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Silver Diamine Fluoride in Caries Management

By: www.ada.org A recent article in the New York Times highlighted use of silver diamine fluoride (SDF) as an alternative approach to treatment of cavities in children.1 The article highlighted that SDF was faster and cheaper than drilling and filling; and it mentioned the downside that when applied, SDF blackens the tooth. Silver diamine fluoride (SDF) is a colorless liquid that at pH 10 is 24.4% to 28.8% (weight/volume) silver and 5.0% to 5.9% fluoride.2 Just as 5% sodium fluoride varnish has FDA clearance as a Class II medical device for the treatment of tooth hypersensitivity, FDA classified SDF as a fluoride and cleared its use as a Class II medical device for the same indication. A number of products…