Silver Diamine Fluoride

Silver Diamine Fluoride
Presented by
Diana Pham, Dental Hygiene Student
Kimberly Truong, Dental Hygiene
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
 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
Black staining
Components of Silver and
 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
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
University of Hong Kong, May 2004. Web. 12 Apr. 2014.

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