Silver Diamine Fluoride

Silver Diamine Fluoride is an antimicrobial treatment for infection that causes tooth decay and for the reduction in tooth sensitivity. Silver Diamine Fluoride has been used extensively in numerous countries around the globe for decades and is FDA approve for treating tooth sensitivity. In addition, Silver Diamine Fluoride is being used off label in the United States to arrest the spread of decay in teeth.

How does it work?
Silver Diamine Fluoride is a potent antimicrobial agent used to kill germs that cause cavities. The free silver ion from Silver Diamine Fluoride is absorbed into the bacterial cell and disrupts cellular metabolism which kills the bacteria. When applied to a tooth with a possible cavity, active caries lesions become inactive and the risk of future decay is reduced.

How do I know it’s working?
The ‘dark scar’ caused by the cavity is turned black by the Silver Diamine Fluoride. When this occurs, the dark surface becomes hard to gentle probing. This also reduces sensitivity to hot, cold and sweets. Most importantly, an arrested cavity does not grow in size. Data on this procedure suggests that when all active cavities become inactive, there is a reduced chance of new cavities developing.

Who will benefit from this treatment?
Everyone can benefit from the treatment of Silver Diamine Fluoride. Children can have a no needle/no drill treatment to save baby teeth for eating, speaking, smiling and keeping the space for permanent teeth. Adults can manage treatment over time, particularly when dealing with multiple areas of decay. Silver Diamine Fluoride slows or even stops decay from progressing, allowing patients the ability to manage appointment time and expense of future restorative work. It provides a stop gap method of care for frail seniors and physically or mentally challenged patients that can prevent expensive hospital visits while improving quality of life. This treatment can also help manage the side effects of dry mouth caused by medication.