In Home Decay Management Alternatives

What is Silver Diamine Fluoride Treatment (SDF)?

Silver Diamine Fluoride is a convenient treatment that can be delivered “In Home” and is used to treat accessible areas of active decay and decalcification (beginning decay). Other uses can include decreasing tooth sensitivity. Re-application of SDF is suggested every 6-12 months, or as necessary.

Treatment with SDF does not eliminate the need for dental fillings or crowns to repair function or esthetics. Additional procedures will incur a separate fee.

I should not be treated with SDF if:

  • I am allergic to silver
  • There are painful sores or raw areas on my gums (i.e., ulcerative gingivitis)

Benefits of receiving SDF:

  • SDF can help stop tooth decay.
  • SDF can help relieve sensitivity.

Risks related to SDF include, but are not limited to:

The affected area will stain black permanently. Healthy tooth structure will not stain. Stained tooth structure can be replaced with a filling or a crown.

  • Tooth-colored fillings and crowns may also discolor if SDF is applied to them. Normally this color change is temporary and can be polished off.
  • If accidentally applied to the skin or gums, a brown stain may appear that causes no harm, cannot be washed off, and will disappear in 1-3 weeks.
  • You may notice a metallic taste. This will go away rapidly.
  • If tooth decay is not arrested, the decay will progress. In that case the tooth will require further treatment, such as repeating SDF, a filling or crown, root canal treatment, or extraction.
  • These side effects may not include all of the possible situations reported by the manufacturer. If you notice other effects, please contact your dental provider.

Alternatives to SDF, not limited to the following:

  • No treatment, which may lead to continued deterioration of tooth structures and cosmetic appearance. Symptoms may increase in severity.
  • Depending on the location and extent of the tooth decay, other treatment may include placement of fluoride varnish, a filling or crown, extraction, or referral for advanced treatment modalities.

Please consult with your oral health care provider with any additional questions.