• Facts for Consideration:
    • Silver diamine fluoride (SDF) is an antibiotic liquid. We use SDF on cavities to help stop tooth decay. We also use it to treat tooth sensitivity. SDF application every 6 to 12 months if necessary.
    • The procedure: Dry the affected area.  2. Place a small amount of SDF on the affected area.  3. Allow SDF to dry for a minute.  4. Rinse.
    • 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:
    1. I am allergic to silver.
    2. There are painful sores or raw areas on my gums (I.e., ulcerative gingivitis) or anywhere in my mouth (ie., stomatitis). 
    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 crown.
    • Tooth-colored fillings and crowns may discolor if SDF is applied to them. Color changes on the surface can normally be polished off. The edge between a tooth and filling may keep the color.
    • If accidentally applied to the skin or gums, a brown or white stain may appear that causes no harm, cannot be washed off and will disappear in one to three 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 with require further treatment, such as repeat 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.
    • 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 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.