"Caring with Silver Diamine Fluoride: Protecting Smiles in Schools & Care Homes"

This video is best viewed in three sections. The middle segment features video content from Dr. Jeanette Maclean for the American website, Affiliated Children's Dental Specialists (kidsteethandbraces.com), where you can find more valuable resources for children and their parents. The final part features a five-minute section by Sarah Luetke on applying SDF in a care home. Our aim is to train the entire dental team to enhance care for vulnerable populations. By providing basic screening services and easy interventions in schools, we can significantly reduce the shocking number of general anaesthetic visits carried out annually under the NHS, which costs over £40 million. This expense pales in comparison to the long-term trauma faced by children and parents. The time lost in school due to dental disease, along with the subsequent time off work for parents, makes this issue urgent. As highlighted in the videos, healthcare providers are negligent when they impose unnecessary barriers to care for the most vulnerable. We do not need a trial; we need to implement change. This change will not come from treasury officials but rather from public demand. I will include timestamps in the video and transform this content into the backbone of a training course with CPD. I envision the course being available online through group meetings. Interested parties, including those providing silver diamine fluoride and experienced dental care professionals (DCPs), can collaborate to set this up nationwide within a relatively short timeframe. We should be able to learn how to navigate the outdated 1984 dental act that does not include scanning, the use of video as a learning or assessment tool, and the massive advances in IT. The advances in radiography, the more widely available AI assessment tools, and the outmoded term "under prescription" could at least be modified to informed consent. We don't need dental consent to sit in a plane for two hours, so why can't the public request regular routine dental radiographs to be assessed by AI? With synchronous and asynchronous support from a dentist, a nurse can scan dentures and apply SDF to the frail in care homes for whom dental access and treatment are too tricky. As a DCP, you can soon register on the dentalhealthservice website and enhance your skills through these hybrid courses. Any extra skills you have can be marketed on the dental health service website, and if we get enough interest, be available on your customised DHS APP, where you can promote your services further and develop your online revenue. The App will be able to be presonalised by the user, and link directly through the App to their own dentist, or at least be able to obtain access to some remote advice ideally in the UK when the GDP has finished "looking into it", or from dental teams abroad who can demonstrate their own countries qualifications on line and provide advice possibly at a reduced cost until we get guidance from the GDC, or a dental act that is relevant to 2025. 00:00 introduction 02:00 teeth4life prevention and MID resource 04:00 diagnosis of tooth decay 08:26 Intro: Practical guidance on using SDF 10:00 Intro to general use SDF 14:20 set up before the application 18:05 treating a six-year-old 21:35 occlusal surface application 24:00 application using floss and a prop 26:00 Treating bottle carers in a two-year-old 29:50 proximal application without floss 32:32 How to remove staining 34:30 checking SDF is active 36:54 SDF in treating periodontitis? 38:29 SDF Objections of use 42:00 Online training /resources 46:00 Applying SDF to Annie in a care home 50:37 Innovation in applying SDF by carer 51:43 Join us in promoting prevention