Silver Diamine Fluoride Presented by Diana Pham, Dental Hygiene Student Kimberly Truong, Dental Hygiene Student Lamar Institute of Technology Dental Hygiene Program Silver Diamine Fluoride “The Silver Bullet” Importance to the Hygienist 2 components: Silver and Fluoride Application: brush on, or dab with cotton swab Cost? Development of Silver Diamine Fluoride Origin: 1960’s in Japan Central Pharmaceutical Council of the Ministry of Health and Welfare Main Purpose of SDF * To arrest and slow the rate of caries progression Mode of Action of SDF Inhibits demineralization of tooth enamel Promotes remineralization of tooth mineral, hydroxyapatite (HA) As a result, successfully fights caries Silver Diamine Fluoride Application Disadvantage Black staining Components of Silver and Fluoride Fluorosis Advantages Inexpensive Easy to apply Non-invasive Requires minimal training Slows and halts disease progression Clinical Studies Sodium Fluoride vs. Silver Diamine Fluoride Studies show SDF is more effective at arresting caries while just as effective in preventing dental decay Typical Findings Future of ‘The Silver Bullet’ FDA Approved in the U.S. More common in private practice Long-term study and experiments Access to disadvantaged populations Questions? References Chen, Alice, BSc, Mary Cho, BSc, Sari Kichler, BSc, MSc, Jeffrey Lam, BSc, MSc, Anum Liaque, BSc, and Sobia Sultan, BSsc, MSc. "Silver Diamine Fluoride: An Alternative to Topical Fluorides." Clinical Review 20.10 (2012): 1-14. Web. 12 Apr. 2014. Mei, May L., Quan-li Li, Chun-Hung Chu, Edward C. Lo, and Lakshman P. Samaranayake. "Antibacterial Effects of Silver Diamine Fluoride on Multi-species Cariogenic Biofilm on Caries." Annals of Clinical Microbiology and Antimicrobials 12.4 (2013): 1-7. Web. 12 Apr. 2014. Tan, H. P., E.C M. Lo, J. E. Dyson, Y. Luo, and E. F. Corbet. "Chlorhexidine Varnish, Sodium Fluoride Varnish, and Silver Diamine Fluoride Solution Can Prevent the Development of New Root Caries in Elders Living in Senior Homes in Hong Kong." J Evid Base Dental Practice 89.10 (2010): 1086+. SagePub. Journal of Dental Research, 29 July 2010. Web. 12 Apr. 2014. Fung, Marcus HT, May CM Wong, Edward CM Lo, and CH Chu. "Arresting Early Childhood Caries with Silver Diamine Fluoride-A Literature Review." Journal Of Oral Hygiene & Health 1.3 (2013): 1-5. EScience Central. Journal of Oral Hygiene & Health, 24 Dec. 2013. Web. 12 Apr. 2014. Chu, Chun-Hung, Angeline HC Lee, Liwu Zheng, May L. Mei, and Godfrey CF Chan. "Arresting Rampant Dental Caries with Silver Diamine Fluoride in a Young Teenager Suffering from Chronic Oral Graft versus Host Disease Post-bone Marrow Transplantation: A Case Report." BioMed Research Notes 7.3 (2014): 1-14. 3 Jan. 2014. Web. 12 Apr. 2014. Hung, CHU C., BDS, MDS, PDipDS. "Effectiveness of Silver Diamine Fluoride and Sodium Fluoride Varnish in Arresting Dentine Caries." Thesis. University of Hong Kong, 2004. Effectiveness of Silver Diamine Fluoride and Sodium Fluoride Varnish in Arresting Dentine Caries. University of Hong Kong, May 2004. Web. 12 Apr. 2014.