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Preventive

264 - Comparing Silver Diamine Fluoride Effectiveness on Primary and Permanent Dentition

Friday, May 24, 2024
2:00 PM – 2:10 PM EST
Location: Exhibit Hall (back left corner of the hall, space 137)

    Presenting Author(s)

  • SP

    So Hyeon Park, DDS

    Resident
    NYU Langone - San Diego
    NYU Langone-San Diego
    San Diego, California, United States

    • Research Mentor(s)

  • WC

    Wai-Yin Chan, MS, DMD, MPH

    pediatric dental attending
    NYU-Langone
    San Diego, California, United States

    • Program Director(s)

  • DK

    Daniel J. Kane, DMD

    Program Director
    NYU Langone Dental Medicine, Brooklyn, NY
    Brooklyn, New York, United States

Abstract:

Purpose: The objective of this retrospective chart review study is to evaluate differences in outcomes on primary compared to permanent dentition following Silver Diamine Fluoride (SDF) treatment. 

Methods: A retrospective chart review at a San Diego County community health center was conducted for patients aged 3 to 14 years who received SDF treatment on posterior dentition between January 1, 2016 and December 31, 2019. Variables recorded included: primary/permanent dentition status, tooth surface (interproximal or non-interproximal) and outcome (no treatment or intervention required).

Subject demographics recorded include: gender, age, insurance type, Race/ethnicity, American Society of Anesthesiologists (ASA) classification and patient behavior. 

Results: One hundred and thirty one subjects and 481 teeth qualified for the study. 68 (52%) were girls and 63 (48%) were boys. The mean age was 7.77 years old. 98% of the children had Medi-Cal, and 37% were Hispanic (62% of subjects had no data on ethnicity). 

Intervention was needed for 75% of primary dentition compared to  21% of permanent dentition (p < 0.001; OR= 11.45; IQR=Upper Confidence level (UCL)=19.047, Lower Confidence Level (LCL)= 6.88) and for 74% of non-interproximal surface lesions compared to 38% of interproximal surface lesions (p < 0.001; OR= 4.7; IQR=UCL=7.566, LCL= 2.967).
Conclusion: There is a statistically significant difference  in outcomes following SDF treatment based on dentition and tooth surface type. The need for additional treatment should be discussed with SDF candidates.

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