SDF

Question 1

SDF brand name

Answer 1

Advantage Arrest

Riva Star

Question 2

Advantage Arrest indications

Answer 2

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

Question 3

SDF Ingredients

Answer 3

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

Question 4

Silver

Answer 4

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

Question 5

Fluoride promotes

Answer 5

Remineralization

Question 6

Diamine

Answer 6

Stabilizer

Vaporizes at body temperature

Question 7

Silver per drop

Answer 7

9.5 mg

Question 8

Fluoride per drop

Answer 8

2.24

Question 9

Safety for a 10 kg child

Answer 9

Silver: 400 drops

Fluoride w/o 5% varnish : 22 drops

With 5% varnish: 17 drops

Question 10

Goals of SDF

Answer 10

Decrease dentin hypersensitivity

Caries control and arrest

Question 11

SDF caries control is

Answer 11

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

Question 12

Goals of SDF until

Answer 12

Teeth can be restored

Teeth exfoliate

Question 13

SDF contraindications

Answer 13

Silver allergy
Irreversible pulpitis or pulpal necrosis
Ulcerative gingivitis

Question 14

SDF risks to taste

Answer 14

Transient metallic or bitter taste

-Use fluoride varnish to cover up taste

Question 15

SDF stain

Answer 15

Caries
Clothing
Countertops

Question 16

SDF indications

Answer 16

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

Question 17

Difficulty receiving treatment

Answer 17

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

Question 18

Difficult teeth

Answer 18

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

Question 19

Teeth indications

Answer 19

Dentinal hypersensitivity
Active lesions
Posterior and anterior
Primary and permanent

Question 20

Steps SDF

Answer 20

Isolate and dry
60 seconds ideal
Fluoride varnish
Throw away gloves

Question 21

Curing light with SDF

Answer 21

DO NOT USE

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

Question 22

Clinical success

Answer 22

Matte black

Lesion hard to dycal instruments or perio probe

Question 23

Radiographic success

Answer 23

No progression of lesion

May have secondary dentin formation

Question 24

Patient success

Answer 24

Absence of symptoms

Decreased sensitivity

Question 25

Gingiva side effects short term

Answer 25

Transient inflammation

Question 26

Gingiva side effects long term

Answer 26

Reduces plaque and gingival inflammation where it is applied

Question 27

Teeth SDF side effects

Answer 27

Functional indicator of effectiveness | Siting or radiolucency udner Restoration does not indicate active decay

Question 28

GI after SDF

Answer 28

Use polyacrylic acid and not etch