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Integrating silver diamine fluoride into school-based oral health programs: A pilot study
Carrie Godes1, Lisa Westhoff2, Tamarinda Barry Godín3
1Garfield County Public Health Department, Garfield County, CO, USA.
Public Health in Practice (Oxford, England)
|April 16, 2025
Summary
Integrating silver diamine fluoride (SDF) into school dental programs significantly improved efficiency. This pilot study demonstrated reduced costs and treatment times, increasing patient access to essential oral healthcare.
Area of Science:
- Public Health
- Pediatric Dentistry
- Implementation Science
Background:
- School-based dental programs face challenges with cost and logistics for caries prevention.
- Silver diamine fluoride (SDF) shows promise in large trials for caries management in school settings.
Purpose of the Study:
- To develop and pilot implementation strategies for integrating SDF into an existing school-based dental program.
- To assess the impact of SDF integration on program efficiency and cost-effectiveness.
Main Methods:
- A single-group observational pilot study was conducted.
- Clinicians received training and technical assistance for SDF integration using a provided toolkit.
- SDF was incorporated into established clinical workflows within the Smiles For Students (SFS) program.
Main Results:
- A 23% increase in patients served was observed.
- Per-child treatment time decreased by 53%, and labor costs dropped by 45%.
- Supply costs decreased by 24%, with positive clinician feedback on simplified protocols and resource flexibility.
Conclusions:
- Integrating SDF into a school-based dental program successfully mitigated logistical and economic challenges.
- The program effectively utilized both sealants and SDF to address children's oral health needs.
- This pilot demonstrates a viable model for enhancing school-based caries prevention.
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