Silver Diamine Fluoride in Wheat Ridge
What is silver diamine fluoride?
It is a topical medicament that has been used extensively to treat dental caries in other countries, and now in the US. The silver acts as antimicrobial, and the fluoride promotes remineralization.
How is silver diamine fluoride used in your office?
SDF’s main efficacy is to arrest cavities (stop the cavities from growing), as well as provide the benefit of remineralization (hardening the soft areas) . Our office has three main uses for SDF: first, for those children who are not quite ready to do work in the chair. SDF gives us more time until the child is emotionally prepared to fix the cavities. Secondly, we provide it for highly anxious children and older children who have incipient decay (early, small cavities), we use SDF as a remineralization medication to prevent further decay.
What are the drawbacks of SDF?
- The main drawback is when the medicament is applied in the area of active caries, the areas will turn black; this can be easily removed when it is time to do the filling.
- Few patients can experience a metallic or bitter taste, but this should only be a short duration after placement.
- Lastly, it can cause a “temporary tattoo” on the gum where the SDF is placed. The stain will resolve with natural exfoliation of the skin in 2 to 14 days.
What are the contraindications for SDF?
It is contraindicated for patients who have an allergy to silver. Secondly, for patients with 6 or more cavities or numerous incipient decay.
Written By: Dr. Ngo