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D1351 sealant – per tooth Mechanically and/or chemically prepared enamel surface sealed to prevent decay.

Though the code description may sound like the D1354 code, there is a distinct difference in that the tooth must not have a carious lesion for the D1355 code to apply. D1355 is used to prevent carious lesions, not to halt the disease's progress.

The major drawback to SDF treatment has been the black residual stain, which has limited its use particularly in the aesthetic region of the dentition.

D1354 Interim caries arresting medicament application-per tooth *Conservative treatment of an active, non-symptomatic carious lesion by topical application of a caries arresting or inhibiting medicament and without mechanical removal of sound tooth structure.

This will assure the Silver Diamine Fluoride treatment and effect on the carious tooth structure has been able to approach desired completion. D1354 must be deemed medically necessary by Main dental Home provider. Providers should submit code D1354 on a claim form as normal for reimbursement.

Application of a caries preventive medicament (D1355) is one of several preventive services delivered to a patient based on the dentist's diagnosis of the patient's clinical condition. The D1355 procedure is a per-tooth preventive procedure where there is no carious lesion present.

SDF is a colorless liquid similar in application to fluoride varnish [15], and the Association of State & Territorial Dental Directors (ASTDD) show that state medical and/or dental practice acts allow physicians, nurses, and assistants to provide SDF in addition to dentists and dental hygienists [16].

An overwhelming majority (65.0%) said that SDF treatment was acceptable to them. It was found that 48.2% of parents were concerned about aesthetics after SDF treatment. Compared to the other treatment modalities, SDF treatment was preferred by 20.3% of the parents as shown in Table 3.