Silver Diamine Fluoride Application

• SDF is a liquid medication for tooth decay.
• SDF stops the cavity from growing by killing bacteria. We call this “arrested tooth decay”.
• Arrested tooth decay turns dark brown or black, right away or over time (see photos below).
• Healthy areas of teeth treated with SDF will not stain and will remain a natural tooth color.
• Like other fluorides, SDF also strengthens the tooth to prevent new decay and is used to treat tooth sensitivity.

• Teeth are dried and a small amount of SDF is brushed on areas of active tooth decay.
• Great care is taken to avoid SDF touching the gums, skin or clothing (to avoid staining.)
• When decay is treated, the dark color shows that the SDF is working.
• Early treatment can prevent more damage to the tooth.
• SDF may be a first-stage or long-term treatment.
• A filling or other treatment may still be recommended if the SDF treatment is done after a cavity has already damaged the tooth.
• After the initial SDF application, reapplication of SDF is recommended within 2-8 weeks for best results at stopping decay. For 6-12 months thereafter, a recommendation for reapplication may be advised.

• Very young children who cannot yet cooperate for dental care.
• Children with decayed baby teeth that will soon be lost.
• People whose treatment will be delayed or need to be completed over a long period of time.
• People with dry mouth from medications or chemotherapy.
• People for whom other dental treatments are too challenging or not possible.

• A silver allergy
• Painful sores or raw areas in the mouth
• Concerns about staining of the decayed teeth

Please ask your dental provider if you have any questions about SDF treatment.