{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T03:47:32Z","timestamp":1778816852524,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Silver 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 24\u2010month 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\u2010year 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\u2010fluoride toothpaste.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In 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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.70013","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T21:16:03Z","timestamp":1741727763000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Outcomes of Silver Diamine Fluoride (SDF) Treatment Among Older Adults: A Retrospective Analysis"],"prefix":"10.1111","volume":"45","author":[{"given":"Katie","family":"Kettelkamp","sequence":"first","affiliation":[{"name":"The University of Iowa College of Dentistry and Dental Clinics  Iowa City USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2836-7900","authenticated-orcid":false,"given":"Jhanvi","family":"Desai","sequence":"additional","affiliation":[{"name":"The University of Iowa College of Dentistry and Dental Clinics  Iowa City USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Lewis","sequence":"additional","affiliation":[{"name":"The University of Iowa College of Dentistry and Dental Clinics  Iowa City USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carissa","family":"Comnick","sequence":"additional","affiliation":[{"name":"The University of Iowa College of Public Health  Iowa City USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1291-6684","authenticated-orcid":false,"given":"Leonardo","family":"Marchini","sequence":"additional","affiliation":[{"name":"The University of Iowa College of Dentistry and Dental Clinics  Iowa City USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.09.004"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12683"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2019.06.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.21815\/JDE.017.086"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12109"},{"key":"e_1_2_11_7_1","unstructured":"\u201cADA Guide to Reporting Interim Caries Arresting Medicament Application \u201dAmerican Dental Association accessed March 1 2023 https:\/\/www.ada.org\/\u2010\/media\/project\/ada\u2010organization\/ada\/ada\u2010org\/files\/publications\/cdt\/d1354_guideto_v1_2017jul.pdf?rev=a0251e9d6d6d4ab8bb15ccbbe01d4fdd&hash=3C51AE9781DBC75D681078213F1BF941."},{"issue":"5","key":"e_1_2_11_8_1","first-page":"417","article-title":"Silver Diamine Fluoride (SDF) in the Management of Root Caries in Elders: A Systematic Review and Meta\u2010Analysis","volume":"131","author":"Grandjean M. L.","year":"2021","journal-title":"Swiss Dental Journal"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12294"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2012.00318.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.07.002"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.03.028"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034508329406"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-0707.85796"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034510388516"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12327"},{"key":"e_1_2_11_17_1","unstructured":"Iowa Department of Public Health \u201cIowa Department of Public Health Silver Diamine Fluoride Protocol \u201dIowa Department of Public Health accessed March 1 2023 https:\/\/hhs.iowa.gov\/sites\/default\/files\/portals\/1\/userfiles\/222\/silver%20diamine%20fluoride%20protocol_idph_8_2018.pdf."},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12098"},{"key":"e_1_2_11_19_1","first-page":"36","article-title":"Fresh Approach to Caries Arrest in Adults","volume":"1","author":"Featherstone J. 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R.","year":"2006","journal-title":"Caries Research"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1159\/000434730"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.70013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T04:00:02Z","timestamp":1749182402000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.70013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/scd.70013"],"URL":"https:\/\/doi.org\/10.1111\/scd.70013","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2024-07-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70013"}}