Silver diamine fluoride (SDF) is an antibiotic liquid used to stop or slow down tooth decay. The FDA approved SDF for use in the USA in August, 2014. Studies show SDF is most effective when applied two times per year. SDF does not restore the teeth to normal function and esthetics. Future fillings and/or crowns will be needed to repair the teeth and will incur a separate fee.

The Procedure: The teeth are dried. SDF is applied to teeth with visible cavities and allowed to dry. The teeth and mouth are wiped after.

Benefits: SDF helps stop tooth decay. Application is fast and simple, with no numbing.

Risks related to SDF:

  1. SDF will stain active decay black permanently. This is an indication that the decay in the tooth is arresting. Stained tooth structure can be
    replaced with a filling or a crown.
  2. When SDF comes in contact with skin and/or gums, temporary, harmless, discoloration (white or brown) will occur (lasts up to 3 weeks).
  3. SDF can cause staining of tooth colored restorations.
  4. SDF can cause permanent staining on demineralized areas of the teeth (white spot lesions).

SDF between the teeth:

SDF on chewing surfaces:

These side effects may not include all of the side effects reported by the drug’s manufacturer. If you notice other effects not listed above, please
contact us.

Contraindications:

  1. Silver allergy
  2. Sores in mouth (stomatitis).

Alternatives:

  • No treatment (Risks include progression of decay with resultant possible pain, infection, early loss of teeth).
  • Depending on the location and extent of the tooth decay as well as the level of behavior and cooperation, other treatment may include placement of fluoride varnish, a filling or crown, extraction, with or without sedation.

CONSENT: I hereby acknowledge that I have read and understand this consent and the meaning of its contents. All questions have been answered in a satisfactory manner. I hereby give consent to Silver Diamine Fluoride (SDF) treatment.