423 - SDF-treated Lesion Outcomes Among GA Waitlisted Pediatric Patients

Saturday, May 27, 2023

11:40 AM – 11:55 AM

Location: Exhibit Hall

Has Audio

Presenting Author(s)

Rudolph Oxendine, DMD

Pediatric Dental Resident
East Carolina Univesity
East Carolina University
Greenville, North Carolina, United States

Research Mentor(s)

AK

Alex Kordis, n/a

East Carolina University
Greenville, North Carolina, United States

Program Director(s)

RB

Randall N. Ball, DDS, MS

Clinical Associate Professor
East Carolina University
Greenville, North Carolina, United States

Purpose: This study evaluated the outcomes of SDF application on carious lesions in general anesthesia waitlisted pediatric patients awaiting full-mouth dental rehabilitation.

Methods: A retrospective axiUm chart review using CDT codes was conducted to compare differences in the cumulative incidence of dental emergencies of pediatric dental patients, less than or equal to 10 years of age, waitlisted for dental treatment under general anesthesia between January 1, 2017- April 30, 2022. Outcomes measured were restorations and extractions in SDF-treated teeth compared to untreated teeth.

Results: This study reviewed data for 3442 teeth in 469 patients. Of those reviewed, 567 teeth, or 16%, were treated with SDF, whereas 2875, or 84%, did not receive an SDF application. SDF-treated teeth resulted in 434 restorations, 76%, and 109 extractions, 19%. Non-SDF treated teeth received 2182 restorations, 76%, and 518 extractions, 18%. Extractions at the emergency visit and general anesthesia visit for the SDF group, 17% and 16% respectively, compared to the non-SDF group, 83% and 84% respectively, yielded no statistical difference (P=.25). Statistical significance (P=.0003) was found for the mean days to restoration between the non-SDF (184.1) and SDF (206.9) treated teeth. The difference in mean days to extraction for non-SDF and SDF-treated teeth, 221.6 and 286.4 respectively, was statistically significant (P < .0001). Tooth outcomes of SDF treated teeth were not statistically significant for restorations (P=.74), extraction (P=.49), and teeth seen at an emergency visit (P=.30).

Conclusions: Caries arresting medicament application did not lead to statistically significant differences in tooth outcomes regarding treatment options, restoration, or extraction.