Journal article
Outcomes of Silver Diamine Fluoride (SDF) Treatment Among Older Adults: A Retrospective Analysis
Special care in dentistry, Vol.45(2), e70013
03/2025
DOI: 10.1111/scd.70013
PMCID: PMC11882481
PMID: 40045047
Appears in UI Libraries Support Open Access
Abstract
Silver diamine fluoride (SDF) is a safe and convenient method for managing root caries in older adults, but the amount of time that this intervention extends the life of an affected tooth is not clear. This paper aims to evaluate the outcomes of SDF use in older adults in a dental school setting using a retrospective cohort analysis of electronic health records over a period of 2 years.
A total of 169 patient records were selected for survival analysis after screening using the selection criteria. Demographic and treatment variables were collected. Multivariable Accelerated failure time (AFT) models were used to evaluate relationships between the survival of teeth that received SDF treatment and available variables.
The 24-month survival for the whole sample of patients was found to be 45%. Patients who had SDF reapplied after an initial SDF treatment had a greater increase in the length of time until tooth failure than did those who only received an initial SDF treatment over a 2-year period. For patients receiving SDF treatment, those with more baseline restorative treatments experienced tooth failure more quickly than did those with fewer such treatments. We found a low to moderate association between survival times and the number of sites where SDF was applied, and between survival times and prescription of high-fluoride toothpaste.
In older adults receiving SDF application, multiple reapplications at the site prolonged survival time while poorer outcomes were seen in patients who had higher baseline restorative treatment needs.
Details
- Title: Subtitle
- Outcomes of Silver Diamine Fluoride (SDF) Treatment Among Older Adults: A Retrospective Analysis
- Creators
- Katie Kettelkamp - University of IowaJhanvi Desai - University of IowaStephanie Lewis - University of IowaCarissa Comnick - University of IowaLeonardo Marchini - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Special care in dentistry, Vol.45(2), e70013
- DOI
- 10.1111/scd.70013
- PMID
- 40045047
- PMCID
- PMC11882481
- NLM abbreviation
- Spec Care Dentist
- ISSN
- 1754-4505
- eISSN
- 1754-4505
- Publisher
- Wiley
- Grant note
- University of Iowa College of Dentistry's Student Research Program
The authors would like to thank The University of Iowa College of Dentistry's Student Research Program for providing funds to support this educational research.
- Language
- English
- Date published
- 03/2025
- Academic Unit
- Preventive and Community Dentistry
- Record Identifier
- 9984798226302771
Metrics
41 Record Views