Silver Diamine Fluoride 38%, also referred to as SDF, is a liquid solution that consists of silver, water, fluoride, and ammonia. It is a topical dental medication that is approved by the Food and Drug Administration and it works as a remineralizing agent, antibacterial agent, and tooth desensitizing agent. It can be an excellent option to slow the progression of cavities in order to delay and sometimes even avoid the need for traditional restorative treatment. Silver Diamine Fluoride is easily applied with a small brush making it a good option for anxious or the littlest of patients.
Benefits of Silver Diamine Fluoride
- Noninvasive, quick, and painless
- Antimicrobial effects
- Slows and sometimes even stops cavity growth
- Reduces risk of cavities spreading
- Decreases tooth sensitivity
Adverse Effects of Silver Diamine Fluoride
Due to the liquid form of silver in SDF, it will permanently stain demineralized enamel and cavities. Healthy tooth structures will not stain. Additionally, contact with skin or gums may result in a temporary stain.
What To Expect After Silver Diamine Fluoride Treatment
SDF is most effective when it is applied at least twice and combined with excellent home preventive techniques including oral hygiene and dietary habits. Often a sealant or restoration can be placed over the treated site. The Silver Diamine Fluoride treated teeth will be reevaluated at regular exam appointments and may require monitoring with radiographs. Initial SDF treatment is often not a permanent solution and additional Silver Diamine Fluoride applications or traditional restorative treatment will be required.