Evaluation of Patient Satisfaction Level and Streptococcus Mutans Colony Count following a Single Application of Silver Diamine Fluoride With and Without Potassium Iodide among Community Dwelling Geriatric Population in Chennai City: An Interventional study

Rajkumar, C (2022) Evaluation of Patient Satisfaction Level and Streptococcus Mutans Colony Count following a Single Application of Silver Diamine Fluoride With and Without Potassium Iodide among Community Dwelling Geriatric Population in Chennai City: An Interventional study. Masters thesis, Ragas Dental College and Hospital, Chennai.

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Abstract

AIM OF THE STUDY: To assess the patient satisfaction level, and Streptococcus mutans colony count following a single application of Silver Diamine Fluoride (SDF) with and without Potassium Iodide (KI) among community dwelling geriatric population in Chennai. OBJECTIVES: 1. To assess subjectively the colour changes of root caries lesions on a single application of SDF with and without KI using standard digital photograph taken by digital single lens reflex camera-canon EOS 70D. 2. After 7 days, to evaluate the patient’s satisfaction level with the appearance of their carious teeth following a single application of SDF with and without KI application (Visual Analogue Scale-VAS), 3. To evaluate the colony count of Streptococcus mutans following a single application of SDF with and without KI solution (digital colony counter). METHODOLOGY: An interventional study consisting of 40 geriatric participants with age group of 65 or over the 65 years or more and those who met the eligibility criteria were included. The participants were divided into two groups of 20 participants each (group-1) 38% of Silver Diamine Fluoride varnish (FAgamin) was applied onto the dental caries lesions, (group-2) 38% of SDF followed by Potassium iodide solution (Riva Star) was applied onto the dental caries lesion. The patient’s satisfaction level was measured by using Visual Analog Scale (1921) and Streptococcus mutans were cultured using Potassium Tellurite Hydrate 90% & Mitis Salivarius Agar Base and Streptococcus mutans colony counts of two different groups were measured using digital colony counter. RESULTS: The results of this study revealed that, the mean colony count of Streptococcus mutans in SDF group at baseline and after 7 days was 1040.50 CFU/ml and 700.90 CFU/ml respectively with a statistical significant difference in their mean CFU/ml values. The mean CFU/ml count of Streptococcus mutans in SDF with KI group at baseline and 7 days after intervention was 1202.20 CFU/ml and 857.30 CFU/ml respectively with a statistical significant difference in their mean CFU/ml values. The tooth colour satisfaction level of subjects between both groups showed that most of the participants in the SDF with KI group expressed better satisfaction compared to those in the SDF group. CONCLUSION: This study concluded that the applications of 38% SDF solution and SDF/KI solution effectively reduced the Streptococcus mutans colony count at 7 days follow-up, and the application of KI did not affect the antimicrobial effect of SDF on Streptococcus mutans. Further SDF with KI group participants had higher satisfaction level compared to SDF group participants.

Item Type: Thesis (Masters)
Additional Information: Reg.No.241923101
Uncontrolled Keywords: Geriatric population, Potassium Iodide, Silver Diamine Fluoride, Streptococcus mutans, Satisfaction level.
Subjects: DENTAL > Public Health Dentistry
Depositing User: Subramani R
Date Deposited: 08 May 2022 05:50
Last Modified: 23 Mar 2024 06:47
URI: http://repository-tnmgrmu.ac.in/id/eprint/19764

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