Silver Diamine Fluoride: Transforming Community Dental Caries Program

Int Dent J. 2021 Dec;71(6):458-461. doi: 10.1016/j.identj.2020.12.017. Epub 2021 Feb 27.

Abstract

Introduction: Untreated dental caries is the most frequent childhood chronic disease worldwide. Silver diamine fluoride (SDF) offers a safe and effective alternative treatment, especially for children.

Objective: To inform the dental community about the efficacy of SDF in community dental caries programs and to advocate for its use as an affordable and equitable approach to promote health and well-being within the dental setting.

Methods: A summary of the literature shared during a webinar about the use and efficacy of SDF in community dental programs hosted by the Oral Health Working Group of the World Federation of Public Health Associations RESULTS: Based on the traditional "drill-and-fill" approach, the current treatment for severe caries is associated with pain, fear, and poor oral health outcomes in later life. Innovative approaches to prevent and control caries are needed. SDF offers an alternative treatment option for caries. It is a practical, affordable, and acceptable option for caries treatment, eliminating the need for general anaesthetic in young children, and improving long-term oral health outcomes.

Conclusion: SDF can improve oral health outcomes for community members, especially for individuals from low-socioeconomic settings.

Keywords: Community dentistry; Dental caries; Equity; Public health dentistry; Silver diamine fluoride (SDF).

Publication types

  • Review

MeSH terms

  • Cariostatic Agents / therapeutic use
  • Child
  • Child, Preschool
  • Dental Caries* / prevention & control
  • Fluorides, Topical / therapeutic use
  • Health Promotion
  • Humans
  • Quaternary Ammonium Compounds / therapeutic use
  • Silver Compounds

Substances

  • Cariostatic Agents
  • Fluorides, Topical
  • Quaternary Ammonium Compounds
  • Silver Compounds
  • silver diamine fluoride