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Evaluation of Changes in the Dental Plaque and Dental Caries After Applying Silver Diamine Fluoride and Coconut Oil in Children With Early Childhood Caries



Poureslami H1 ; Pirzadehashraf M2 ; Salari Z3 ; Saffari F4 ; Mahvi AH5 ; Pirzadeh S6 ; Ataie A7
Authors
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Authors Affiliations
  1. 1. Department of Pediatric Dentistry, School of Dentistry AND Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
  2. 2. Department of Pediatric Dentistry, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran
  3. 3. Department of Pediatric Dentistry, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
  4. 4. Medical Mycology and Bacteriology Research Center, Kerman University of Medical Sciences, Kerman, Iran
  5. 5. Center for Solid Waste Research (CSWR), Institute for Environmental Research and School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Dental Faculty, Ardabil University of Medical Sciences, Ardabil, Iran
  7. 7. The Mount Sinai Hospital, Icahn School of Medicine, New York, United States

Source: Fluoride Published:2023

Abstract

Background and aim: Strategies to prevent and manage Early Childhood Caries (ECC) are essential to improve children’s oral and physical health. Present study aimed to investigate changes in the Streptococcus mutans count as well as the caries process, after applying Silver Diamine Fluoride (SDF) and Coconut Oil. Since SDF was accepted as a standard treatment modality, if coconut oil proves as effective as SDF, it can be used like SDF to control dental caries. Methods: This single-blind clinical trial was carried out on three groups of 3–6-year-old children (n=20) with ECC. First group was the control. Second group received 38% SDF on maxillary incisors only once on the first day of the study, third group received coconut oil on anterior teeth every day for four weeks. International Caries Detection and Assessment System (ICDAS) was determined caries, and S. mutans were counted on days 1 and 31. Data were analyzed with SPSS 18 using Wilcoxon Signed Ranks Test and Mann-Whitney Test. Results: There were no significant differences in S. mutans counts, but there were significant differences in ICDAS among the groups receiving coconut oil and SDF (p=0.48, and p<0.001 respectively). Decrease in S. mutans counts was more in coconut oil group than SDF group; however, most decrease in ICDAS was observed in SDF group. Conclusion: Based on the present study, decrease in the S. mutans counts in the coconut group was more than in the SDF group. However, the decrease in the ICDAS score was more in the SDF group compared to the coconut oil group. Coconut oil can be used as an adjunct product to prevent enamel decalcifications among children. © 2023, ISFR, www.fluorideresearch.online, Dunedin, New Zealand.
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