Silver Diamine Fluoride (SDF) is a liquid used on cavities to help stop tooth decay. In some cases, where dentists used to do regular dental fillings, it is now possible to use a non-traumatic, less invasive treatment to stop the caries process. It can also help relieve sensitivity.
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.
SDF should not be used if the patient has an allergy to silver or open sores or wounds.
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 days.
• You may notice a metallic taste. This will go away rapidly.
• Every reasonable effort will be made to ensure the success of SDF treatment. There is a risk that the procedure will not stop the decay and no guarantee of success is granted or implied.
Alternatives to SDF, not limited to the following:
• No treatment, which may lead to continued deterioration of tooth structures, growth of the cavity, and pain. 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.
