Silver Fluoride Ions as Medicine

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John Frachella, DMD

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Part 1 of Dr. John Frachella’s Medical Management of Caries lecture. Complete the quiz at the bottom of the page to earn 1.5 continuing education credits.

Join us for an overview of the most current and effective medical protocols for dental disease management. The course will help you understand bioactive methods, materials and strategies for caries arrest and prevention that are medical vs. surgical. Learn why dental antimicrobial, re-mineralizing and desensitizing medicines are not “alternative” or of a lower standard than treatments that treat symptoms of the disease. We will consider medical measures as initial treatments of choice as being in the best interest of patients in diverse socioeconomic populations. You will learn how, when and why to best employ medical measures for dental disease management before using surgery, sedation or general anesthesia.

  • Understand the rationale for using silver and fluoride ion solutions as an initial treatment choice for caries lesions
  • Define exactly what SDF is, what it does, what it does not do, and why
  • Discuss the disadvantages of substituting SDF with nanosilver, colloidal silver and SDF+KI
  • Discuss the most recent peer-reviewed citations on SDF caries-arrest, prevention of emergency room visits and reduction of the need for using
    general anesthesia and sedation
  • Identify the newest, latest protocols and guidelines for applying SDF
  • Assess case studies where SDF has been used on interproximal caries lesions and also for SDF used as direct pulp capping for teeth with caries
    lesions close to the pulp
  • Decide if and when SDF should be used on anterior teeth
  • Identify important and successful silver ion programs in private dental practices
  • Compare fluoride concentration levels of a wide variety of topical fluoride products including SDF
  • Clarify SDF myths and misconceptions
  • Discuss and understand the best SDF messaging for parents and patients

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Silver Ions as Medicine – Dr. John Frachella at Hood River, Part 1

Complete this quiz to earn 1.5 continuing education credits.

To get your CE credits from the Academy of General Dentistry, must pass this quiz and submit your full name, state of licensure, license number, and AGD ID number. You may retake the quiz if necessary.

1 / 10

1. Which of the following are false?

2 / 10

2. T or F: SDF is not recommended for Indirect Pulp Treatment?

3 / 10

3. T or F: It can take 1 ½ to 2 years of repeat applications of SDF to get full caries arrest of some lesions?

4 / 10

4. SDF arrest of lesions depends on:

5 / 10

5. T or F: SDF can stain non-carious, sound tooth structures?

6 / 10

6. How far does SDF penetrate?

7 / 10

7. T or F: Nanosilver and colloidal silver do the same as SDF as essential medicines that treat caries?

8 / 10

8. What impact does SDF have?

9 / 10

9. T or F: Fillings are a treatment for caries?

10 / 10

10. T or F: If SDF stains a questionable lesion black, that confirms that the lesion is carious no matter who applies the SDF?

Your score is

0%

This activity has been planned and implemented in accordance with the standards of the Academy of General Dentistry Program Approval for Continuing Education (PACE) through the joint program provider approval of One Community Health: Hood River and Dental Care For All International. One Community Health: Hood River is approved for awarding FAGD/MAGD credit.

The lectures for this course were filmed on May 1st, 2023, and were reviewed and re-released on this website in June, 2024. This content will expire on June 1st, 2027.

One Community Health | Hood River
Nationally/ Approved PACE Program Provider for FAGD/MAGD credit.
Approval does not imply acceptance by any regulatory authority, or AGD endorsement.
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