53 - Silver Diamine Fluoride and Impact on Comprehensive Dental Treatment

Abstract:

Purpose: The objective of this study is to determine the relationship between silver diamine fluoride (SDF) application and treatment outcomes, including most likely definitive treatment and behavioral guidance.

Methods: Patients at a hospital residency clinic aged 0-11 years who had a primary first molar treated with SDF between January 1, 2016, and December 31, 2022 were included in the study. Outcomes were evaluated and the association of SDF usage with respect to definitive treatment, time from application to definitive treatment and treatment setting.

Results: This retrospective analysis included 202 patients with an average age of 41.4 months (range 12-102) at initial evaluation. 31% of teeth failed due to needing pulpal therapy or extraction as the initial definitive treatment, while 38.5% failed by requiring additional treatment of extraction. There was a significant difference between treatment setting and outcome (p < 0.001) with 58% of patients receiving definitive treatment in the operating room and 61% of the defintiive treatment rendered in the operating room being stainless steel crowns.

Conclusion: In the primary dentition, SDF was used as an interim treatment for young patients most often prior to treatment in the operating room for pre-cooperative patients.

Identify Supporting Agency and Grant Number: Research supported by Indiana University School of Dentistry Graduate Student Research Committee