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Silver diamine fluoride-associated delays in procedural sedation in young children: A retrospective cohort study
Journal article   Open access   Peer reviewed

Silver diamine fluoride-associated delays in procedural sedation in young children: A retrospective cohort study

Beau D Meyer, J Madison Hyer, Peter Milgrom, Timothy Downey and Donald L Chi
The Journal of the American Dental Association (1939), Vol.154(4), pp.311-320
04/2023
DOI: 10.1016/j.adaj.2022.12.008
PMID: 36740480
url
https://doi.org/10.1016/j.adaj.2022.12.008View
Published (Version of record) Open Access

Abstract

BACKGROUND This analysis evaluated the time to first sedation or general anesthesia (GA) encounter for children treated with and without silver diamine fluoride (SDF). METHODSThis retrospective cohort study used dental claims of privately insured children from birth through age 71 months with a sedation or GA claim from 2016 through 2020. The exposure was SDF use (yes, no). The outcome was time to first sedation or GA. Descriptive and multivariable negative binomial analysis was performed. The analysis tested the hypothesis that among children who received sedation or GA for their caries treatment, those who received SDF would show a longer time to first sedation or GA than children who did not. RESULTS Among 175,824 children included, SDF use increased the time to first sedation or GA encounter by 63 days when treated by different dentists (405 days vs 342 days; P < .001) and by 91 days when treated by the same dentist (337 days vs 246 days; P < .001), after controlling for the effects of age at first encounter, sex, and region of the country. CONCLUSION Children treated with SDF had a longer time to first sedation or GA, which was magnified when treatment was performed by the same dentist. PRACTICAL IMPLICATIONS Within an individualized caries management plan, SDF could provide benefits for patients, dental offices, and health systems.

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