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Silver Diamine Fluoride (SDF)

What Is Silver Diamine Fluoride?

SDF is a liquid medication made of:

  • Silver, which kills harmful bacteria
  • Fluoride, which strengthens tooth enamel

It is painted onto decayed areas of the tooth to stop cavities from getting worse, without drilling or needles.

Who Can Benefit from SDF?

SDF is especially helpful for:

  • Children with baby teeth
  • Patients with dental anxiety
  • Those with multiple cavities
  • People with special healthcare needs
  • Older adults with limited access to dental care

Benefits of SDF

  • Quick and painless – No drilling, no numbing
  • Non-invasive
  • Very effective at slowing or stopping decay
  • Ideal for young children or anxious patients
  • Can delay or reduce the need for fillings (depending on circumstances)

What to Expect

The process is simple:

  1. The tooth is cleaned and dried.
  2. SDF is brushed onto the decayed area.
  3. The liquid dries in seconds and starts working immediately.

Important Information

  • Staining: SDF will turn the decayed area dark brown or black as it works. This is normal and shows the cavity has been treated. Healthy tooth structure is not stained.
  • Appearance vs. health: While it changes the colour of the decay, it helps preserve the tooth and avoid more invasive treatment. Until further treatment can be achieved

Please see our Silver Diamine Fluoride Leaflet for full details and Why Fluoride Leaflet.

You can also watch helpful video of SDF treatment – SDF video

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