Silver Compounds for Caries Management

Silver metal and compounds have antibacterial properties, although their action's mechanisms are not fully understood. Scientists generally consider that silver disrupts the bacterial cell wall. It causes a structural change in the bacterial cell membrane and cytoplasm. It also stops deoxyribon...

Full description

Bibliographic Details
Main Authors: Grace Y. Xu, Irene S. Zhao, Christie Y.K. Lung, Iris X. Yin, Edward C.M. Lo, Chun Hung Chu
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653923009486
_version_ 1797243008162201600
author Grace Y. Xu
Irene S. Zhao
Christie Y.K. Lung
Iris X. Yin
Edward C.M. Lo
Chun Hung Chu
author_facet Grace Y. Xu
Irene S. Zhao
Christie Y.K. Lung
Iris X. Yin
Edward C.M. Lo
Chun Hung Chu
author_sort Grace Y. Xu
collection DOAJ
description Silver metal and compounds have antibacterial properties, although their action's mechanisms are not fully understood. Scientists generally consider that silver disrupts the bacterial cell wall. It causes a structural change in the bacterial cell membrane and cytoplasm. It also stops deoxyribonucleic acid replication, resulting in inactivating enzymatic activity and cell death. The antimicrobial effect of silver-containing compounds relies on the release of bioactive silver ions. Hence, silver metal and compounds have been used in medicine to prevent infection for hundreds of years. Silver metal and compounds are also used as antibacterial agents in dentistry. Studies have shown that silver compounds are effective in the management of dental caries. Fluoride-containing silver compounds have been found in experiments to be beneficial at remineralising dental cavities. Silver diamine fluoride (SDF) can assist in preventing and arresting tooth cavities. The World Health Organization included SDF in its Model List of Essential Medicine for both adults and children in 2021. Clinicians also use SDF to manage dentine hypersensitivity as well as to inhibit growth of periodontal pathogens. However, traditional silver compounds cause tooth discolouration because of the silver-staining effect. These side effects of their applications depend on the amount applied and the frequency of application. Researchers are developing nanosilver fluoride and silver nanoparticles to overcome the staining. This review gives an overview of the antibacterial mechanism of silver compounds, namely silver nitrate, silver fluoride, SDF, silver nanoparticles, and nano silver fluoride for caries management. The outlook for the future development of silver compounds will be discussed.
first_indexed 2024-04-24T18:48:17Z
format Article
id doaj.art-2c27bc6fa1e54478ba6f93ad8aac4df4
institution Directory Open Access Journal
issn 0020-6539
language English
last_indexed 2024-04-24T18:48:17Z
publishDate 2024-04-01
publisher Elsevier
record_format Article
series International Dental Journal
spelling doaj.art-2c27bc6fa1e54478ba6f93ad8aac4df42024-03-27T04:51:08ZengElsevierInternational Dental Journal0020-65392024-04-01742179186Silver Compounds for Caries ManagementGrace Y. Xu0Irene S. Zhao1Christie Y.K. Lung2Iris X. Yin3Edward C.M. Lo4Chun Hung Chu5School of Dentistry, Shenzhen University Health Science Center, Shenzhen, China; Faculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaSchool of Dentistry, Shenzhen University Health Science Center, Shenzhen, China; Faculty of Dentistry, The University of Hong Kong, Hong Kong, China; Corresponding author. School of Dentistry, Shenzhen University Health Science Center, Shenzhen, China.Faculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong, China; Corresponding author. Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.Faculty of Dentistry, The University of Hong Kong, Hong Kong, China; Corresponding author. Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.Silver metal and compounds have antibacterial properties, although their action's mechanisms are not fully understood. Scientists generally consider that silver disrupts the bacterial cell wall. It causes a structural change in the bacterial cell membrane and cytoplasm. It also stops deoxyribonucleic acid replication, resulting in inactivating enzymatic activity and cell death. The antimicrobial effect of silver-containing compounds relies on the release of bioactive silver ions. Hence, silver metal and compounds have been used in medicine to prevent infection for hundreds of years. Silver metal and compounds are also used as antibacterial agents in dentistry. Studies have shown that silver compounds are effective in the management of dental caries. Fluoride-containing silver compounds have been found in experiments to be beneficial at remineralising dental cavities. Silver diamine fluoride (SDF) can assist in preventing and arresting tooth cavities. The World Health Organization included SDF in its Model List of Essential Medicine for both adults and children in 2021. Clinicians also use SDF to manage dentine hypersensitivity as well as to inhibit growth of periodontal pathogens. However, traditional silver compounds cause tooth discolouration because of the silver-staining effect. These side effects of their applications depend on the amount applied and the frequency of application. Researchers are developing nanosilver fluoride and silver nanoparticles to overcome the staining. This review gives an overview of the antibacterial mechanism of silver compounds, namely silver nitrate, silver fluoride, SDF, silver nanoparticles, and nano silver fluoride for caries management. The outlook for the future development of silver compounds will be discussed.http://www.sciencedirect.com/science/article/pii/S0020653923009486CariesSilverFluorideSilver diamine fluorideNanoparticlesPrevention
spellingShingle Grace Y. Xu
Irene S. Zhao
Christie Y.K. Lung
Iris X. Yin
Edward C.M. Lo
Chun Hung Chu
Silver Compounds for Caries Management
International Dental Journal
Caries
Silver
Fluoride
Silver diamine fluoride
Nanoparticles
Prevention
title Silver Compounds for Caries Management
title_full Silver Compounds for Caries Management
title_fullStr Silver Compounds for Caries Management
title_full_unstemmed Silver Compounds for Caries Management
title_short Silver Compounds for Caries Management
title_sort silver compounds for caries management
topic Caries
Silver
Fluoride
Silver diamine fluoride
Nanoparticles
Prevention
url http://www.sciencedirect.com/science/article/pii/S0020653923009486
work_keys_str_mv AT graceyxu silvercompoundsforcariesmanagement
AT ireneszhao silvercompoundsforcariesmanagement
AT christieyklung silvercompoundsforcariesmanagement
AT irisxyin silvercompoundsforcariesmanagement
AT edwardcmlo silvercompoundsforcariesmanagement
AT chunhungchu silvercompoundsforcariesmanagement