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Abstract

Background: This study aimed to evaluate the impact of oral health problems on oral health-related quality of life (OHRQoL) and assess the effectiveness of the application of 38% silver diamine fluoride (SDF) solution in arresting dental surface caries among the older adults.

Methods: This study assessed the oral impact on daily performance (OIDP) scores and evaluated the percentage of arrested caries and patient satisfaction levels before and after receiving SDF treatment among older, community-dwelling adults attending the Diabetes Mellitus Clinic under the care of Bangkok Public Health Center 5.

Results: In total, 42.9% of 49 participants encountered a minimum of one instance of oral discomfort due to significant hypersensitivity and periodontal disease. The OHRQoL exhibited no alteration during the average 15-months of follow-up, staying at 53.6%. The results also show the remarkably high and stable rates of caries arrest (91.7%) after the application of 38% SDF without adverse effects.

Conclusion: Due to the existence of oral health problem and negative health impacts, healthcare providers should focus on identifying vulnerable populations and providing targeted interventions to improve oral health outcomes in these groups. Considering the caries arrest outcomes and adverse effects of SDF, health professionals should consider promoting the use of SDF as a non-invasive and effective treatment option, especially for older adults with carious lesions.

Keywords: Community-dwelling, Diabetes mellitus clinic, Older adults, Oral health-related quality of life, Silver diamine fluoride

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