Silver Diammine Fluoride (prevents decay)

Silver diammine fluoride(SDF) is a topical medicament used to treat and prevent dental decay and relieve dentinal hypersensitivity (Wikipedia).

SDF is an inexpensive, non-invasive medicament that is applied topically. It is 38% SDF, a silver fluoride salt made soluble in water through the addition of ammonia. SDF received Food and Drug Administration approval in 2014 as a device for treating dental hypersensitivity.

To date, no toxic adverse events have been reported (Horst JA, et al. J Calif Dent Assoc. 2016;44:16-28).

SDF has been used internationally for decades to arrest dental decay in primary and permanent teeth. As reported in a recently published meta-analysis, two-thirds of all dentinal decayed lesions studied (those that had progressed into the dentin) were found to be arrested after treatment with SDF (Gao SS, et al. BMC Oral Health. 2016;16:12).

When teeth with arrested dental decay are not subsequently restored with dental fillings or full coverage crowns, studies show it is advisable to reapply SDF every six months (Sharma G, et al. J Clin Diagn Res. 2015;9:ZE08-ZE11).

SDF will permanently stain the decay black and hence not used extensively on the front teeth.It will not stain healthy tooth structure.

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