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09 silver diamine fluoride - the new-old black magic

Terms in this set (10)

westernU TDC SDF application protocol as of april 2018.

1. take pre-op intraoral photo of the lesion. sign consent form

2. use proper PPE and patient glasses and plastic-lined bib

3. working quadrant by quadrant, isolate tooth/teeth and assure proper moisture control of area with [ ] and saliva ejector

4. if needed, remove any debris from the lesion (toothbrush and prophy) as well as [ ] without entering the pulp (if indicated and approved by faculty). rinse and maintain good moisture control .

5. apply [ ] with microbrush around surrounding tissue/material, being sure to not contact carious lesions

6. place [ ] drop of SDF into a plastic dappen dish on a plastic lined tray. SDF will erode [ ]

7. dip microbrush into SDF and remove excess on side of dappen dish

8. apply SDF with a microbrush to affected area for [ ]

9. allow to air-dray and wait [ ], if possible, and remove excess with cotton roll/cotton pellets/gauze/microbrush. DO NOT [ ]

10. isolate for up to [ ] if possible

11. apply fluoride varnish directly on top

12. post op instructions. eating and drinking immediately following is acceptable.

13. optional: restorations/continue treatment plan per patient's cooperativity. if restoration is placed the same day as SDF application, light cure [ ], rinse with water and dry but do not desiccate the tooth and restore according to manufacturer instructions. if plan is to place a restoration [ ] on the same day as SDF application, rinse with water and dry, but do not [ ] the tooth before following manufacture instructions

14. repeat SDF based on recall visits: [ ] after per faculty decision at no charge and as needed after 6 months (new payment needed)

15. take post-op photos at each recare visit prior to any re-application of SDF

16. repeat until hardened/black in color. reapplication is often indicated every [ ]
westernU TDC SDF application protocol as of april 2018.

1. take pre-op intraoral photo of the lesion. sign consent form

2. use proper PPE and patient glasses and plastic-lined bib

3. working quadrant by quadrant, isolate tooth/teeth and assure proper moisture control of area with cotton rolls/dry angle and saliva ejector

4. if needed, remove any debris from the lesion (toothbrush and prophy) as well as gross decay without entering the pulp (if indicated and approved by faculty). rinse and maintain good moisture control .

5. apply vaseline with microbrush around surrounding tissue/material, being sure to not contact carious lesions

6. place 1 drop of SDF into a plastic dappen dish on a plastic lined tray. SDF will erode glass and metal

7. dip microbrush into SDF and remove excess on side of dappen dish

8. apply SDF with a microbrush to affected area for 30-60 seconds

9. allow to air-dray and wait 1 minute, if possible, and remove excess with cotton roll/cotton pellets/gauze/microbrush. DO NOT RINSE.

10. isolate for up to 3 minutes if possible

11. apply fluoride varnish directly on top

12. post op instructions. eating and drinking immediately following is acceptable.

13. optional: restorations/continue treatment plan per patient's cooperativity. if restoration is placed the same day as SDF application, light cure 5 seconds, rinse with water and dry but do not desiccate the tooth and restore according to manufacturer instructions. if plan is to place a restoration NOT on the same day as SDF application, rinse with water and dry, but do not dessicate the tooth before following manufacture instructions

14. repeat SDF based on recall visits: 1 month/3 months after per faculty decision at no charge and as needed after 6 months (new payment needed)

15. take post-op photos at each recare visit prior to any re-application of SDF

16. repeat until hardened/black in color. reapplication is often indicated every 6-12 months