The Truth about Silver Diamine Fluoride

Silver Diamine Fluoride is a treatment medication to slow down the progression of tooth decay and reduce the sensitivity of decayed teeth.  It is frequently recommended for young children who have difficulty tolerating and accepting routine dental treatment that requires local anesthetic (shots and needles) to perform the procedure.  It is safe, effective,  and non invasive.   It has actually been used for many years in areas of the world where there is limited access to dental care.

With the rapid increase in tooth decay in very young  children in America recently,  it's usage has returned as a method to avoid and delay complicated dental treatment.  It is also of recommended for use in patients with Autism, Down's Syndrome,  and other special needs.   

It is primarily used for posterior teeth (in the back of the month) , since it does stain the tooth to a black color.   This straining is acceptable to most patients.   It also has a "bitter " taste which is unpleasant but not harmful to the patient.   SDF is most effective when the patient is willing to IMPROVE their oral hygiene habits at home and DECREASE the amount of sugar that they consume.  In young children the tooth may eventually need to be be restored with a crown or filling when the child is old enough to cooperate for routine fillings in the dental office. 

Ultimately,  the best results are achieved when the child and parent change their previous behavior and improve their diet and oral hygiene habits at home DAILY.   

I hope that this truthful and accurate information is helpful to you and your family.   

Yours for better oral health,   
Dr Steve Branam.