Silver diammine fluoride

For a patient who is periodontally involved, who has lots of restorations, who has a high acidic diet, a high sugar diet, incipient lesions, exposed root structure, xerostomia from medications, any number of health conditions that can contribute to xerostomia, it's more appropriate to do it more often if it's required.

I've had pediatric patients that come in with incipient lesions and we have a treatment approach where placing SDF and varnish is being applied over that SDF at that localized site.

They have it done ideally two times within six months, sometimes as many as four times a year.

And I've seen really amazing things happen where i know i know anecdotally speaking we can't say okay we've reversed a cavity entirely but the radiographs of these patients would indicate otherwise

yeah no i want to hear i want to hear more about how you use stf with fluoride varnish because i haven't heard much about that i know that stf by itself leaving it on affected dentin in other words not to peel off all that dentin that's affected, but just take the mushy infected dentin off and then put the SDF on.

And the remineralization seems to be pretty good.

Now you're saying, or you tell us, how do you clinically integrate both fluoride varnish and SDF? How do you do that?

So on an appointment where I take a radiograph, I see a child that has those interproximal incipient lesions and they're nowhere close to the age of exfoliation.

And those are great x-rays because it tells us where there are hidden cavities.

And if need be, can be reversed through good flossing, fluoride application, SDF, as we mentioned.

Or it may require a simple filling.

If these in-between-the-teeth cavities are missed, then...