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Article: Volume 47 Number 8 Page 662 - September 2020

  Dent Update 2020; 47: 662-668  Read article

Caries Management:  COVID-19 – Time to Use Silver Diamine Fluoride for Caries Arrest in General Dental Practice?

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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.

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.

Author notes: Laura Timms, BDS, PGCert DPH, MFDS RCS(Eng), ACF, Paediatric Dentistry, Charles Clifford Dental Hospital, Wellesley Road, Sheffield, S10 2SZ, Chris Deery, BDS, MSc, FDS RCSEd, PhD, FDS(Paed Dent) RCSEd, FDS RCSEng, FHEA, Dean, Professor/Honorary Consultant in Paediatric Dentistry, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, Claire Stevens, BDS, MFDS RCSEd, MPaed Dent RCPS, MPhil(Newc), FDS(Paed Dent) RCSEd, Consultant/Honorary Senior Lecturer in Paediatric Dentistry, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester, M15 6FH and Helen Rodd, BDS(Hons), FDS(Paed Dent) RCSEng, PhD, Professor/Honorary Consultant in Paediatric Dentistry, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, UK.

Objective: To outline the evidence base for silver diamine fluoride as an alternative technique to aerosol generating procedures (AGPs) in the management of caries.

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