Thesis
The effectiveness of silver diamine fluoride (SDF) on caries lesions in adults: retrospective study evaluating the longevity of SDF treated teeth in adult patients using a dental school data record
University of Iowa
Master of Science (MS), University of Iowa
Spring 2023
DOI: 10.25820/etd.007087
Abstract
Objective: Silver diamine fluoride (SDF) is used to treat dental caries lesions on primary teeth in children and have been found effective. Adults may also benefit from the use of SDF in treating exposed initial root caries lesions, yet such studies are lacking. The aim of this retrospective study was to determine the factors related to longevity of adult patients’ teeth after SDF treatment.
Methods: Data from the University of Iowa College of Dentistry data base (AxiUm) were used for this study. Patients aged 18 years and older with one or more code D1354 between 2016 and 2021 were included. Patient variables included: age, gender, race, number of medications, smoking status, insurance status, and number of D1354 codes overall. Tooth variables included: tooth number, number of D1354 codes applied on the tooth, and subsequent treatment (restoration, root canal treatment, extraction). Operator variables included: provider type (student, post-grad, faculty) and type of clinic (geriatric vs. other). The dependent outcome variable was survival defined as not needing subsequent treatment. Statistical software was used to calculate chi-square values used for analyses to determine relationship between variables and survival.
Results: Results included 1772 patients with 2985 SDF treated teeth. Patients that had significantly higher failure (p <.001 to <.05) with tobacco use. Teeth with crowns prior to SDF treatment had higher chance of failure. Multiple applications of SDF had higher chances of not failing.
Details
- Title: Subtitle
- The effectiveness of silver diamine fluoride (SDF) on caries lesions in adults: retrospective study evaluating the longevity of SDF treated teeth in adult patients using a dental school data record
- Creators
- Ala Al Saffer
- Contributors
- Justine L Kolker (Advisor)Sandra Guzman-Armstrong (Committee Member)Erliang Zeng (Committee Member)Leonardo Marchini (Committee Member)Amira Elgreatly (Committee Member)
- Resource Type
- Thesis
- Degree Awarded
- Master of Science (MS), University of Iowa
- Degree in
- Oral Science
- Date degree season
- Spring 2023
- DOI
- 10.25820/etd.007087
- Publisher
- University of Iowa
- Number of pages
- x, 96 pages
- Copyright
- Copyright 2023 Ala Al Saffer
- Language
- English
- Date submitted
- 04/16/2023
- Date approved
- 06/30/2023
- Description illustrations
- tables, graphs
- Description bibliographic
- Includes bibliographical references (pages 86-96).
- Public Abstract (ETD)
- Silver diamine fluoride (SDF) has been used successfully to treat dental caries lesions on children's primary teeth. Older adults may also benefit from using SDF to treat initial coronal or root caries lesions. The goal of this study was to find out what made adult patients' teeth last longer after SDF treatment. This study used information from the University of Iowa College of Dentistry database. Patients who were 18 or older and had at least one code D1354 (SDF) were included. Age, gender, race, number of medications, smoking status, radiation therapy, insurance status, and the total number of D1354 codes were all variables for each patient. Tooth variables included the tooth number, the number of D1354 codes that were put on the tooth, and the treatment that followed (restoration, root canal treatment, extraction), type of provider (student, post-grad, or faculty) and the type of clinic (geriatric vs. other). There were 1772 patients with 2985 teeth that were treated with SDF. After SDF, patients who smoke tobacco were more likely to have failure. Teeth with crowns before treatment with SDF were more likely to fail. When SDF was used multiple times to the same tooth, the tooth was less likely to fail.
- Academic Unit
- Oral Pathology, Radiology and Medicine
- Record Identifier
- 9984425315102771
Metrics
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