI in preventing coronal caries. In the biofilm model, however, SDF+KI was significantly less effective in preventing demineralization than SDF. In the third aim, I investigated the efficacy of SDF, SDF+KI, KF, AgNO3, and DIW on the remineralization of active subclinical enamel carious lesions. Here, SDF+KI was significantly more effective in promoting remineralization than SDF. I calculated changes in color, and the results show applying KI after SDF significantly reduced the dark staining caused by SDF. In conclusion: SDF and SDF+KI appear to be effective options in preventing and in the treatment of primary coronal caries. Further clinical research is required to confirm the present findings."]},{"key":"dc:title","label":"Title","values":["Primary Coronal Caries Prevention with Silver Diamine Fluoride – Investigations into Efficacy and Mode of Action"]}]}],"canonical_facts":{"dc:contributor.advisor":["Lippert, Frank","Gregory, Richard"],"dc:contributor.other":["Martinez Mier, E. Angeles","Crystal, Yasmi O.","Stelzner, Sarah"],"dc:creator":["Sorkhdini, Parand"],"dc:date.accessioned":["2021-03-01T16:57:52Z"],"dc:date.available":["2021-03-01T16:57:52Z"],"dc:date.issued":["2021-01"],"dc:description":["Indiana University-Purdue University Indianapolis (IUPUI)"],"dc:description.abstract":["Dental caries continues to be one of the most prevalent preventable diseases worldwide. Silver diamine fluoride (SDF) is a topical solution comprised of silver, ammonia and fluoride. It is a safe, effective, efficient, noninvasive and cost-effective method in caries management. However, there is little clinical evidence supporting the use of SDF (or SDF followed by application of potassium iodide[KI] to mitigate staining) as anti-caries agents on sound enamel and early enamel carious lesions. In this dissertation, I studied the mechanism behind SDF’s ability to prevent coronal caries which has not been studied yet. In the first and second aims, I investigated the effectiveness of SDF, SDF+KI, fluoride (potassium fluoride [KF]) and silver (silver nitrate [AgNO3]) controls to SDF and deionized water (DIW) in preventing enamel demineralization and enhancing remineralization using chemical, biofilm and pH-cycling models. In both chemical demineralization and pH-cycling models there were no statistically significant differences between SDF and SDF+KI in preventing coronal caries. In the biofilm model, however, SDF+KI was significantly less effective in preventing demineralization than SDF. In the third aim, I investigated the efficacy of SDF, SDF+KI, KF, AgNO3, and DIW on the remineralization of active subclinical enamel carious lesions. Here, SDF+KI was significantly more effective in promoting remineralization than SDF. I calculated changes in color, and the results show applying KI after SDF significantly reduced the dark staining caused by SDF. In conclusion: SDF and SDF+KI appear to be effective options in preventing and in the treatment of primary coronal caries. Further clinical research is required to confirm the present findings."],"dc:identifier.uri":["https://hdl.handle.net/1805/25296","http://dx.doi.org/10.7912/C2/1659"],"dc:language.iso":["en_US"],"dc:title":["Primary Coronal Caries Prevention with Silver Diamine Fluoride – Investigations into Efficacy and Mode of Action"],"dc:type":["Dissertation"]},"updated_at":"2026-07-24T02:41:30Z"}