Silver Diamine Fluoride

We are pleased to be one of the few dental office in our area to offer a revolutionary treatment option for the management of tooth decay. In 2015 Elevate Oral Care launched Advantage Arrest Silver Diamine Fluoride in the United States. Elevate Oral Care is the exclusive distributor of Advantage Arrest, which was recently approved by the U.S. Food and Drug Administration.  Researchers have long touted SDF as a “silver bullet” for treating tooth decay due to it’s ability to both stop and prevent future tooth decay.


Silver Diamine Fluoride (SDF) is a clinically applied treatment that controls active dental decay and aids in preventing further progression of the disease. SDF has a dual mechanism of action resulting from the combination of its ingredients.  The silver component acts as an anti-microbial agent killing bacteria and preventing the growth of new bacteria, while the fluoride acts to prevent further mineral loss of tooth structure. Application of SDF is simple and noninvasive. Initially, the teeth are cleaned and rinsed. The decayed teeth are then isolated, kept dry, and all excess debris removed. A small brush is dipped in a drop of SDF and placed on the cavity for two minutes. Then, excess SDF is removed and patients are instructed to not eat or drink for one hour. The only reported side effect has been staining of the tooth at the site of SDF application.


The application of SDF is a low cost and effective measure that prevents dental decay initiation and arrests disease progression in both baby and adult teeth. SDF may have an enormous impact on pediatric dentists in the future. Historically, the only option to treat dental decay on a pre-cooperative child was general anesthesia. However, with the availability of SDF we can now treat the bacteria causing the decay, stop a cavity from getting bigger and even postpone invasive treatment until the child can cooperate and have the cavity restored. 

You can read more about Silver Diamine Fluoride in an article published in the NY Times by following the link below:

New York Times - Silver Diamine Fluoride 


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