AAPD’s First-Ever Guideline on SDF Featured on Dr.Bicuspid.com

AAPD President Dr. James Nickman and lead guideline author Dr. Yasmi Crystal, were interviewed by Editor in Chief Tony Edwards to address how the AAPD guideline recommends silver diamine fluoride, or SDF, to treat active cavities in pediatric and special needs patients, likely leading to broader adoption of the treatment. Tony’s questions ranged from the creation of the workgroup to key take-aways gleaned from other pediatric dentists and general dentists about this guideline, as well as if AAPD anticipates that this guideline will change how pediatric and general dentists treat caries in some instances. As noted in AAPD’s press release, in the systematic review of research on which the guideline is based, no significant adverse effects were reported. The most notable downside is that silver diamine fluoride turns cavities black. Comparatively, treating cavities in young children, particularly those with special needs often involves sedation or general anesthesia, both of which have additional health risks for the patient. In addition, the cost of treating cavities in young children is often disproportionately high.

According to the story:

"In an email interview with DrBicuspid.com, AAPD President James Nickman, DDS, said that SDF could provide additional treatment options. "While not appropriate for all cavities, SDF may provide a treatment option for children who may not otherwise receive care, for example, a young child who is unable to tolerate traditional restorations in an office-based setting," he said.

Yasmi Crystal, DMD, a pediatric dentist in New Jersey and lead author of the guidelines, said in an email interview with DrBicuspid.com that the workgroup considered conducting a new systematic review but decided against it. "The decision to develop a guideline on SDF, and to use the [JDR] review as the basis for it, was thoroughly discussed" by the AAPD committee, Dr. Crystal said. "Due to the limited number of good clinical trials on SDF, it was decided that conducting a new systematic review would not result in conclusions much different from in the [previous] systematic review."

To read the story in its entirety, please go to: http://www.drbicuspid.com/index.aspx?sec=sup&sub=bai&pag=dis&ItemID=322196

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