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Question 2/5/2025

SDF on primary molars — how are you handling esthetics conversations?

I'm using SDF more for caries arrest in young kids who can't tolerate treatment, but parents are increasingly asking about the staining. **My current script:** "The medicine will turn the cavity dark, but it stops it from getting bigger until your child is ready for a filling." But I'm getting pushback. One mom asked if we could "just do sedation instead." **Questions for the group:** - How do you frame the esthetics tradeoff? - Anyone using SDF + GI to minimize visible staining? - At what point do you say "this needs OR sedation, not SDF"?

Pediatric Dentistry

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