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<p class="MsoNormal">Fac + Res – <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Now with SDF-arrested lesions along with naturally arrested lesions found upon clinical exams, I propose (<u>thanks to Beth Noel’s idea</u>), that we begin charting as such.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><b><span style="color:red">Active decay – needing treatment before next exam – is charted as red.<o:p></o:p></span></b></p>
<p class="MsoNormal"><b>Arrested decay – not needing treatment before next exam, i.e. to be “watched” – is charted as black.
<o:p></o:p></b></p>
<p class="MsoNormal"><b><o:p> </o:p></b></p>
<p class="MsoNormal">White spots, incipient decay – if not treated with SDF or arrested -- would still be charted as “W” for “watch”<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Obviously, these indications may change over time – a kid with an active (red) lesion may come back 2 years later with an arrested lesion (then to be charted as black), or a kid with an arrested lesion (maybe due to SDF) may come back for
a future exam with an enlarged and soft lesion causing spontaneous pain, needing an extraction, which would then be charted as red. Just an example.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I have ordered more SDF using grant funds. I would love to have SDF in all hygiene rooms in the LAC but I think that’s excessive (and expensive) for now – BUT soon there will be enough to house SDF permanently in both baby rooms as well
in the hygiene bay. <u>Please remember the current guidelines are to re-apply SDF every 6-12 months until the lesion is restored or the tooth exfoliates.
</u>We should be starting to see some of our early SDF patients in hygiene soon, if not already.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Before this recommendation is “final” and I send to staff, please advise if you have suggestions, comments, etc.
<o:p></o:p></p>
<p class="MsoNormal">Thanks – <o:p></o:p></p>
<p class="MsoNormal">Kim <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Kalinga","sans-serif";color:black">Kim Hammersmith, DDS, MPH, MS<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Kalinga","sans-serif";color:black">Pediatric Dentist – Outreach Coordinator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Kalinga","sans-serif";color:black">Nationwide Children’s Hospital<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Kalinga","sans-serif";color:black">700 Children’s Drive, Columbus, OH 43205<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Kalinga","sans-serif";color:black">(ph) 614.722.1561 (f) 614.722.5671<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Kalinga","sans-serif";color:black"><a href="mailto:kimberly.hammersmith@nationwidechildrens.org"><span style="color:blue">kimberly.hammersmith@nationwidechildrens.org</span></a>
<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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