Silver Diamine FluoridePresented by

Diana Pham, Dental Hygiene Student

Kimberly Truong, Dental Hygiene Student

Lamar Institute of TechnologyDental Hygiene Program

Importance to the Hygienist

2 components: Silver and Fluoride

Application: brush on, or dab with cotton swab

Cost?

Silver Diamine Fluoride“The Silver Bullet”

Origin: 1960’s in Japan Central Pharmaceutical Council of the

Ministry of Health and Welfare

Development of Silver Diamine Fluoride

* To arrest and slow the rate of caries progression

Main Purpose of SDF

Inhibits demineralization of tooth enamel

Promotes remineralization of tooth mineral, hydroxyapatite (HA)

As a result, successfully fights caries

Mode of Action of SDF

Silver Diamine Fluoride Application

Black stainingComponents of Silver and Fluoride

Fluorosis

Disadvantage

Inexpensive Easy to apply Non-invasive Requires minimal training Slows and halts disease

progression

Advantages

Sodium Fluoride vs. Silver Diamine Fluoride

Studies show SDF is more effective at arresting caries while just as effective in preventing dental decay

Clinical Studies

Typical Findings

FDA Approved in the U.S. More common in private practice Long-term study and experiments Access to disadvantaged populations

Future of ‘The Silver Bullet’

Questions?

Chen, Alice, BSc, Mary Cho, BSc, Sari Kichler, BSc, MSc, Jeffrey Lam, BSc, MSc, Anum Liaque, BSc, and Sobia Sultan, BSsc, MSc. "Silver Diamine Fluoride: An Alternative to Topical Fluorides." Clinical Review 20.10 (2012): 1-14. Web. 12 Apr. 2014.

  Mei, May L., Quan-li Li, Chun-Hung Chu, Edward C. Lo, and Lakshman P. Samaranayake.

"Antibacterial Effects of Silver Diamine Fluoride on Multi-species Cariogenic Biofilm on Caries." Annals of Clinical Microbiology and Antimicrobials 12.4 (2013): 1-7. Web. 12 Apr. 2014.

  Tan, H. P., E.C M. Lo, J. E. Dyson, Y. Luo, and E. F. Corbet. "Chlorhexidine Varnish, Sodium Fluoride

Varnish, and Silver Diamine Fluoride Solution Can Prevent the Development of New Root Caries in Elders Living in Senior Homes in Hong Kong." J Evid Base Dental Practice 89.10 (2010): 1086+. SagePub. Journal of Dental Research, 29 July 2010. Web. 12 Apr. 2014.

  Fung, Marcus HT, May CM Wong, Edward CM Lo, and CH Chu. "Arresting Early Childhood Caries

with Silver Diamine Fluoride-A Literature Review." Journal Of Oral Hygiene & Health 1.3 (2013): 1-5. EScience Central. Journal of Oral Hygiene & Health, 24 Dec. 2013. Web. 12 Apr. 2014.

  Chu, Chun-Hung, Angeline HC Lee, Liwu Zheng, May L. Mei, and Godfrey CF Chan. "Arresting

Rampant Dental Caries with Silver Diamine Fluoride in a Young Teenager Suffering from Chronic Oral Graft versus Host Disease Post-bone Marrow Transplantation: A Case Report." BioMed Research Notes 7.3 (2014): 1-14. 3 Jan. 2014. Web. 12 Apr. 2014.

  Hung, CHU C., BDS, MDS, PDipDS. "Effectiveness of Silver Diamine Fluoride and Sodium Fluoride

Varnish in Arresting Dentine Caries." Thesis. University of Hong Kong, 2004. Effectiveness of Silver Diamine Fluoride and Sodium Fluoride Varnish in Arresting Dentine Caries. University of Hong Kong, May 2004. Web. 12 Apr. 2014.

References