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Silver Diamine Fluoride

Key Points 

  • There has been strong research interest in the use of silver diamine fluoride (SDF) to arrest caries lesions, which is an off-label use. SDF currently has FDA clearance for treating tooth sensitivity.
  • The potential benefits of SDF treatment for caries arrest include its low cost and ease of application.
  • One common adverse effect of SDF treatment is permanent black staining of the arrested caries lesions.
  • Biannual applications of SDF are recommended for sustained benefit.