ArticleSpecial care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Outcomes of Silver Diamine Fluoride (SDF) Treatment Among Older Adults: A Retrospective Analysis.
Article in Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Managing High-Risk Root Caries with Silver Diamine Fluoride Application: A Markov Simulation Study.Journal of health economics and outcomes research · 2026Article
- Revolutionizing adult oral care: Silver diamine fluoride's minimally invasive role.Bioinformation · 2025Article
- Tooth Grinding in Older Adults: A Retrospective Cross-Sectional Study.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSilver 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.
methodsA 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.
resultsThe 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.
conclusionIn 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.
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