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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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