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John Frachella, DMD is a pediatric dentist in Oregon and Maine with 45 years experience in the delivery of dental services in public and private settings.

For the first 32 years of his career he was the dental director of a free clinic for indigent children in Bangor, Maine and for ten years served as the director of federal clinics in Wheeler County, Oregon.

He also worked in private practices across the country, for a decade was on staff at OHSU Dental School and lectures for NYU Lutheran Medical College dental residency programs.

Dr. Frachella is a national leader in the use of SDF and how SDF impacts widespread dental public health programs, dental schools and clinical practices. He presents new options in the management of caries lesions, especially in certain instances and populations. 

Over the past decade, Dr. Frachella has been using silver solutions in combination with glass-ionomer technology to arrest caries while simultaneously addressing destructive dental cavitation (called Silver Modified Atraumatic Restorative Technique - SMART).

Dr. Frachella sees the minimally invasive medical management of caries as a new, historically proven, highly preventive standard of care for the treatment of worldwide populations of children and special needs adults who desperately need dental services the most.

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An overview of the most current & effective medical protocols for dental disease management. Explains bioactive methods, materials & strategies for caries arrest and prevention that are medical vs. surgical.
Why antimicrobial, re-mineralizing and desensitizing medicines are not “alternative” or of a lower standard than treating disease symptoms.
Considers medical measures as initial treatments of choice as being in the best interest of patients in diverse socioeconomic populations.
When & why to best employ medical measures for dental disease management before using surgery, sedation or general anesthesia.

SMART+GIC Sealants
Dr. John Frachella

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