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Peds 2 E2 > SDF > Flashcards

SDF Flashcards

1
Q

SDF brand name

A

Advantage Arrest

Riva Star

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2
Q

Advantage Arrest indications

A

Treatment of dentinal hypersensitivity for use in adults over the age of 21

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3
Q

SDF Ingredients

A

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

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4
Q

Silver

A

Antimicrobial: Denatures proteins breaks cell walls and membranes inhibits DNA replication

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5
Q

Fluoride promotes

A

Remineralization

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6
Q

Diamine

A

Stabilizer

Vaporizes at body temperature

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7
Q

Silver per drop

A

9.5 mg

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8
Q

Fluoride per drop

A

2.24

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9
Q

Safety for a 10 kg child

A

Silver: 400 drops

Fluoride w/o 5% varnish : 22 drops

With 5% varnish: 17 drops

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10
Q

Goals of SDF

A

Decrease dentin hypersensitivity

Caries control and arrest

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11
Q

SDF caries control is

A

More effective than F varnish and interim therapeutic restorations
Stops and prevents 80% of lesions
Diet and Hygeine must also improve simultaneously

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12
Q

Goals of SDF until

A

Teeth can be restored

Teeth exfoliate

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13
Q

SDF contraindications

A

Silver allergy
Irreversible pulpitis or pulpal necrosis
Ulcerative gingivitis

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14
Q

SDF risks to taste

A

Transient metallic or bitter taste

-Use fluoride varnish to cover up taste

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15
Q

SDF stain

A

Caries
Clothing
Countertops

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16
Q

SDF indications

A 
Rampant caries/caries control
Difficulty receiving treatment
Difficult teeth
Teeth with limited time left
Savvy parents
17
Q

Difficulty receiving treatment

A

-Uncooperative
-medically compromised pts
-contraindications to sedation general anesthesia
Access to care barriers
-long wait lists

18
Q

Difficult teeth

A 
Wrap around lesions
Large buccal pits on partially erupted teeth
Hypoplastic molars
Recurrrent decay crown margins
Root caries
19
Q

Teeth indications

A

Dentinal hypersensitivity
Active lesions
Posterior and anterior
Primary and permanent

20
Q

Steps SDF

A

Isolate and dry
60 seconds ideal
Fluoride varnish
Throw away gloves

21
Q

Curing light with SDF

A

DO NOT USE

Increases precipitation of silver out of solution and inhibits deep penetration into SDF

22
Q

Clinical success

A

Matte black

Lesion hard to dycal instruments or perio probe

23
Q

Radiographic success

A

No progression of lesion

May have secondary dentin formation

24
Q

Patient success

A

Absence of symptoms

Decreased sensitivity

25
Q

Gingiva side effects short term

A

Transient inflammation

26
Q

Gingiva side effects long term

A

Reduces plaque and gingival inflammation where it is applied

27
Q

Teeth SDF side effects

A

Functional indicator of effectiveness

Siting or radiolucency udner Restoration does not indicate active decay

28
Q

GI after SDF

A

Use polyacrylic acid and not etch

Peds 2 E2 (5 decks)

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