New Rules Adopted on Application of SDF by Dental Hygienists

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On June 14, the Colorado Dental Board adopted new rules governing the application of silver diamine fluoride (SDF) by dental hygienists. Under these rules, which take effect Aug. 14, dental hygienists will be able to apply SDF when working in collaboration with a licensed dentist.

To qualify to apply SDF, a licensed dental hygienist must first complete at least a one-hour, live and interactive training course offered by a dental board-approved CE entity (CODA accredited, CERP, PACE or AMA Category 1) that addresses:

  • instruction on placement and techniques,
  • limitations, 
  • appropriate indications, 
  • diagnostic criteria and mechanism of action, and
  • protocols for sensitivities, complications or unsuccessful completion.

The dental hygienist must enter into a collaborative agreement with a dentist that describes the protocols for application, any restrictions or limitations, and follow-up and referral mechanisms. The dental hygienist must be covered by professional liability insurance. Documentation and disclosure requirements also apply. View the full board-adopted SDF rule on the Colorado Dental Board’s website when it releases it Aug. 14.