Silver diamine fluoride to control severe early childhood caries in a child with epilepsy: a case report

Abstract

Objective: silver diamine fluoride (SDF) is a safe, effective and painless product to control dental caries. As it requests short-time appointments, its use in epileptic patients can reduce the risk of seizures. Case Report: a two-year old female patient with severe early childhood caries involving six primary incisors was referred to the University Clinic. Her medical history revealed the presence of cerebral palsy and epilepsy with daily medicines usage to control the disease. Due to the lower age of the patient, the risk of seizures during an invasive and time-consuming dental treatment, and avoiding general anesthesia, SDF 30% was chosen to arrest the caries lesions. A quality of life questionnaire (B-ECOHIS) was applied before and after treatment. Conclusion: the treatment with SDF was effective in arresting dental caries in a young epileptic child, without change in her quality of life