Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride

Background/purpose: Potassium iodide (KI) is used for reducing the degree of black staining occurred after silver diamine fluoride (SDF) application. However, the optimal KI concentration remains unknown. This study aimed to identify the optimal concentration of KI that effectively reduces black sta...

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Main Authors: Palinee Detsomboonrat, Panatsaya Thongmak, Phattaramon Lertpayab, Watsharapol Aiemsri, Sireerat Sooampon
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Journal of Dental Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1991790221000568
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author Palinee Detsomboonrat
Panatsaya Thongmak
Phattaramon Lertpayab
Watsharapol Aiemsri
Sireerat Sooampon
author_facet Palinee Detsomboonrat
Panatsaya Thongmak
Phattaramon Lertpayab
Watsharapol Aiemsri
Sireerat Sooampon
author_sort Palinee Detsomboonrat
collection DOAJ
description Background/purpose: Potassium iodide (KI) is used for reducing the degree of black staining occurred after silver diamine fluoride (SDF) application. However, the optimal KI concentration remains unknown. This study aimed to identify the optimal concentration of KI that effectively reduces black staining after SDF application. Materials and methods: Twenty-four extracted teeth with similar pattern of carious lesions were assigned into 6 groups as follows: 1) SDF only, 2) SDF+7.5%KI, 3) SDF+10%KI, 4) SDF+15%KI, 5) SDF+20%KI, and 6) SDF+saturated KI. The KI solution was applied immediately after SDF application. Tooth images were obtained for color measurement at different time points as followed; before SDF application, immediately after SDF application, immediately after KI application, 1, 3, 7 and 14 days after SDF+KI application. The photographs were analyzed for mean gray value using the ImageJ program. Results: The KI groups demonstrated a dose-dependent significant immediate reduction in black staining after KI application, except the saturated KI group. The teeth in the 20% KI group had the highest Δ mean gray value compared with other groups immediately after KI application, whereas a reduction in black staining in the saturated KI group appeared 1 day after KI application. The Δ mean gray value in all groups decreased over time. After 7 and 14 days, the reduction in black staining was not clearly different between KI groups. Conclusion: KI application was able to reduce the degree of black staining in a dose-dependent manner, but the subsequent color change was minimal over the period of 14 days.
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spelling doaj.art-f20492335fe54de9a8c9a8f3cc0833382022-12-21T23:27:27ZengElsevierJournal of Dental Sciences1991-79022022-01-01171300307Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoridePalinee Detsomboonrat0Panatsaya Thongmak1Phattaramon Lertpayab2Watsharapol Aiemsri3Sireerat Sooampon4Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandFaculty of Dentistry, Chulalongkorn University, Bangkok, ThailandFaculty of Dentistry, Chulalongkorn University, Bangkok, ThailandFaculty of Dentistry, Chulalongkorn University, Bangkok, ThailandDepartment of Pharmacology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Corresponding author. Department of Pharmacology, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Patumwan, Bangkok 10330, Thailand.Fax: +662 2188882.Background/purpose: Potassium iodide (KI) is used for reducing the degree of black staining occurred after silver diamine fluoride (SDF) application. However, the optimal KI concentration remains unknown. This study aimed to identify the optimal concentration of KI that effectively reduces black staining after SDF application. Materials and methods: Twenty-four extracted teeth with similar pattern of carious lesions were assigned into 6 groups as follows: 1) SDF only, 2) SDF+7.5%KI, 3) SDF+10%KI, 4) SDF+15%KI, 5) SDF+20%KI, and 6) SDF+saturated KI. The KI solution was applied immediately after SDF application. Tooth images were obtained for color measurement at different time points as followed; before SDF application, immediately after SDF application, immediately after KI application, 1, 3, 7 and 14 days after SDF+KI application. The photographs were analyzed for mean gray value using the ImageJ program. Results: The KI groups demonstrated a dose-dependent significant immediate reduction in black staining after KI application, except the saturated KI group. The teeth in the 20% KI group had the highest Δ mean gray value compared with other groups immediately after KI application, whereas a reduction in black staining in the saturated KI group appeared 1 day after KI application. The Δ mean gray value in all groups decreased over time. After 7 and 14 days, the reduction in black staining was not clearly different between KI groups. Conclusion: KI application was able to reduce the degree of black staining in a dose-dependent manner, but the subsequent color change was minimal over the period of 14 days.http://www.sciencedirect.com/science/article/pii/S1991790221000568Black stainingOptimal concentrationPotassium iodideSilver diamine fluoride
spellingShingle Palinee Detsomboonrat
Panatsaya Thongmak
Phattaramon Lertpayab
Watsharapol Aiemsri
Sireerat Sooampon
Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride
Journal of Dental Sciences
Black staining
Optimal concentration
Potassium iodide
Silver diamine fluoride
title Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride
title_full Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride
title_fullStr Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride
title_full_unstemmed Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride
title_short Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride
title_sort optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride
topic Black staining
Optimal concentration
Potassium iodide
Silver diamine fluoride
url http://www.sciencedirect.com/science/article/pii/S1991790221000568
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