References

Timms L, Sumner S, Deery C, Rogers H. Everyone else is using it, so why isn't the UK? Silver diamine fluoride for children and young people. Community Dent Health. 2020; 37:143-149
Seifo N, Robertson M, MacLean J, Blain K, Grosse S, Milne R, Seeballuck C, Innes N. The use of silver diamine fluoride (SDF) in dental practice. Br Dent J. 2020; 228:75-81
Seifo N, Cassie H, Radford JR, Innes NPT. Silver diamine fluoride for managing carious lesions: an umbrella review. BMC Oral Health. 2019; 19
Crystal YO. Silver diamine fluoride (SDF): its role in caries management. Dent Update. 2019; 46:1016-1022
NHS England: Office of the Chief Dental Officer. Novel Coronavirus-2019. Standard Operating Procedure. 2020. https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/06/C0575-dental-transition-to-recovery-SOP-4June.pdf
Royal College of Surgeons of England. Faculty of Dental Surgery. 2020. https://www.rcseng.ac.uk/dental-faculties/fds/coronavirus/
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British Society of Paediatric Dentistry. Patient Information Leaflet for the Application of Silver Diamine Fluoride. 2020. https://www.bspd.co.uk/Portals/0/BSPD_SDF%20patient%20leaflet_For%20printing.pdf
British Society of Paediatric Dentistry. 2020. https://www.bspd.co.uk/Portals/0/Consent%20Form%20final.pdf
Chibinski AC, Wambier LM, Feltrin J, Loguercio AD, Wambier DS, Reis A. Silver Diamine Fluoride has efficacy in controlling caries progression in primary teeth: a systematic review and meta-analysis. Caries Res. 2017; 51:527-541
Zaitoun H, Kandiah P, Yesudian G, Rodd HD. COVID-19: implications for paediatric dental general anaesthetic services. Fac Dent J. 2020; 11:114-119
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COVID-2019 – Time to Use Silver Diamine Fluoride for Caries Arrest in General Dental Practice?

From Volume 47, Issue 8, September 2020 | Pages 662-668

Authors

Laura Timms

BDS, MFDS (RCS Eng), PGCert DPH, MSc Clinical Research, MPaed Dent (RCS Eng)

Paediatric Dentistry, Charles Clifford Dental Hospital, Wellesley Road, Sheffield S10 2SZ

Articles by Laura Timms

Chris Deery

BDS, MSc, FDS RCS Ed, PhD, FDS (Paed Dent), RCS Ed, FDS RCS Eng, FHEA

Professor/Honorary Consultant in Paediatric Dentistry, School of Clinical Dentistry, University of Sheffield

Articles by Chris Deery

Claire Stevens

BDS (Bristol), MFDS RCS Ed, M Paed Dent, RCPS, MPhil (Newcastle), FDS (Paed Dent), Ed

Consultant in Paediatric Dentistry, Department of Child Dental Health, University Dental Hospital of Manchester, Manchester, UK

Articles by Claire Stevens

Helen Rodd

MBE, BDS (Hons), FDS RCS Eng (Paed), PhD

Professor in Paediatric Dentistry, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 2TA, UK

Articles by Helen Rodd

Abstract

Silver diamine fluoride (SDF) is applied topically to arrest caries and has an increasing evidence base to support its efficacy, both in the primary dentition and to arrest root caries in older patients. It can be used as a non-aerosol generating procedure and is a simple technique. It has a side-effect of discolouring caries black, a factor which requires discussion with patients and their carers prior to application. Due to its efficacy and simplicity, it is a useful intervention for the management of caries.

CPD/Clinical Relevance: Caries is a common condition in the UK, and silver diamine fluoride offers a simple alternative management technique when case selection is appropriate.

Article

Silver diamine fluoride (SDF) has been used for caries management throughout the world for decades.1,2 It has a strong track record of use, particularly in Asia, having been developed in Japan in the 1960s.1,2 Research has demonstrated that SDF can arrest caries and relieve dentine hypersensitivity.1,2,3 Interestingly, there has been a recent rejuvenation of interest in the application of SDF in the UK, perhaps stimulated by increasing waiting lists for children requiring multiple extractions under general anaesthesia (GA) and the recent availability of a product marked ‘CE’ for use in Europe.1,2,3,4 The emergence of the COVID-19 pandemic and the subsequent preference to avoid aerosol generating procedures (AGPs) has further raised the profile of SDF as a simple intervention for caries management. This use of SDF has been endorsed for caries management in children and mineralization control in adults, in primary care and specialist paediatric dentistry recovery guidelines, issued by the Office of the Chief Dental Officer and the Royal College of Surgeons of England, respectively.5,6 The British Society of Paediatric Dentistry has also launched a portfolio of resources to support the use of SDF for children in primary and secondary care services.7,8,9

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