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By rawanahmedaa69 | Updated: Sept. 24, 2024, 3:55 p.m.

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Dental Hyginene
sliver Diamine Fluoride
Asayel Alsaleem
what is silver diamine fluoride
is an inexpensive non-invasive . antimicrobial liquid used in several countries to treat carious lesions and decrease sensitivity 
sliver Diamine Fluoride
FDA approval of SDF in 2014 and 2016
SDF IN 2014
A38% SDF
Was cleared for marketing as a class ll medical device by the U.S. (FDA) for the treatment of dentinal hypersensitivity .
 SDF has been used in the U.S. (off-label ). for the arrest of carious lesions
SDF IN 2016
the FDA granted the designation of breakthrough therapy to advantage arrest 38% SDF as a treatment for arresting dental caries in children and adults.
what are the components of SDF?
Ag+
1- SDF  contains silver ions that act as antimicrobial and bactericidal agents within lesions by destroying bacterial membranes denaturing proteins and inhibiting replication
2- the fluride ions in SDF help create fluorapatite a more acid resistant enamel which can prevent further demoralization  of tooth structure 
applying SDF to occlusal facial and lingual surfaces has been shown to be successful in arresting caries in multiple clinical trials
while a single application of SDF appears insufficient for sustained effect annual and semi-annual re-application have been shown to be highly successful
the recommended period of application
the widespread use of SDF is limited by the fact that it stains the carious lesion black and sometimes causes a temporary metallic taste 
disadvantages of the SDF treatment 
this pictures shown the black discoloration in the teeth after application of silver diamine fluoride
parents decisions regarding SDF treatment were influenced by :
their child is behavior and gender 
the location of the tooth to be treated 
the use of local onesthesia
patients are recommenses of SDF 
young children 
special needs
geriatric with high anxiety or special needs

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