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UCSF Protocol for Caries Arrest Using Silver Diamine Fluoride: Rationale, Indications and Consent
Journal of the California Dental Association
|February 23, 2016
Summary
Silver diamine fluoride is now FDA-cleared for tooth sensitivity and proven in trials to arrest and prevent cavities. This systematic review guides its appropriate clinical application for caries arrest treatment.
Area of Science:
- Dental Science
- Caries Management
- Fluoride Therapy
Background:
- Silver diamine fluoride (SDF) is a therapeutic agent with demonstrated efficacy in arresting and preventing dental caries.
- Recent FDA clearance and legal permissibility support its use for reducing tooth sensitivity and managing caries.
- A specific CDT code for caries arresting medicaments facilitates clinical documentation and billing.
Purpose of the Study:
- To provide a comprehensive systematic review of silver diamine fluoride for caries arrest.
- To outline clinical indications and establish a standardized protocol for SDF application.
- To detail an informed consent procedure for patients undergoing caries arrest treatment.
Main Methods:
- Systematic literature review on silver diamine fluoride efficacy.
- Analysis of clinical trial data for caries arrest and prevention.
- Development of clinical guidelines and patient consent forms.
Main Results:
- Clinical trials confirm silver diamine fluoride's effectiveness in arresting and preventing dental caries.
- SDF application is now legally permissible and appropriate for off-label use in the U.S.
- A new CDT code enhances billing and documentation for caries arresting medicaments.
Conclusions:
- Silver diamine fluoride is a valuable tool for caries arrest and prevention.
- Standardized protocols and informed consent are crucial for optimal SDF treatment.
- The recent FDA clearance and CDT code support the integration of SDF into routine dental practice.
