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Questions and Answers
What is one of the primary mechanisms of action (MoA) of silver diamine fluoride (SDF)?
What is one of the primary mechanisms of action (MoA) of silver diamine fluoride (SDF)?
What is the expected concentration of silver ions in a 38% SDF solution?
What is the expected concentration of silver ions in a 38% SDF solution?
What is the recommended frequency for the reapplication of SDF?
What is the recommended frequency for the reapplication of SDF?
What is essential before using silver diamine fluoride (SDF) on a patient?
What is essential before using silver diamine fluoride (SDF) on a patient?
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What should be done immediately after SDF application to maximize its effectiveness?
What should be done immediately after SDF application to maximize its effectiveness?
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What is the primary function of silver diamine fluoride (SDF) in dental treatment?
What is the primary function of silver diamine fluoride (SDF) in dental treatment?
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Which component of SDF is responsible for its antimicrobial properties?
Which component of SDF is responsible for its antimicrobial properties?
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In which situation is SDF especially beneficial?
In which situation is SDF especially beneficial?
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What happens to the carious tissue after being treated with SDF?
What happens to the carious tissue after being treated with SDF?
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What type of lesions is SDF indicated for?
What type of lesions is SDF indicated for?
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Which characteristic of SDF contributes to its effectiveness in managing carious lesions?
Which characteristic of SDF contributes to its effectiveness in managing carious lesions?
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What kind of preparation is generally avoided when using SDF?
What kind of preparation is generally avoided when using SDF?
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Why might SDF be the preferred choice in children with limited access to dental care?
Why might SDF be the preferred choice in children with limited access to dental care?
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Flashcards
SDF Indications
SDF Indications
SDF is used for active, cavitated dentinal lesions in primary teeth, with no pulp involvement. It's also helpful for children with limited cooperation or access to care, and for difficult-to-treat cavities, especially proximal or multi-surface lesions.
SDF Mechanism
SDF Mechanism
SDF's silver inhibits bacteria, arresting further decay. Fluoride stimulates remineralization to strengthen the tooth.
SDF Solution
SDF Solution
A colorless, fluoride-based solution with silver ions (approximately 44,800 ppm). It is stabilized by ammonia.
SDF Procedure
SDF Procedure
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Cavitated Lesion
Cavitated Lesion
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Primary Teeth
Primary Teeth
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Non-Restorative Treatment
Non-Restorative Treatment
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Silver Diamine Fluoride
Silver Diamine Fluoride
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SDF Application Procedure
SDF Application Procedure
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SDF Treatment Frequency
SDF Treatment Frequency
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SDF Concentration
SDF Concentration
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SDF Mechanism of Action
SDF Mechanism of Action
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Informed Consent for SDF
Informed Consent for SDF
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Study Notes
Non-restorative Cavity Control Using Silver Diamine Fluoride (SDF)
- Silver diamine fluoride (SDF) is a colorless fluoride delivery solution used to arrest tooth decay.
- SDF contains approximately 44,800 ppm of fluoride and 255,000 ppm of silver.
- SDF arrests active carious lesions in dentin.
- The silver in SDF has antimicrobial properties, inhibiting further biofilm formation.
- Fluoride in SDF stimulates remineralization of the affected tooth.
- SDF is an economical and non-invasive way to manage tooth decay.
- SDF is an invaluable tool for treating children who lack cooperation or have disabilities, limiting the options for managing their caries.
- SDF is also a beneficial alternative when restorative options are not affordable or accessible.
- SDF discolors the affected areas of the tooth dark.
- Informed consent from the patient or guardian is crucial.
Indications for SDF Use
- Active carious lesions (frank soft carious lesions in dentin) in primary teeth without pulp involvement.
- Children with limited cooperation or disabilities.
- Deep active carious lesions that need predictable arrest before restorative procedures.
- Difficult to treat cavitated carious lesions where extensive tooth preparation is required.
- Proximal lesions which are inaccessible for restorations.
- Lower anterior primary teeth where restoration longevity is questionable.
- Children with limited access to dental care.
Mechanism of Action (MoA)
- SDF increases resistance to acid dissolution and enzymatic digestion through the formation of silver protein conjugates.
- SDF increases the mineral density and hardness of the affected dentin by increasing hydroxyapatite and fluorapatite formation.
- SDF has anti-protease activity, halting the breakdown of the dentinal organic matrix.
- SDF directly kills cariogenic bacteria.
- SDF-treated lesions are resistant to biofilm formation.
Application of SDF
- One drop of SDF is sufficient for roughly 6 teeth.
- Isolation with cotton rolls is adequate.
- Superficial loose debris should be removed.
- The lesion should be air-dried.
- SDF is scrubbed onto the lesion for one minute.
- The lesion should be gently dried.
- The site should be isolated for up to 3 minutes post-application.
- Post application of SDF, a fluoride varnish may be applied to keep the SDF in contact with the lesion and mask the taste.
- Patients should avoid eating or drinking for 30 minutes after SDF application.
Protocols for SDF Application
- Reapplication every 12 months (annual application).
- Reapplication every 6 months (semi-annual application).
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Description
Test your knowledge on the non-restorative cavity control using Silver Diamine Fluoride (SDF). This quiz covers the properties, indications, and benefits of SDF in managing tooth decay, especially in children. Assess your understanding of how SDF works and its implications in dental care.