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UCSF Protocol for Caries Arrest Using Silver Diamine Fluoride: Rationale, Indications and Consent.
Pennsylvania Dental Journal
|January 16, 2019
Summary
Silver diamine fluoride is now FDA-cleared for tooth sensitivity and proven in trials to prevent and arrest dental caries. This systematic review guides its application for caries arrest treatment.
Area of Science:
- Dentistry
- Cariology
- Dental Materials
Background:
- The U.S. Food and Drug Administration (FDA) has cleared silver diamine fluoride (SDF) for treating tooth sensitivity.
- Clinical evidence supports the use of SDF for arresting and preventing dental caries.
- The off-label application of SDF for caries arrest is now legally permissible and appropriate.
Purpose of the Study:
- To present a systematic review on the efficacy of silver diamine fluoride for caries arrest.
- To outline clinical indications for SDF application in caries management.
- To provide a clinical protocol and consent procedure for SDF caries arrest treatment.
Main Methods:
- Systematic literature review of clinical trials on silver diamine fluoride for caries arrest.
- Analysis of clinical indications and evidence for SDF efficacy.
- Development of a standardized clinical protocol and patient consent process.
Main Results:
- Silver diamine fluoride is effective in arresting and preventing the progression of dental caries.
- Clinical trials demonstrate significant success rates for SDF in caries arrest.
- A new CDT code facilitates documentation and billing for caries arresting medicaments.
Conclusions:
- Silver diamine fluoride is a viable and effective treatment option for dental caries arrest.
- The systematic review provides evidence-based guidance for the clinical application of SDF.
- Standardized protocols and consent procedures ensure safe and appropriate use of SDF for caries arrest.
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