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Participants must answer at least 12 of 15 questions correctly (80%) to earn CE credit.

AGD - Self-Instruction Exercise No. 402 - Operative (Restorative) Dentistry
Effectiveness of silver diamine fluoride in caries prevention and arrest: a systematic literature review

Self-Instruction Exercise No. 402
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Exercise No. 402
Subject Code: 250
Operative (Restorative) Dentistry

The 15 questions for this exercise are based on the article Effectiveness of silver diamine fluoride in caries prevention and arrest: a systematic literature review on pages 22-29. This exercise was developed by Robert A. Busto, DMD, MBA, FAGD, in association with the General Dentistry Self-Instruction committee.

Reading the article and successfully completing this exercise will enable you to:

  • identify treatment options for the prevention of caries in vulnerable populations;
  • understand the role of silver diamine fluoride (SDF) in dentistry; and
  • recognize the benefits and limitations of SDF use.

Answers for this exercise must be received by April 30, 2018.

  1. _____________ is the most frequent childhood chronic disease worldwide.

    A. Juvenile aggressive periodontitis
    B. Dental caries
    C. Diabetes
    D. Asthma

  2. While overall caries indicators reportedly have been reduced in recent years, ___________ caries has seen an increase.

    A. early childhood
    B. secondary
    C. root
    D. radiation-induced

  3. SDF was approved by the US Food and Drug Administration as a treatment for dentinal sensitivity in ____.

    A. 1972
    B. 1997
    C. 2005
    D. 2014

  4. SDF-treated teeth develop ________ stains as a result of silver phosphate precipitation.

    A. white
    B. yellow
    C. brown
    D. black

  5. Which of the following has shown the highest fluoride uptake in vivo?

    A. silver diamine fluoride
    B. acidulated phosphate fluoride
    C. stannous fluoride
    D. calcium fluoride

  6. Application of ____% SDF is recommended to prevent and arrest caries.

    A. 1.1
    B. 6.0
    C. 23.3
    D. 38.0

  7. All of the following were exclusion criteria except one. Which is the exception?

    A. randomized controlled trial
    B. published outside the target timeframe
    C. languages other than English
    D. full adult dentition

  8. How many studies were included in the systematic review?

    A. 7
    B. 53
    C. 255
    D. 1136

  9. The caries diagnostic criteria varied among the studies. Only 1 of the studies was conducted in a dental school.

    A. Both statements are true.
    B. The first statement is true; the second is false.
    C. The first statement is false; the second is true.
    D. Both statements are false.

  10. All of the following are benefits to using SDF except one. Which is the exception?

    A. SDF application is minimally invasive.
    B. SDF has a low cost.
    C. SDF has a favorable esthetic result.
    D. SDF can be applied in a community setting.

  11. How many concentrations of SDF are available?

    A. 2
    B. 4
    C. 6
    D. 8

  12. All of the following are adverse effects of SDF except one. Which is the exception?

    A. pulpal irritation
    B. dental staining
    C. thermal conductivity
    D. mucosal irritation

  13. Inclusion of _____________ in SDF can reduce tooth discoloration.

    A. potassium iodide
    B. carbamide peroxide
    C. bisphenol A glycidyl methacrylate
    D. silicon dioxide

  14. What was the earliest study included in the review?

    A. 2001
    B. 2005
    C. 2009
    D. 2012

  15. The longest study included in the review was ___ months.

    A. 6
    B. 12
    C. 24
    D. 36


Please respond to the statements below, using the following scale:
1 Poor; 2 Below average; 3 Average; 4 Above average; 5 Excellent

Practicality of the content 1 2 3 4 5
Benefit to your clinical practice 1 2 3 4 5
Quality of illustrations 1 2 3 4 5
Clarity of objectives 1 2 3 4 5
Clarity of exercise questions 1 2 3 4 5
Relevance of exercise questions 1 2 3 4 5
Did this exercise achieve its objectives? Yes No
Did this article present new information? Yes No
How much time did it take you to complete this exercise? mins