Treating a Case of Class II Caries With Silver Diamine Fluoride: A Newer Approach

Abstract

This case report details the comprehensive management of a six-year-old child diagnosed with early childhood caries (ECC), a prevalent condition affecting young children. The patient presented with acute pain in the lower left quadrant of the jaw, specifically involving the deciduous mandibular first molar (tooth D), which exhibited Class II caries. A prompt intervention was necessary to prevent further decaying of the tooth and manage the child's discomfort. The treatment strategy focused on a minimally invasive approach, beginning with the application of silver diamine fluoride (SDF) to arrest the progression of dental caries. SDF is known for its efficacy in halting carious lesions and providing immediate pain relief, making it a suitable option for young patients. Following the stabilization of the carious lesion, a stainless steel crown (SSC) was placed over the affected tooth. This restoration not only preserved the structural integrity of the tooth but also restored the masticatory function and maintained an aesthetic appearance, which is crucial for the child's overall oral health and development. This case highlights the effectiveness of combining SDF treatment with SSC placement in managing ECC, thus providing a durable solution that offers both pain relief and long-term protection against further carious activity. The chosen method underscores the importance of early intervention and the use of child-friendly restorative techniques in pediatric dentistry.

Keywords: dental caries; early childhood caries; enamel remineralization; silver diamine fluoride; stainless steel crown.

Figure 1. Class II caries (indicated by a red arrow) in the lower left first primary molar

Figure 2. Application of silver diamine fluoride with microbrush applicator tip

Figure 3. Stainless steel crown application