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Review
. 2019 Jan;63(1):45-68.
doi: 10.1016/j.cden.2018.08.011.

Evidence-Based Dentistry Update on Silver Diamine Fluoride

Yasmi O Crystal  1 , Richard Niederman  2
Affiliations
Review

Evidence-Based Dentistry Update on Silver Diamine Fluoride

Yasmi O Crystal et al. Dent Clin North Am. 2019 Jan.

Abstract

This article reviews current evidence on the effectiveness of silver diamine fluoride (SDF) as a caries arresting and preventive agent. It provides clinical recommendations around SDF's appropriate use as part of a comprehensive caries management program. Systematic reviews confirm that SDF is effective for caries arrest on cavitated lesions in primary teeth and root caries in the elderly. It may also prevent new lesions. Application is easy, noninvasive, affordable, and safe. Although it stains the lesions dark as it arrests them, it provides clinicians with an additional tool for caries management when esthetics are not a primary concern.

Keywords: Caries arrest; Caries management; Dental caries; Pediatric dentistry; Silver diamine fluoride.

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Figures

Fig. 1.
Fig. 1.
(A) Enamel and dentin caries lesions in primary anterior teeth. (B) Same lesions showing staining after SDF treatment.
Fig. 2.
Fig. 2.
(A) Caries lesions on enamel and dentin on young primary teeth. (B) Same lesions showing staining after SDF treatment.
Fig. 3.
Fig. 3.
Stained arrested caries lesions on primary anterior teeth.
Fig. 4.
Fig. 4.
Staining on non-cavitated and partially-cavitated enamel lesions.
Fig. 5.
Fig. 5.
Large lesion with cellulitis.
Fig. 6.
Fig. 6.
Posterior arrest.
Fig. 7.
Fig. 7.
Posterior partial arrest.
Fig. 8.
Fig. 8.
Silver diamine fluoride application.
See this image and copyright information in PMC

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