Use of silver diamine fluoride in dentistry

Abstract

Silver diamine fluoride (SDF) is an alternative to traditional surgical and restorative treatment approaches in caries management. Although it stains teeth and has a metallic taste, SDF is a noninvasive, simple and affordable dental treatment which improves children’s oral health, increases their access to care, controls pain and infection, and requires minimal personnel time and training. It is also recommended for uncooperative child patients. SDF can be applied with a simple applicator or microbrush without the need of complicated equipment or instruments. Studies have shown that SDF’s triple mechanism of action against bacteria and augmentation of the mineral and organic content of dental hard tissues results in a reduction in tooth tissue solubility against chemical acid challenge and facilitates tissue remineralisation. This may be the reason for SDF’s effectiveness in preventing and arresting caries. SDF may become a safe and efficient caries control agent which can fulfil the World Health Organization’s Millennium Goals and the US Institute of Medicine’s criteria for 21st-century medical care. Further studies have investigated its effectiveness in endodontic and hypersensitivity treatment.