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.
Silver diamine fluoride, also known as Silver diamine fluoride in most of the dental literature, is a topical medication used to treat and prevent dental caries and relieve dentinal hypersensitivity.
Based on the current, best available evidence, SDF can be used by licensed dental professionals. In the UK, this is classified as 'off-label' use of a topical medicament for arresting caries as it is licensed for the treatment of dentine hypersensitivity. It is supported by a robust, extensive evidence base with regard to its efficacy and can be used as long as the following criteria are realised: there is a body of evidence supporting its efficacy; and there is no alternative, licensed medicine.
A study was conducted by a group of researchers to inform the dental community about the efficacy of silver diamine fluoride (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.
A summary of the literature shared during a webinar about the use and efficacy of silver diamine fluoride (SDF) in community dental programs hosted by the Oral Health Working Group of the World Federation of Public Health Associations
The results of the study are:
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. Silver diamine fluoride (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.
Thus, Silver diamine fluoride (SDF) can improve oral health outcomes for community members, especially for individuals from low-socioeconomic settings.
Reference:
Silver Diamine Fluoride: Transforming Community Dental Caries Program by Gemma Bridge et al published in the International Dental Journal.
https://www.sciencedirect.com/science/article/pii/S0020653920365485