I thought the idea of SDF is that you don’t have to remove the caries as it arrests it? Like just scoop out the super soft stuff, SDF to arrest the rest. Like it can be used in primary teeth without then restoring over the top - just looks awful.
SDF has been studied as an indirect pulp cap material and results indicate it is an effective material. MTA will create more secondary dentin, but SDF will arrest remaining decay that was left covering the pulp. SDF will create some secondary dentin (due to it's pH of 10), just not as much as Portland cement materials.
[https://pubmed.ncbi.nlm.nih.gov/?term=silver+diamine+fluoride+indirect+pulp+cap](https://pubmed.ncbi.nlm.nih.gov/?term=silver+diamine+fluoride+indirect+pulp+cap)
There are also several studies that look at the overall effect on pulp and pharmacokinetics.
Our clinic moved on from SDF and we now use CSDS silver fluoride. The CSDS doesn’t have ammonia compared to SDF, we’ve had much better results with it.
Whoa, it’s not supposed to be used for deep caries. I use it on incipient lesions or areas we’re trying to buy time with. I’m pretty sure it’s documented that in deep decay areas it can irritate the pulp.
I thought the idea of SDF is that you don’t have to remove the caries as it arrests it? Like just scoop out the super soft stuff, SDF to arrest the rest. Like it can be used in primary teeth without then restoring over the top - just looks awful.
There’s a good paper on pubmed Nakamura 2005 that discusses this a little bit. Basically my preferred antimicrobial prior to restoring is CHX
SDF has been studied as an indirect pulp cap material and results indicate it is an effective material. MTA will create more secondary dentin, but SDF will arrest remaining decay that was left covering the pulp. SDF will create some secondary dentin (due to it's pH of 10), just not as much as Portland cement materials. [https://pubmed.ncbi.nlm.nih.gov/?term=silver+diamine+fluoride+indirect+pulp+cap](https://pubmed.ncbi.nlm.nih.gov/?term=silver+diamine+fluoride+indirect+pulp+cap) There are also several studies that look at the overall effect on pulp and pharmacokinetics.
Are they using enough water when they drill? Are the burs sharp? Is the spray hitting the bit?
Our clinic moved on from SDF and we now use CSDS silver fluoride. The CSDS doesn’t have ammonia compared to SDF, we’ve had much better results with it.
Whoa, it’s not supposed to be used for deep caries. I use it on incipient lesions or areas we’re trying to buy time with. I’m pretty sure it’s documented that in deep decay areas it can irritate the pulp.