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COVID-2019 – Time to Use Silver Diamine Fluoride for Caries Arrest in General Dental Practice? Laura Timms Chris Deery Claire Stevens Helen Rodd Dental Update 2024 47:8, 707-709.
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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