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<p class="MsoNormal">Faculty + Residents – <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I have been trying to catch back up on the spreadsheet and wanted to share some insights now that we have using it in clinic for about 6 months now.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">We have used it on 143 cases – only 1 has truly been “unsuccessful” – and we can blame that on the lesions being interproximal and our SDF attempts in that case heroic.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">There are many stories to share from what I glean from EPIC notes, but the one I read most recently was an uncooperative 4 year old at an ER visit in the summer, SDF was applied to clinically visible #L-DO, and the kid came back for hygiene
in the fall (cooperative, even took x-rays) and then was treated by one of our residents at a CC appointment last week (also cooperative). For this kid, SDF bought him time for 2 “easy” visits and to warm up to us. And now we have a treated lesion in a happy
kid. <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I have been trying to grade the SDF cases as: Successful, Somewhat Successful, Not Successful, and Unable to Determine based on EPIC note. It’s somewhat subjective because even in cases where the tooth is eventually treated (like above),
it fulfilled its purpose of deferring treatment. Teeth are exfoliating without symptoms, teeth are still saveable (sp?) after a 6 month wait for Main OR. If lesions remain asymptomatic and hard after SDF is applied, we can avoid pulpotomies and just cover
these teeth with crowns. As there are many different reasons to use it, there are many different ways to call it successful.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">A <u>friendly reminder</u> to residents and faculty who either apply, re-evaluate, or treat SDF-treated lesions (in CC, sedation, or in DSC/OR settings) to update the spreadsheet with your findings, or even scribble down some notes on a
post-it and give to me so I can update it. There is a follow-up note in EPIC that you can access by just typing .SDF and the “follow-up” note should be a choice. Any other happy, “fluffy” tales about SDF that parents share with you, I am also interested in.
And if anyone is unhappy, please share that with me as well. We can all learn from this.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">We also have some residents who are interested in using SDF as their Masters topics, so the more information and the more times we use it, the better. Don’t forget it is in our treatment arsenal!
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">In SDF we unite -- <o:p></o:p></p>
<p class="MsoNormal">Dr. Kim <o:p></o:p></p>
<p class="MsoNormal"><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>
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<p class="MsoNormal"><o:p> </o:p></p>
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