SDF (3) Flashcards

1
Q

T/F: Drilling and filling cures tooth decay.

A

False

Repairs damage

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2
Q

What is the label indication of Advantage Arrest (SDF)?

A

Treatment of dentinal hypersensitivity in adults over 21 y.o.

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3
Q

Silver makes up what percentage of SDF?

A

Silver 25%
Fluoride 5%
Diamine 8%
Deionized water 62%

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4
Q

What is the lethal dose of silver?

A

LD 380mg/kg (SDF = 9.5mg/drop)

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5
Q

How many drops of SDF would it take for lethal dose of silver or toxic dose of fluoride?

A

Silver - 400 drops

Fluoride - about 20

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6
Q

T/F: Caries control and arrest is the label use for SDF.

A

False

Off-label use

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7
Q

What are the contraindications of using SDF?

A
  1. Silver allergy
  2. Irreversible pulpitis/necrotic pulp
  3. Ulcerative gingivitis
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8
Q

How much does SDF cost?

A

$0.60/drop

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9
Q

What patients are good candidates for SDF?

A
  1. Rampant caries
  2. Patients with difficulty receiving treatment
  3. Difficult teeth
  4. Teeth with limited time left
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10
Q

What are the basic steps for applying SDF?

A
  1. Isolate and DRY
  2. Apply for 60 seconds
  3. Apply fluoride varnish (for taste)
  4. Throw away gloves (will stain)
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11
Q

T/F: SDF can be applied interproximally with floss.

A

True

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12
Q

T/F: Two applications of SDF is better than 1.

A

True

Apply every 6 months`

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13
Q

T/F: Curing light should be used after SDF application.

A

False

Do SDF at the end of appointment

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14
Q

T/F: You should poke with an explorer to be sure lesion is hard after application of SDF.

A

False

Use perio probe or dycal instrument

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15
Q

T/F: Bond strength is affected by SDF.

A

False

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16
Q

What is the SMART technique?

A

Silver modified atraumatic restorative technique

SDF to arrests and remineralize
GI to restore

  • Can do with or without excavation
  • Best to do restoration at later date