Reply to Wait and see on a cavity on back molar for a 7 year old?

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Reply to "Wait and see on a cavity on back molar for a 7 year old?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Another dentist here, agreeing with first dentist. One step further is to request SDF- silver diamine fluoride- it arrests the cavity by killing the cavity-causing bacteria. The SDF liquid drop can be flossed through the spot, preventing the drill and fill. Google SDF if you like. It's quite a handy alternative.[/quote]

First dentist here. 
We just started using SDF (I work in a clinic) and I thought it could only be used on gross caries. Good to know it can be used the way you describe - I always tell my patients to dip their floss in ACT or some equivalent product.  Thanks for the info![/quote]

You're very welcome:-)[/quote]

Pediatric dentist here: SDF works great for small cavities and not gross cavities. Look up the SDF protocol from UCSF dental school.[/quote]

I'll definitely look that up. Thanks.

I don't know which protocol we are using, but it involves placing the SDF on kids with rampant decay, waiting a month or so, and then throwing some Fuji IX in there to sort of get these primary teeth to limp across the finish line. Working in a clinic, that's unfortunately the majority of patients we see.

[/quote]

Pediatric Dentist here: So you are doing some form of ART and in your clinical situation that is okay. I do that for the kids I see when I go on mission trips who have problems accessing care. Helps hold them up a bit.

Do you ever refer the kids, especially the little ones, to a pediatric dentist or you just monitor?[/quote]

We do refer, but we only get a certain amount of $ to cover the cost of referrals so they are usually only the worst of the worst that get to go.  We monitor the others and treat as much as possible.

I just read the UCSF protocol and was surprised to see there has been success using SDF as a preventative in first molars.  Do you have any experience with this?[/quote]

What is considered the worst of the worst?  [/quote]

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