Effect of Potassium Iodide and Glutathione on Color Change and Remineralization Potential Induced by Silver Diamine Fluoride Application

Purpose: To evaluate the effect of applying potassium-iodide (KI) and glutathione (GSH) on silver-diamine fluoride (SDF) induced tooth discoloration as well as their effect on its remineralization potential. Methods: To examine color change, cervical dentinal demineralized cavities were performed...

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Main Authors: Salma Mohammed ElSabaa, Ahmed El Banna, Dina Ahmed El Refai
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2024-03-01
Series:Dentistry 3000
Subjects:
Online Access:http://dentistry3000.pitt.edu/ojs/dentistry3000/article/view/402
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author Salma Mohammed ElSabaa
Ahmed El Banna
Dina Ahmed El Refai
author_facet Salma Mohammed ElSabaa
Ahmed El Banna
Dina Ahmed El Refai
author_sort Salma Mohammed ElSabaa
collection DOAJ
description Purpose: To evaluate the effect of applying potassium-iodide (KI) and glutathione (GSH) on silver-diamine fluoride (SDF) induced tooth discoloration as well as their effect on its remineralization potential. Methods: To examine color change, cervical dentinal demineralized cavities were performed mesially and distally in 16 human premolars. Glass-ionomer restoration (GIC) was applied and allocated to four groups I-IV according to the following pre-treatments: No pre-treatment, SDF, SDF+KI, SDF+20%(wt) GSH. Spectrophotometric evaluation of samples at time intervals: 1,7 and 14 days of GIC application. To examine the effect of remineralization, 21 bovine dentin blocks were divided into groups I-III: SDF, SDF + KI, and SDF + GSH. Vickers microhardness was measured, before and after demineralization and after 7 days of treatment. Results: Spectrophotometric results after 14 days for groups I-IV were:1.29±0.18, 12.24±0.19, 2.19±0.32 and 4.76±0.19 respectively. Groups III and IV showed significant reduction in ΔE compared with group II, although they showed significant increase in ΔE compared with group I (p<0.001). KI showed better management of color changes than GSH. The microhardness test results after treatment application to demineralized dentin for Groups I-III were: 30.81±20.87, 30.59±16.42, 24.69±13.21, respectively. All groups showed significantly increased microhardness of demineralized dentin (P ≤ 0.05), which was comparable to that of Group I. Conclusion: Application of KI and GSH after SDF significantly minimized color changes without affecting the remineralizing effect of SDF.
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spelling doaj.art-a028d6076d294f278330c6881e6f6fb42024-03-04T15:38:37ZengUniversity Library System, University of PittsburghDentistry 30002167-86772024-03-0112110.5195/d3000.2024.402Effect of Potassium Iodide and Glutathione on Color Change and Remineralization Potential Induced by Silver Diamine Fluoride ApplicationSalma Mohammed ElSabaaAhmed El BannaDina Ahmed El Refai Purpose: To evaluate the effect of applying potassium-iodide (KI) and glutathione (GSH) on silver-diamine fluoride (SDF) induced tooth discoloration as well as their effect on its remineralization potential. Methods: To examine color change, cervical dentinal demineralized cavities were performed mesially and distally in 16 human premolars. Glass-ionomer restoration (GIC) was applied and allocated to four groups I-IV according to the following pre-treatments: No pre-treatment, SDF, SDF+KI, SDF+20%(wt) GSH. Spectrophotometric evaluation of samples at time intervals: 1,7 and 14 days of GIC application. To examine the effect of remineralization, 21 bovine dentin blocks were divided into groups I-III: SDF, SDF + KI, and SDF + GSH. Vickers microhardness was measured, before and after demineralization and after 7 days of treatment. Results: Spectrophotometric results after 14 days for groups I-IV were:1.29±0.18, 12.24±0.19, 2.19±0.32 and 4.76±0.19 respectively. Groups III and IV showed significant reduction in ΔE compared with group II, although they showed significant increase in ΔE compared with group I (p<0.001). KI showed better management of color changes than GSH. The microhardness test results after treatment application to demineralized dentin for Groups I-III were: 30.81±20.87, 30.59±16.42, 24.69±13.21, respectively. All groups showed significantly increased microhardness of demineralized dentin (P ≤ 0.05), which was comparable to that of Group I. Conclusion: Application of KI and GSH after SDF significantly minimized color changes without affecting the remineralizing effect of SDF. http://dentistry3000.pitt.edu/ojs/dentistry3000/article/view/402Silver diamine fluorideRemineralizationDiscolorationPotassium iodideGlutathione
spellingShingle Salma Mohammed ElSabaa
Ahmed El Banna
Dina Ahmed El Refai
Effect of Potassium Iodide and Glutathione on Color Change and Remineralization Potential Induced by Silver Diamine Fluoride Application
Dentistry 3000
Silver diamine fluoride
Remineralization
Discoloration
Potassium iodide
Glutathione
title Effect of Potassium Iodide and Glutathione on Color Change and Remineralization Potential Induced by Silver Diamine Fluoride Application
title_full Effect of Potassium Iodide and Glutathione on Color Change and Remineralization Potential Induced by Silver Diamine Fluoride Application
title_fullStr Effect of Potassium Iodide and Glutathione on Color Change and Remineralization Potential Induced by Silver Diamine Fluoride Application
title_full_unstemmed Effect of Potassium Iodide and Glutathione on Color Change and Remineralization Potential Induced by Silver Diamine Fluoride Application
title_short Effect of Potassium Iodide and Glutathione on Color Change and Remineralization Potential Induced by Silver Diamine Fluoride Application
title_sort effect of potassium iodide and glutathione on color change and remineralization potential induced by silver diamine fluoride application
topic Silver diamine fluoride
Remineralization
Discoloration
Potassium iodide
Glutathione
url http://dentistry3000.pitt.edu/ojs/dentistry3000/article/view/402
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AT dinaahmedelrefai effectofpotassiumiodideandglutathioneoncolorchangeandremineralizationpotentialinducedbysilverdiaminefluorideapplication