Minimally Invasive Dentistry: Safe and Effective use of Silver Diamine Fluoride and Povidone Iodine | May 10, 2023

Date of Presentation: May 10, 2023

Type: Past Presentation

Keywords: #caries #dentist #dentistry #minimally invasive dentistry #oral #povidone iodine #silver diamine fluoride #teeth

In this series of presentations, Dr. Miranda Davis, DDS, MPH discusses a case of a pediatric high caries risk patient submitted by Marissa Gardner, DHAT. Then, Dr. Sean Kelly, DDS, MSHS, provides an overview of Silver Diamine Fluoride (SDF) and Povidone Iodine (PI) including their safety, effectiveness, application, and recommended follow-up.

The one-hour Oral Health ECHO virtual clinics offer clinicians an opportunity to present cases, receive recommendations from peers and an interprofessional team of specialists working in Indian Country, engage in a didactic presentation, obtain CDE, and become part of a learning community. Together, we will manage patient cases so that every patient gets the care they need.

Recording:

Presented by:

Marissa Gardner, DHAT | Dr. Miranda Davis, DDS, MPH | Dr. Sean R. Kelly, DDS, MSHS

Marissa Gardner (Confederated Tribes of Coos, Lower Umpqua and Siuslaw), DHAT, attended the two- year program of Alaska Dental Health Aide Program in 2016, making honors both years. She received her Associate of Applied Science and DHAT certificate in June of 2018. While attending the program she collaborated with instructors to measure the outcomes of oral health-based community projects and presented the resulting material at the American Public Health Association Conference in 2018. Marissa has been working as a Dental Therapist for the past four years at the CTCLUSI Dental Clinic. In her free time, she likes spending time with her daughter, and friends and enjoying outdoor activities.

Dr. Miranda Davis, DDS, MPH, has worked at the Northwest Portland Area Indian Health Board (NPAIHB) since 2019 where she serves as the Site Visit Prevention Consultant for the Northwest Tribal Dental Support Center. She also directs the Native Dental Therapy Initiative at NPAIHB, which assists Tribes in implementing innovative workforce models to address social determinants of health and expand access to high quality oral health care. Miranda has over twenty years of experience in the dental field. She earned a DDS from the University of the Pacific School of Dentistry in San Francisco, and a MPH from the University of Washington School of Public Health.

Dr. Sean R. Kelly, DDS, MSHS, served as a Commissioned Corps Officer within the Indian Health Service of the United States Public Health Service from 2003 to 2017. Starting as a Staff Dentist for the Puyallup Tribal Health Authority Dental Clinic, Sean became the Dental Director in 2008. Sean graduated from the Virginia Commonwealth University School of Dentistry with Cum Laude honors in 1990. In 1991 he completed the Advanced Education in General Dentistry program at the University Of North Carolina School of Dentistry, Chapel Hill. Prior to the USPHS, Sean served over 11 years in the United States Navy Dental Corps. Sean has worked with numerous other tribes throughout Washington, Oregon, and Idaho with the “Baby Teeth Matter Collaborative” directed by the Northwest Tribal Dental Support Center and the Arcora Foundation. The group has actively pursued and successfully found ways to improve access to dental care and reduce general anesthesia treatment referrals for children 0-5 years of age through implementing minimally invasive dentistry and case management models of care. In 2020 Dr. Kelly joined the Northwest Tribal Dental Support Center as Clinical Consultant.

Resources Provided:

Minimally Invasive Dentistry: Safe and Effective use of Silver Diamine Fluoride and Povidone Iodine (Presentation Slides)

Date added: May 8, 2023

Resources

Past Presentation

Minimally Invasive Dentistry: Safe and Effective use of Silver Diamine Fluoride and Povidone Iodine | May 10, 2023

Recording:

Presented by:

Marissa Gardner, DHAT | Dr. Miranda Davis, DDS, MPH | Dr. Sean R. Kelly, DDS, MSHS

Resources Provided:

Northwest Portland Area Indian Health Board
Native BOOST Project Manager

Great Lakes Inter-Tribal Epidemiology Center

Tigua Indian from Ysleta del Sur Pueblo
Good Medicine Tribal Public Health Consulting
Lead Consultant

Crow Nation
Rocky Mountain Tribal Leaders Council
Project Coordinator

CDC Foundation
Tribal Public Health Educator

Rocky Mountain Tribal Leaders Council
Epidemiology Center Director

Diné (Navajo)
Northwest Portland Area Indian Health Board
TEC-IVAC Program Manager

Kauffman & Associates
Graphic Designer

Lummi
Northwest Portland Area Indian Health Board
Maternal Child Health Programs Director
Native BOOST Project Director

Oglala Sioux
Great Plains Tribal Epidemiology Center
Epidemiology and Disease Prevention Program Manager

Diné (Navajo)
Northwest Portland Area Indian Health Board
Native BOOST Provider Expert

Stockbridge-Munsee Band of Mohican Indians
Good Medicine Tribal Public Health Consulting
CEO and Founder

Alaska Native Tribal Health Consortium
Communication Lead

Rosebud Sioux
Great Plains Epidemiology Center
Senior Director

Seminole/Muscogee
Southern Plains Tribal Health Board
Tribal Epidemiology Center Core Program Manager

Southern Plains Tribal Health Board
Epidemiologist

Great Lakes Inter-Tribal Epidemiology Center
Communication Lead

Oglala Lakota
Great Plains Epidemiology Center
EDP Program Director

Cochita Pueblo
Albuquerque Area Tribal Epidemiology Center
Program Director for the Good Health and Wellness in Indian Country Program

Inter-Tribal Council of Arizona
Vaccine Epidemiologist

Great Lakes Inter-Tribal Epidemiology Center
Epidemiologist

	Jason Arion Butler is an enrolled member of the Ute Tribe of Fort Duchesne, Utah and is also part Mojave and Cherokee. He resides in Gibson, Idaho with his wife of 22 years, children, and grandchild who are all enrolled members of the Shoshone-Bannock Tribes. He graduated from Idaho State University with a Bachelor of Arts in Psychology and earned his Master of Science in Family and Human Development from Arizona State University. He has spent the past 5+ years employed by the Shoshone-Bannock Tribes, Tribal Health and Human Services Department, where he spent time serving as the Recovery Service Coordinator for the Four Directions Treatment Center, the manager for the Community Health Representative program, and recently accepted the position of Behavioral Health Manager. He strives to incorporate Native culture, traditions, morals, and values into the healthcare services provided to Native communities, implementing these practices into his work with the Shoshone-Bannock Tribes and advocating for the reconstruction of healthcare practices nationally. Today he says, “I am loving life and am extremely thankful to have found a career path I love.

	Carrie Sampson-Samuels is an enrolled member of the Confederated Tribes of the Umatilla Indian Reservation located in Eastern Oregon. Carrie has an early background in nursing providing patient care in long term and clinical care settings. Carrie then furthered her education in community health and health studies at Portland State University, later advancing her education in healthcare management at Oregon Health and Sciences University while serving in leadership and executive management for a Tribal health organization as the Community Health Director. Carrie has served Tribes from Oregon to Montana and the Treaty 7 Blackfoot Confederacy in Southern Alberta. As the Community Health Aide Project Director for the Northwest Portland Area Indian Health Board, Carrie has provided leadership, advocacy and project management for expansion for the Behavioral Health Aide and Community Health Aide Program under the umbrella and direction of the Tribal Community Health Provider Project. This work has led to the expansion of Tribal Community Health Providers in Washington, Oregon, and Idaho. Carrie is responsible for leading partnerships with the education institutions, key Tribal partner sites, contract experts and advisory workgroups. This includes development of education infrastructure, education curriculum, recruitment strategies, tools for integration of providers into tribal health organizations, and working with state partners to develop policy and infrastructure for provider reimbursement. Carrie manages and writes multiple grants that support all aspects of this work and provides technical assistance support to the Portland Area CHAP Certification Board. Carrie is the proud mother of 4 daughters and resides on a small ranch on her Tribal homelands.

	Dr. Liu is a generalist OB/GYN at Gallup Indian Medical Center. In addition to her medical degree, she holds a PhD in Health Policy. Among other publications, she served as the chief editor for the 2019 Oxford University Press book: “50 Studies Every Obstetrician and Gynecologist Should Know.” She has formal training in Quality Improvement processes through the Partners Clinical Process Improvement Leadership Program (CPIP), which she utilized to implement emergency contraception at Massachusetts General Hospital. During her six years at Gallup Indian Medical Center she has primary responsibility for preparing and reporting of metrics related to the delivery of obstetric care, and serves on the Continuing Medical Education committee.

	Dr. Hoover is from Chicago, where he grew up and went to medical school, at Rush University, on Chicago’s diverse West Side. He was trained in Urology at Boston Medical Center in Boston’s beautiful South End neighborhood. Dr. Hoover went on to pursue fellowship training in voiding dysfunction and laser prostate surgery at Beth Israel Deaconess Medical Center. Dr. Hoover is a Board-Certified Urologist, by the American Board of Urology, having achieved this honor in 2018. Dr. Hoover has several peer-reviewed publications, including research studies and medical illustrations. His family is happy to call Gallup home since the end of 2017. In their free time they like to explore New Mexico’s wilderness and go camping. Now that their two girls are growing up, it’s also imperative that we catch Pokemon wherever we go.Dr. Hoover is the only Urologist in McKinley County, New Mexico, and in any of the surrounding counties– it’s just him between Albuquerque and Flagstaff. He’s happy to continue seeing established patients, and is accepting new patients from the entire region. Dr. Hoover believes in communication, candor, and compassion as essential tenets of patient care. Dr. Hoover is an expert in general Urology, male and female voiding dysfunction, kidney stones and kidney stone surgery, BPH and laser prostate surgery, erectile dysfunction, vasectomy, prostate cancer, bladder cancer, kidney cancer, testicular cancer. Many of the procedures he do as a Urologist are done in the office including: cystoscopy, vasectomy, urodynamics, treatment foroveractive bladder, and many others. Please call/text or email and let him and his staff know how they can help you.

	Eric Wortmann, MD is the former Director of Emergency Medicine at Chinle Comprehensive Health Care Facility. Besides patient care, Eric has a deep passion for mentoring aspiring physicians and health care providers. He was the Education Director of Emergency Medicine at Chinle as well as Adjunct Faculty for the US Army teaching Special Forces Medics. He has been a visiting professor of Emergency Medicine in Haiti and has worked in the Dominican Republic since 1989. Eric has a long-time passion as a mid and long-distance running coach. He has lived on Kauai for 30 years. Currently he divides his time between Northern Italy and Hawaii. Recently he was accepted into Doctors without Borders USA and is awaiting his first assignment.

	Corey Detlefs, MD, FACS, is the Trauma Outreach Director and an Associate Professor of Surgery at the University of Arizona College of Medicine – Phoenix