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SILVER MODIFIED ATRAUMATIC RESTORATIVE TECHNIQUE( SMART): AN ALTERNATIVE CARIES PREVENTION TOOL
tool and techniques. Although this case study is indicative for this specific patient, the preliminary diagnostic information is essential to collect from all patients prior to the start of treatment. Furthermore, as SDF and GIC restorations are furthered studied, it is essential for practitioners to present appropriate informed consents and alternatives to treatment to ensure understanding for their patients.
Acknowledgements The authors would like to acknowledge Drs. Steven Duffin, John Frachella, Jason Hirsch, Jeremy Horst, Martin Macintyre, Cate Quas, and Douglas Young for the term“ Silver Modified Atraumatic Restorative Treatment( SMART)” as pioneers for this technique. SMART has several possible variations one of which is presented here. The authors would also like to thank Drs. Vu Le and Allen Wong for contribution of the figures provided in this case study.
REFERENCES
1. Hurlbutt M, Young DA. A best practices approach to caries management. J Evid Based Dent Pract 2014; 14 Suppl: 77-86. 2. Young DA, Novy BB, Zeller GG, et al. The American Dental Association Caries Classification System for Clinical Practice: A report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2015; 146( 2): 79-86. 3. Horst JA, Ellenikiotis H, Milgrom PL. UCSF Protocol for Caries Arrest Using Silver Diamine Fluoride: Rationale, Indications and Consent. J Calif Dent Assoc 2016; 44( 1): 16-28. 4. Yee R, Holmgren C, Mulder J, et al. Efficacy of silver diamine fluoride for Arresting Caries Treatment. J Dent Res 2009; 88( 7): 644-647. 5. Zhi QH, Lo EC, Lin HC. Randomized clinical trial on effectiveness of silver diamine fluoride and glass ionomer in arresting dentine caries in preschool children. J Dent 2012; 40( 11): 962-7.
6. Featherstone JD. The science and practice of caries prevention. J Am Dent Assoc 2000; 131( 7): 887-899. 7. Ngo H, Ruben J, Arends J, et al. Electron probe microanalysis and transverse microradiography studies of artificial lesions in enamel and dentin: a comparative study. Adv Dent Res 1997; 11( 4): 426-432. 8. Thompson V, Craig RG, Curro FA, Green WS, Ship JA. Treatment of deep carious lesions by complete excavation or partial removal: a critical review. J Am Dent Assoc 2008; 139( 6): 705- 712. 9. Ricketts DN, Kidd EA, Innes N, Clarkson J. Complete or ultraconservative removal of decayed tissue in unfilled teeth. Cochrane Database Syst Rev 2006; 3: CD003808. 10. Young DA. The use of glass ionomers as a chemical treatment for caries. Pract Proced Aesthet Dent 2006; 18( 4): 248-250.
Bernadette ALVEAR FA
DDS, Assistant Professor, Director of Local Anesthesia Department of Integrated Reconstructive Dental Sciences
School of Dentistry University of the Pacific Arthur A. Dugoni
San Francisco CA 94103, USA

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Dr. Bernadette Alvear Fa, DDS is an assistant professor in the Department of Integrated Reconstructive Dental Sciences. She is the current Director for the Local Anesthesia Curriculum. She began as an instructor in 2006, then became a clinical instructor at the University of Illinois, Chicago in 2008. She returned to the Pacific as an assistant professor in 2010 and actively practices in the Faculty Dental Service Group

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