Evidence-Based Dentistry Update on Silver Diamine Fluoride

Yasmi O. Crystal, Richard Niederman

Research output: Contribution to journalReview articlepeer-review


This article reviews current evidence on the effectiveness of silver diamine fluoride (SDF) as a caries arresting and preventive agent. It provides clinical recommendations around SDF's appropriate use as part of a comprehensive caries management program. Systematic reviews confirm that SDF is effective for caries arrest on cavitated lesions in primary teeth and root caries in the elderly. It may also prevent new lesions. Application is easy, noninvasive, affordable, and safe. Although it stains the lesions dark as it arrests them, it provides clinicians with an additional tool for caries management when esthetics are not a primary concern.

Original languageEnglish (US)
Pages (from-to)45-68
Number of pages24
JournalDental clinics of North America
Issue number1
StatePublished - Jan 2019


  • Caries arrest
  • Caries management
  • Dental caries
  • Pediatric dentistry
  • Silver diamine fluoride

ASJC Scopus subject areas

  • General Dentistry


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