Increasing Access through the Use of Silver Diamine Fluoride
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Presented by Dr. Craig Hollander, Dr. Ashley Popejoy, and Dr. Nicole White

The approval of silver diamine fluoride (SDF) as an FDA-approved desensitization agent in the United States has generated discussion about its potential uses in high-risk patient populations and possibilities for off-label use as a caries-arresting agent include geriatric, special needs, and pre-cooperative patient populations who otherwise would not be able access care due to behavioral, financial, or logistical barriers.  Understanding the indications, contraindications, benefits, and concerns surrounding the use of silver diamine fluoride is integral to utilizing this medicament safely and effectively. This presentation will review Silver Diamine Fluoride (SDF); including history, how it works, process of application, and how it can be used in several populations.

 Dr. Craig Hollander has been a private practice pediatric dentist in St. Louis, Missouri for the past 28 years. He is a 1988 graduate from the  University of Missouri-Kansas City School of Dentistry, a general practice residency at Miami Children’s Hospital, and received his masters in pediatric dentistry at the University of Iowa in 1991.  Dr. Hollander is a Diplomate of the American Academy of Pediatric Dentistry, a former Missouri Dental Association Dentist of the Year, and consistently participates in community access to care projects like Give Kids a Smile and Missouri Missions o Mercy. 

 Dr. Ashley Popejoy is a board-certified pediatric dentist, the director of pediatric dentistry at Jordan Valley Community Health Center, and has been the associate director of the NYU-Langone Advanced Education in Pediatric Dentistry program in Springfield Missouri since 2014.  She enjoys external faculty appointments at UMKC and MOSDOH for students rotating through Jordan Valley, is a board member for the Greater Springfield Dental Society, is a state clinical director for Special Smiles through Special Olympics of Missouri, and has served as a delegate for MDA’s House of Delegates for the past two years.

 Dr. Nicole White is the Chief Dental Office at Northwest Health Services Inc (NWHS), a federally qualified health center (FQHC) in St. Joseph, MO since 2013; and worked as a practicing dentist at this site since 2008.  She was instrumental in expanding the Nursing Home Dental Program for NWHS, seeing the limited access to care for our elderly population.  In 2016, Dr. White was appointed to serve on the Missouri Medicaid Dental Advisory Committee. She received the Northwest Health Services Board of Directors Certificate of Commendation for Meritorious Service as a dental provider in 2012. She is a current member of American Dental Association, Missouri Dental Association, Northwest Missouri Dental Society, National Network for Oral Health Access, and Missouri Primary Care Association Oral Health Network.  Dr. White also participated in the National Health Service Corps and also serves as an adjunct faculty member for both UMKC and AT Stills School of Dentistry.