Silver diamine fluoride therapy for dental care

Area of Science:

• Dentistry
• Cariology
• Preventive Dentistry

Background:

• Silver diamine fluoride (SDF) was developed in Japan in the 1960s.
• SDF is a 38% solution containing silver and fluoride ions, known for its antimicrobial and remineralizing properties.

Purpose of the Study:

• To review the diverse applications and properties of Silver Diamine Fluoride (SDF).
• To highlight SDF's efficacy in managing dental caries and hypersensitivity.
• To discuss the safety profile and practical advantages of SDF therapy.

Main Methods:

• Review of existing literature on Silver Diamine Fluoride (SDF) applications.
• Analysis of SDF's chemical composition and mechanism of action.
• Evaluation of clinical outcomes, safety, and patient acceptance of SDF.

Main Results:

• SDF effectively controls early childhood caries, arrests root caries, and prevents fissure/secondary caries.
• It desensitizes hypersensitive teeth, remineralizes hypomineralized teeth, prevents dental erosion, and aids in caries detection.
• SDF arrests caries without adverse pulpal effects (except direct pulp exposure) and is well-accepted, though it stains lesions black.

Conclusions:

• Silver Diamine Fluoride (SDF) is a versatile, effective, and safe therapeutic agent for numerous dental conditions.
• Its inclusion in the WHO Essential Medicines List underscores its global importance.
• SDF offers a simple, non-invasive, and cost-effective treatment option, particularly valuable for caries management, even during pandemics.