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International Journal of Environmental... Jan 2018Silver nitrate has been adopted for medical use as a disinfectant for eye disease and burned wounds. In dentistry, it is an active ingredient of Howe's solution used to... (Review)
Review
Silver nitrate has been adopted for medical use as a disinfectant for eye disease and burned wounds. In dentistry, it is an active ingredient of Howe's solution used to prevent and arrest dental caries. While medical use of silver nitrate as a disinfectant became subsidiary with the discovery of antibiotics, its use in caries treatment also diminished with the use of fluoride in caries prevention. Since then, fluoride agents, particularly sodium fluoride, have gained popularity in caries prevention. However, caries is an infection caused by cariogenic bacteria, which demineralise enamel and dentine. Caries can progress and cause pulpal infection, but its progression can be halted through remineralisation. Sodium fluoride promotes remineralisation and silver nitrate has a profound antimicrobial effect. Hence, silver nitrate solution has been reintroduced for use with sodium fluoride varnish to arrest caries as a medical model strategy of caries management. Although the treatment permanently stains caries lesions black, this treatment protocol is simple, painless, non-invasive, and low-cost. It is well accepted by many clinicians and patients and therefore appears to be a promising strategy for caries control, particularly for young children, the elderly, and patients with severe caries risk or special needs.
Topics: Anti-Infective Agents, Local; Cariostatic Agents; Child; Clinical Protocols; Dental Caries; Dental Enamel; Humans; Silver Nitrate; Sodium Fluoride
PubMed: 29316616
DOI: 10.3390/ijerph15010080 -
Hand Surgery : An International Journal... 2012This case report demonstrates and emphasises the unusual radiographic appearance of silver nitrate treatment in a 30-year-old patient, who subsequently underwent...
This case report demonstrates and emphasises the unusual radiographic appearance of silver nitrate treatment in a 30-year-old patient, who subsequently underwent excision biopsy of a presumed potentially malignant lesion.
Topics: Adult; Female; Fingers; Foreign Bodies; Granuloma, Pyogenic; Humans; Medical History Taking; Ossification, Heterotopic; Radiography; Silver Nitrate; Skin Ulcer
PubMed: 22351550
DOI: 10.1142/S0218810412720136 -
Revue Des Maladies Respiratoires Dec 2021Silver nitrate pencil is often used to treat local granuloma caused by tracheotomy and tracheostomy cannula orifice.
INTRODUCTION
Silver nitrate pencil is often used to treat local granuloma caused by tracheotomy and tracheostomy cannula orifice.
CASE REPORT
We report the case of a 69-year-old patient who accidentally inhaled silver nitrate lead from the tip of a pencil during treatment of local granuloma. Inhalation of this product, which is known to cause burns and a risk of perforation of the mucous membranes, could suggest locoregional complications. Clinical monitoring and radiological and endoscopic examinations were carried out. Antibiotics and corticosteroids were administered because of inflammatory lesions. After 6 months, the patient had recovered with restitutio ad integrum of anatomical structures.
CONCLUSION
Silver nitrate pencil should be used with caution. Given the high risk of perforation, painstaking and repeated monitoring are necessary in case of accidental inhalation. Bronchial endoscopy is of central importance as a means of localizing the foreign substance, following which bronchial cleaning is performed, using physiological serum. Corticosteroid appears to be effective to limit the risk of inflammatory bronchial stenosis.
Topics: Aged; Bronchi; Bronchoscopy; Humans; Silver Nitrate; Tracheostomy; Tracheotomy
PubMed: 34782177
DOI: 10.1016/j.rmr.2021.10.004 -
Adverse Drug Reactions and... 1998
Review
Topics: Administration, Topical; Animals; Argyria; Caustics; Humans; Methemoglobinemia; Occupational Exposure; Poisoning; Silver Nitrate
PubMed: 9838969
DOI: No ID Found -
Pediatrics and Neonatology Jan 2024
Topics: Humans; Silver Nitrate; Granuloma; Burns
PubMed: 37648605
DOI: 10.1016/j.pedneo.2023.06.004 -
American Journal of Rhinology & Allergy Mar 2022To compare the clinical outcomes of patients undergoing additional procedures in endoscopic endonasal dacryocystorhinostomy (End-DCR) surgery and discuss the factors... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVES
To compare the clinical outcomes of patients undergoing additional procedures in endoscopic endonasal dacryocystorhinostomy (End-DCR) surgery and discuss the factors affecting the success of End-DCR surgery in light of relevant literature.
METHODS
The study included 155 patients who underwent End-DCR surgery in our clinic due to epiphora. This was a prospective randomized, single-blind, controlled trial. Group I (control) included 54 patients who did not undergo silicone stent insertion or silver nitrate application, group II included 51 patients who underwent silicone stent insertion only, and group III included 50 patients who underwent silver nitrate application only. Statistical analysis was performed on follow-up data regarding anatomic and functional success rates.
RESULTS
Revision surgery was performed in 16 patients who developed persistent epiphora in the postoperative period, including 6 in group I, 7 in group II, and 3 in group III ( = .4). The most common reason for revision surgery was stenosis of the neo-ostium ( = 8), followed by granulation tissue formation ( = 5) and synechia formation ( = 3). Granuloma formation was the most common postoperative complication, and a significant difference was found among the groups with regard to granuloma formation ( = .04). At postoperative month 12, the functional success rate was estimated to be 88%, 86%, and 94%, and the anatomic success rate was estimated to be 94%, 92%, and 96% in groups I, II, and III, respectively, with no significant difference, found among the 3 groups with regard to both rates ( = .79 and = .76, respectively).
CONCLUSION
The results indicated that stenting and silver nitrate application did not affect surgical success. Our preliminary results on silver nitrate cauterization showed that it is an effective, inexpensive, and practical method to reduce granulation formation in the postoperative period.
Topics: Dacryocystorhinostomy; Endoscopy; Humans; Nasolacrimal Duct; Prospective Studies; Silver Nitrate; Single-Blind Method; Treatment Outcome
PubMed: 34499002
DOI: 10.1177/19458924211042786 -
Archives of Disease in Childhood Nov 2001
Review
Topics: Cautery; Granuloma; Humans; Infant, Newborn; Silver Nitrate; Umbilicus
PubMed: 12035816
DOI: 10.1136/adc.85.5.431 -
Chirurgia (Bucharest, Romania : 1990) 2020To investigate the cure rate and adverse effects of silver nitrate application for treatment of pilonidal sinus disease (PSD). Number of sinus pit orifices, and...
OBJECTIVES
To investigate the cure rate and adverse effects of silver nitrate application for treatment of pilonidal sinus disease (PSD). Number of sinus pit orifices, and complications with silver nitrate application and debridement for sacrococcygeal PSD between January 2015 and July 2018 were analyzed in this retrospective study. Data were obtained from surgical, discharge, and outpatient follow-up records. Among 56 patients who were treated with silver nitrate stick, 11 patients with incomplete hospital records were excluded from the study. Demographic data including age, gender, length of follow-up, number of silver nitrate applications, number of involved sinuses and recurrence and complication rates were recorded. Results were expressed as frequencies, means, and range of values. The Mann Whitney U and chi square tests were used to evaluate significance. Mean age was 24.3 +- 5.18 (range, 14 - 36) years, and recurrence occurred in 4 (8.9%) patients. Complications developed in 10 (22.2%) patients and included abscess, erythema, and necrosis in 5 (11.1%), 2 (4.4%), and 3 (6.6%) patients, respectively. The recurrence rate was significantly higher in patients who developed abscesses during the follow-up period (p = 0.001) than those who did not. There was no statistically significant correlation between the recurrence rate and number of sinuses or the number of silver nitrate applications.
CONCLUSION
Low morbidity and high healing rates achieved with silver nitrate provide support for this application as a feasible and effective conservative outpatient treatment for PSD in certain patients.
Topics: Adolescent; Adult; Caustics; Debridement; Humans; Pilonidal Sinus; Recurrence; Retrospective Studies; Silver Nitrate; Treatment Outcome; Wound Healing; Young Adult
PubMed: 33378636
DOI: 10.21614/chirurgia.115.6.775 -
The Journal of Thoracic and... Mar 2010
Topics: Bronchial Fistula; Bronchoscopy; Humans; Silver Nitrate
PubMed: 20176238
DOI: 10.1016/j.jtcvs.2009.11.049 -
Actas Dermo-sifiliograficas Jan 2023Although partial onychectomy with chemical matricectomy has been described as the treatment of choice, there is sparse evidence in the literature regarding the use of... (Observational Study)
Observational Study
BACKGROUND
Although partial onychectomy with chemical matricectomy has been described as the treatment of choice, there is sparse evidence in the literature regarding the use of silver nitrate for matricectomy. Our aim is to describe the effectiveness of silver nitrate for matrix cauterization after partial onychectomy.
METHODS
A prospective observational study was performed on patients with ingrown toenails stage 2-3 who underwent partial onychectomy with silver nitrate chemical matricectomy during 2018-2019 in our institution. All patients were evaluated in the outpatient clinic on the 7th and 30th post-operative day and a telephone evaluation was performed every 6 months after the surgical procedure to date.
RESULTS
One hundred and twenty-three patients, who underwent 231 partial onychectomies with silver nitrate chemical matricectomy were included, with a median follow-up of 21 months (interquartile range, 12-29). The procedure had an effectiveness of 95.3%, with only 11 recurrences (4.7%) reported so far on follow-up. Postoperative infections were observed in 4 patients (1.7%). Adverse effects, such as pain and postoperative drainage, were irrelevant in most patients.
CONCLUSIONS
Silver nitrate matricectomy after partial onychectomy is an effective and safe alternative for the treatment of ingrown toenail in children, with scarce postoperative morbidity and low recurrence rate.
Topics: Humans; Child; Nails; Pilot Projects; Silver Nitrate; Nails, Ingrown; Cautery; Recurrence
PubMed: 35905818
DOI: 10.1016/j.ad.2022.07.015