Online: Tuesday, September 22, 6pm - 8pm
ince the 1920s, the primary method of treating dental caries has been the surgical removal (drilling/scooping) of the carious lesion. Prior to the 1920s, caries removal/treatment was done using chemotherapeutic agents to cauterize and disinfect the carious portion of the tooth. This non-surgical approach has been re-introduced using improved agents and techniques. Using these agents and techniques, in combination with other traditional dental cements and filling materials, we have enhanced their efficacy.
I am a retired general dentist who maintained a successful practice for 40 years. During the last three years of my practice, I researched and developed clinical procedures for this non-surgical treatment of dental caries using Silver Diamine Fluoride (SDF) in combination with existing glass ionomer cements and compounds. This combination-technique is called a Silver Modified Atraumatic Restorative Technique. (SMART).
These methodologies are the same as those employed by the leaders and experts in the dental community. I personally found this approach to be extremely successful. I used this technique on most of my young patient-population including our Medicaid children. As we gained experience and realized SDF’s potential, we began treating selected elderly patients and our physically or mentally handicapped patients.
Since retiring, I have felt the need to share this knowledge and experience with other dental professionals. My experience told me that the use of SDF and SMART should be part of all dental practices and all dental public health initiatives. These basic clinical protocols can be used in many creative ways to simplify treatment and improve your patients’ oral health.
I hope this program will spark your interest and that you will consider incorporating SDF protocols into your practice. The importance of this program is two-fold: to help treat dental decay more effectively and to use it to creatively market a more comprehensive and modern approach to practicing dentistry.
John S. Echternach, D.D.S
John S. Echternach, D.D.S., is a retired general dentist who maintained a private practice in Henniker, NH, for 40 years. He has been an active member of the American Dental Association, the NH Dental Society (NHDS) and the Concord Dental Society (CDS). His role in organized dentistry includes more than 16 years in a leadership capacity in both the NHDS and CDS.
In his retirement, John has assumed the role as a teacher of healthcare professionals with his focus on a specific treatment: the science and applications of silver diamine fluoride (SDF). After learning about the uses of SDF toward the end of his career, he successfully used this method on both children and adults for the last 3 years in his Henniker practice.