CPT® Code 0792T

Official Description

Application of silver diamine fluoride 38%, by a physician or other qualified health care professional

Common Language Description

Silver diamine fluoride (SDF) is a topical treatment used in dentistry, specifically designed to combat dental caries, commonly known as tooth decay. This colorless liquid formulation contains two key components: silver, which possesses antibacterial properties, and fluoride, which is known for its ability to strengthen tooth enamel and prevent further decay. The application of SDF is particularly beneficial for pediatric patients, as it can be used on primary teeth, also referred to as baby teeth, where decay is often more prevalent. The procedure involves the careful application of the liquid to the affected teeth using a small brush, allowing for precise targeting of areas with early signs of decay. SDF can be applied as soon as tooth decay is detected, making it a proactive measure in dental care. The primary goal of this treatment is to halt the progression of cavities and reduce the need for more invasive procedures, such as fillings. Once applied, the silver diamine fluoride penetrates the tooth structure and interacts with the bacteria present in the decayed area, effectively killing the bacteria and preventing new bacteria from adhering to the tooth surface. This action helps to stabilize the tooth and can provide a long-lasting effect, as the treatment remains active within the tooth for several months, thereby contributing to the overall health and longevity of the affected teeth.

1. Indications

The application of silver diamine fluoride is indicated for the following conditions:

Dental Caries The procedure is performed to prevent or arrest the progression of dental caries, particularly in patients with early signs of tooth decay.
Pediatric Patients It is especially indicated for young children who may have difficulty undergoing traditional restorative dental procedures due to behavioral or medical reasons.
High Caries Risk Patients identified as having a high risk of developing dental caries may benefit from this preventive treatment.

2. Procedure

The procedure for the application of silver diamine fluoride involves several key steps to ensure effective treatment and patient safety.

Step 1: Patient Assessment Prior to the application, the healthcare professional conducts a thorough assessment of the patient's dental health, identifying areas of decay and determining the appropriateness of silver diamine fluoride treatment.
Step 2: Tooth Preparation The teeth to be treated are cleaned and dried to ensure optimal adhesion of the silver diamine fluoride. This may involve the use of a cotton roll or suction to keep the area dry.
Step 3: Application of Silver Diamine Fluoride Using a small brush, the healthcare professional carefully applies the silver diamine fluoride solution directly to the affected areas of the teeth. It is important to cover all decayed surfaces thoroughly to maximize the treatment's effectiveness.
Step 4: Post-Application Care After application, the treated area is not rinsed, allowing the solution to remain in contact with the tooth surface. The patient is advised to avoid eating or drinking for a specified period to ensure the treatment is not washed away.

3. Post-Procedure

Following the application of silver diamine fluoride, patients may experience some discoloration of the treated teeth, which is a normal outcome of the treatment. The healthcare professional will provide guidance on post-procedure care, including recommendations for oral hygiene practices and dietary considerations. Patients are typically advised to maintain regular dental check-ups to monitor the effectiveness of the treatment and to assess any further dental needs. The effects of silver diamine fluoride can last for several months, during which time it continues to inhibit the progression of cavities. If further dental intervention is required, such as fillings or other restorative procedures, these can be discussed during follow-up visits.

Short Descr	APPL SLVR DIAMN FLUORIDE 38%
Medium Descr	APPLICATION SILVER DIAMINE FLUORIDE 38% PHYS/QHP
Long Descr	Application of silver diamine fluoride 38%, by a physician or other qualified health care professional
Status Code	Non-Covered Service
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Non-Covered Service, not paid under OPPS
Berenson-Eggers TOS (BETOS)	none
MUE	1