Silver Diamine Fluoride (SDF): A Dental Game-Changer for Adults

What is SDF?

Silver diamine fluoride (SDF) is a dental solution that has been gaining popularity in recent years. It’s a clear liquid that contains silver, fluoride, and ammonia. SDF is primarily used to prevent cavities, especially in high-risk patients, such as those with:

• Dry mouth
• Poor oral hygiene
• Certain medical conditions
• A history of tooth decay

How does SDF work?

SDF works in two ways:

1. Antibacterial: The silver in SDF kills bacteria that cause cavities. It can stop decay in its tracks, hardening the decay into what’s called secondary dentin.
2. Fluoride: The fluoride helps strengthen tooth enamel, making it more resistant to decay.

Why is SDF used for adults?

While SDF is often used in children to prevent early childhood caries, it’s also proving to be a valuable tool for adults. Here are some reasons why:

• Root Caries: As we age, our gums recede, exposing the root surfaces of our teeth. These roots are more susceptible to decay. This decay can be arrested without drilling with an application of SDF.
• Dry Mouth: People with dry mouth have a higher risk of cavities because saliva helps protect teeth from decay. SDF can be a helpful adjunct to treatment for dry mouth.
• Dental Sensitivity: SDF can help reduce dental sensitivity, especially in people with exposed root surfaces.
• Convenience: SDF is a minimally invasive treatment that requires no anesthesia or drilling. It can be applied in a single visit to the dentist.

What are the benefits of SDF?

• Effective: SDF is highly effective at arresting cavities, especially in high-risk patients.
• Minimally invasive: SDF requires no drilling or anesthesia.
• Quick: SDF can be applied in a single visit to the dentist.
• Affordable: SDF is generally a more affordable option than traditional fillings.

Are there any side effects?

SDF may cause black staining of the treated teeth. This staining is usually cosmetic and can sometimes be managed with whitening products.

Is SDF a replacement for regular dental care?

No, SDF is not a replacement for regular dental care. It should be used in conjunction with good oral hygiene practices, including brushing twice a day, flossing, and regular dental checkups. You may also be a candidate for a prescription high fluoride toothpaste or a product to alleviate dry mouth conditions.

If you’re at high risk for cavities or have dental sensitivity, talk to your dentist about whether SDF is right for you.

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Learn more here: https://www.sciencedirect.com/science/article/pii/S0300571220303092