Clinical Instructions for Using Silver Diamine Fluoride (SDF) in Dental Caries Management

Area of Science:

• Dentistry
• Cariology
• Preventive Dentistry

Background:

• Manufacturer instructions for 38% silver diamine fluoride (SDF) are limited to FDA clearance for tooth desensitization.
• There is a need for evidence-based guidance on the off-label use of SDF for caries prevention and arrest.

Purpose of the Study:

• To provide best-practice recommendations for the off-label use of 38% SDF for dental caries prevention and arrest.
• To establish a practical approach for SDF application in clinical settings.

Main Methods:

• Review of existing clinical approaches for 38% SDF use in caries prevention and arrest.
• Consideration of the best available scientific evidence and expert clinical observation.
• Development of a decision-flow diagram for SDF treatment based on clinical factors.

Main Results:

• 38% SDF is supported by scientific literature for preventing and arresting caries lesions.
• SDF demonstrates compatibility with common restorative materials like glass-ionomer cement and resin composite.
• A practical decision-flow diagram and best practices were developed for caries lesion treatment.

Conclusions:

• A logical, evidence-based approach exists for the practical use of 38% SDF in caries prevention and arrest.
• SDF is a valuable tool for dental practitioners in managing caries, applicable with or without subsequent restoration.