Silver Diamine Fluoride

Is it Safe?
There have been no severe adverse events reported in Japan, Australia and Mexico, where it has been used for decades, and there are no reported health risks.

Common Side Effects?

• Tooth cavities will be stained black permanently. Healthy tooth structure will not be stained.
• Tooth-coloured fillings and crowns may discolour if SDF is applied to them.
• Accidental application on skin/ gums may leave a temporary harmless brown/white stain, which will resolve in 1-3 weeks.
• In rare cases, there may be a mild stinging sensation accompanying small red or white lesions, which will go away in 1-2days.
• The risk of tooth decay progression remains if there are no changes in high-risk habits.

Contraindications:
SDF should not be used if:

1. Your child is allergic to silver
2. There are ulcers in the mouth

What Other Treatment Options Do I Have?

• Depending on the location and extent of the tooth decay, other treatment includes filling or crown, extraction involving local or general anaesthesia
• If left untreated, cavities may lead to continued deterioration of dental condition. Symptoms may increase in severity overtime.