Category: EPA-4

EPA 4C: Silver Diamine Fluoride

Silver Diamine Fluoride
Meets Expectations of the Graduate
Progressing
Below Expectations
Critical Error
ISOLATION AND TISSUE MANAGEMENT

Excellent tissue management/retraction with moisture control

Tooth/teeth properly dried in all quadrants

Good tissue management/retraction

Tooth/teeth not properly dried in one quadrant

Saliva contamination/inadequate moisture control

Teeth were not dried on 2+ quadrants

Tissues were not isolated/teeth not dried, or poor moisture control resulting in fluoride ingestion and contamination
APPLICATION Proper technique (amount and placement) and fluoride remaining on teeth Proper technique (amount and placement) and majority of fluoride remaining on tissue Inappropriate technique (amount and placement) fluoride on soft tissue not teeth Fluoride was not applied during the appointment or placement not targeted to teeth in 3–4 quadrants, fluoride on soft tissue not teeth
COMMUNICATION (POST-OP INSTRUCTIONS) Provides evidence-based information to the patient appropriate for the fluoride type Lacks minor element in discussing instructions Lacks major elements in discussing instructions, not individualized Fails to provide post-op instructions to patient/caregiver, or inaccurate information that may result in harm