Paediatrics Flashcards
1
Q
What are the two modes of action of SDF?
A
- Promotes arrest and remineralisation of active carious lesions, dentinal caries and teeth with exposed root surfaces causing hypersensitivity.
- Promotes reduced sensitivity in permanent molar teeth with MIH via occlusion of dentinal tubules.
2
Q
What is the patient selection criteria for SDF?
A
- Pericooperative children whose behaviour/medical conditions limit invasive treatment.
- Need to delay treatment with sedation/GA
- High caries risk with compromised MH
- Part of biological caries management plan where carious lesions are also brushed twice daily and diet modifications have been made.
3
Q
What are the contraindications for SDF?
A
- Signs/symptoms of pulpal involvement.
- Radiographic peri-radicular radiolucency
- Infection/pain from pulpal origin
- Active ulceration
- Pregnant/breastfeeding
- Undergoing thyroid treatment.
- Non compliance with TB/diet
4
Q
What is SDF?
A
Silver diamine fluoride.
A colourless, odourless solution of silver, fluoride and ammonium ions.
5
Q
What is the concentration of SDF?
A
38%, 44,800 ppm fluoride ions
