Global Oral Health Policies and Guidelines: Using Silver Diamine Fluoride for Caries Control

Area of Science:

• Dentistry
• Public Health
• Materials Science

Background:

• Silver diamine fluoride (SDF) is an antibacterial and remineralizing agent developed in Japan.
• It has been utilized globally for decades in managing dental caries.

Purpose of the Study:

• To summarize and discuss global policies and guidelines for SDF use in caries management.
• To review the availability, pricing, and training related to SDF worldwide.

Main Methods:

• Literature review of global policies, guidelines, and research on SDF.
• Analysis of SDF availability and manufacturer information.
• Examination of educational curricula and ongoing public health programs involving SDF.

Main Results:

• SDF is approved for caries management in most countries, except mainland China.
• Manufacturers exist in Australia, Brazil, India, Japan, and the US, offering various concentrations and prices.
• Guidelines for clinical use are established by various dental organizations, and training is common in dental education.

Conclusions:

• SDF is a valuable, simple, non-invasive, and cost-effective strategy for caries management, especially for children, the elderly, and special needs patients.
• Its non-aerosol producing nature makes it suitable for infection control, particularly during the COVID-19 pandemic.
• Further research is needed to understand the extent of SDF utilization by dentists, particularly in private practice.