Silver Diamine Fluoride is composed of two primary components: silver and fluoride. Silver acts as an anti-microbial agent.
Fluoride strengthens the underlying protective layer of the teeth called dentin.
There are some risks associated with SDF, 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 if the patient has cosmetic concerns. SDF may discolor dental fillings and crowns.
– If SDF is applied to the skin or gums, a harmless temporary brown or white stain may appear on the area. The stain to the skin or gums 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. If an application is not successful, the tooth may require further dental treatment with a licensed dentist.
Some alternatives to SDF 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.
– Other options may include placement of fluoride varnish, a filling, crown, extraction or referral for advanced treatment with a dentist.