Silver Diamine Fluoride

SILVER DIAMINE FLUORIDE TREATMENT IN SAN FRANCISCO

Silver Diamine Fluoride (SDF) is an antimicrobial liquid that provides a non-invasive, quick, affordable, and painless way to treat cavities. It offers an alternative treatment option for patients with active tooth decay. FDA cleared in August 2014, SDF became commercially available to dental professionals as Advantage Arrest by Elevate Oral Care in April 2015. Unlike traditional fillings, which involve local anesthesia and drilling, SDF is non-invasive and more comfortable for the patient. The liquid is simply brushed onto the cavity to halt existing decay and help prevent future decay. This treatment is especially beneficial for young, fearful, or pre-cooperative children, special needs patients, and those with medical conditions who may otherwise need sedation for conventional dental procedures such as fillings or crowns.

Pros: SDF is quick, painless, non-invasive, affordable, and highly effective at stopping tooth decay and preventing recurrent decay. It has very low toxicity.

Cons: SDF causes permanent black staining on cavities, and it does not restore tooth form or function. Large cavities that trap food may still require a SMART filling or traditional restoration. To achieve maximum effectiveness, repeat applications are necessary. SDF is not suitable for use when there is an infection or decay extending into the nerve of the tooth.