Treat Dental Decay Without Drilling or Needles-Silver Diamine Fluoride Now Available

treat cavities painlessly

You or your child have a cavity. What are the treatments options? Are you aware that drilling and filling is not the only option. This treatment is now available at Embrace Dental Hygiene. Would you like to know if you or your child is a candidate for Silver Diamine Fluoride (SDF)? Call 519-736-1100 to set up a Free consultation.

The California Dental Association reports that various “clinical studies unanimously confirm better caries arrest and/or prevention by silver diamine fluoride over control or other materials”.

Nearly ¼ of preschoolers in America have tooth decay. But many parents have no idea what they can do to lower their child’s risk. Catherine Saint Louis is talking with Dr. Eyal Simchi about preventing cavities in children and a new, cheaper, and pain-free alternative to drilling and filling called silver diamine fluoride.

Posted by The New York Times – Science on Monday, June 20, 2016

What is Silver Diamine Fluoride?

Silver Diamine Fluoride is an FDA-approved antibiotic liquid clinically applied to control active dental caries and prevent further progression of disease. This alternative treatment allows us to stop decay with noninvasive methods, particularly with young children that have baby teeth.

Treatment with Silver Diamine Flouride will not eliminate the need for restorative dentistry to repair function or aesthetics, but has been effective at prevention of further decay.

I know what you are thinking. Fluoride. The F word. Fluoride is very misunderstood. Used topically it can be a safe method of strengthening and protecting teeth and children. Oral disease is preventable. But if the disease or decay is already existing. It needs treatment. This procedure can prevent the need for a SURGICAL intervention. No needles, no drills and no surgery.

How does Silver Diamine Fluoride work?

Silver Diamine Fluoride is composed of two primary components: silver and fluoride. Silver acts as an anti-microbial agent that simultaneously strengthens the underlying protective layer of your teeth called dentin. Fluoride is the active ingredient that puts a stop to tooth decay and helps prevent additional decay from appearing.

During your child’s visit, your dental hygienist will brush and rinse their teeth without paste to prepare for the treatment. Your child’s teeth will then be dried and any debris, such as plaque, will be removed. SDF is applied to the affected teeth with a microbrush and the solution is allowed to cure on the tooth for two minutes. Once the tooth has been treated, we advise patients not to eat or drink or at least an hour to allow it to cure.

When is Silver Diamine Fluoride recommended?

There are several situations in which it may be recommend. Those include, but are not limited to the following:

To prevent progression of small cavities.
Children who may have excessive decay (severe early childhood caries)
Young children who have difficulty cooperating for treatment
Special needs patients
Children with carious lesions that may not all be treated in one visit

What are the benefits?

  • Non-invasive
  • Painless
  • Quick treatment time
  • Effective cavity prevention
  • Can stop tooth decay
  • Relieves tooth sensitivity
  • Inexpensive

Are there risks associated with Silver Diamine Fluoride?

There are some risks associated with it, which include, but are not limited to the following:

  • Any decayed areas will stain black. Healthy tooth structure will not stain. Stained tooth structures can be replaced with a filling or crown. SDF may discolor dental fillings and crowns.
  • If Silver Diamine Flouride is applied to skin or gums, a harmless temporary brown or white stain may appear on the area. The stain will disappear in one to three weeks. It cannot be washed off.
  • The patient may notice a metallic taste after an application. This will go away rapidly.
  • Every reasonable effort will be made to ensure the success of the treatment. There is a risk that the procedure will not stop the decay, and no guarantee of success is granted or implied. If the tooth decay is not arrested, the decay will progress. In that case the tooth will require further dental treatment such as further Silver Diamine Fluoride application, dental fillings, root canal therapy, or extraction.

These side effects may not include all of the possible situations reported by the manufacturer.

You should not be treated with Silver Diamine Fluoride if:

  • You are allergic to silver
  • There are painful sores or raw areas on your gums (i.e. ulcerative gingivitis) or anywhere in your mouth (i.e. stomatitis)

What are the alternatives?

Some alternatives include, but are not limited to:

  • No treatment, which may lead to an increase in symptom severity as well as a worsening of the tooth structures and cosmetic appearance.
  • Depending on the extent and location of the tooth decay, other options may include placement of fluoride varnish, a filling, crown, extraction or referral for advanced treatment modalities such as a surgery center.

Silver Diamine Fluoride is a safe, effective children’s fluoride treatment that can help your child maintain a healthy smile for life.

Call today 519-736-1100 to set up a Free consultation. Email with questions.


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