Restorative
Britta Salinas, DDS
Pediatric Dental Resident
University of Texas Health Science Center-San Antonio
UT Health San Antonio Dental School
Laredo, Texas, United States
Maria M. Garcia, DDS
Laredo Program Director
University of Texas Health Science Center San Antonio
Laredo, Texas, United States
Maria-Jose Cervantes Mendez, DDS MS FAAPD
Program Director
UTHSCSA
San Antonio, Texas, United States
Purpose: To analyze clinical performance between anterior resin restorations and silver diamine fluoride application of maxillary anterior primary teeth for children ages 0-6 years old.
Methods: A retrospective chart review was conducted from Axium Dental Software from UT Health Laredo Dental Clinic from 2018 to 2021 for children ages 0-6 years old. An audit was completed for resin restorations codes D2330, D2331, D2332, D2335 and silver diamine fluoride application code D1354 for teeth #D, E, F, G. Time for follow up post treatment ranged from 6 months to 3 years. Teeth were excluded if no 6 month follow up and/or dental anomaly.
Results: Information from 342 primary teeth was recorded. 34% of teeth that received resins and 48% of teeth that received SDF were excluded due to no follow up at 6 months. Success of resin restorations/SDF respectively was 52/42% for children < 3yo and 60/27% for children 3-6 yo. 19% of teeth that received restorative treatment needed re-treatment. 8% of teeth that received resins and 11% of teeth that received SDF needed extractions. 27% of teeth treated with resin in the OR needed retreatment.
Conclusions: The use of resin restorations and SDF on young children shows promising results. The challenges of dental treatment on young children can interfere with the success of the treatment due to lack of isolation and cooperation. It is crucial to educate parents of the importance of follow-ups and recalls to closely monitor restorative treatment and teeth that have been treated with SDF.
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