Dentaltown August 2017 - 89
5
Misconceptions About Silver Diamine Fluoride
Abstract
Introduction
Although silver products have been
used to treat caries in other countries for
decades, a lack of formal education about
them has contributed to misconceptions
about their efficacy after silver diamine
fluoride (SDF) received FDA clearance in the
United States. As an early adopter of silver
diamine fluoride, I would like to shed some
light on these common misconceptions.
In July 2016, I was featured in a New York
Times article about SDF, "A Cavity-Fighting
Liquid Lets Kids Avoid Dentists' Drills."
The article created a surge of public interest
and dialogue about SDF among dental
professionals, both positive and negative.
As a member of various online dental
forums, I followed several SDF-related
threads in the article's wake. I found it
interesting that the negative comments
tended to stem from misconceptions and a
general lack of knowledge. It's no surprise
that most modern dentists have never used
SDF or perhaps even heard of it until the
Times article came out. For most of us, it
wasn't part of our dental education. I went to
a well-respected dental school, for example,
and when I fi rst heard of SDF in a 2014
online dental article I thought, "What is
this tree-hugging quackery?" It turns out the
joke was on me, and this method of treating
decay can be traced back to the 1800s.
The father of modern dentistr y,
G.V. Black, is said to have used silver nitrate
exclusively to treat decay in children in the
Educational objectives
After completing this course, the
participant should be able to:
1. Identify and dispel common
misconceptions about silver diamine
fluoride.
2. Identify challenges and shortcomings of traditional restorative
dentistry.
3. Describe indications for the use
of SDF.
4. Defi ne silver-modified atraumatic
restorative treatment (SMART).
5. Identify the ideal material for
SMART.
by Jeanette MacLean, DDS
Dr. Jeanette MacLean is a
private practice pediatric
dentist and owner at Affiliated
Children's Dental Specialists
in Glendale, Arizona. She is
a diplomate of the American
Board of Pediatric Dentistry
and fellow of the American
Academy of Pediatric Dentistry.
MacLean's clinical research
has been published in Pediatric Dentistry, the official
publication of the American Academy of Pediatric
Dentistry. She is a regular contributor to Dentaltown and
has appeared in a Dentistry Uncensored with Howard Farran
podcast. Her website: kidsteethandbraces.com
Disclosure:
The author declares that neither she nor any member of her family has a financial arrangement or affiliation with any corporate organization
offering financial support or grant monies for this continuing dental education program.
dentaltown.com \\ AUGUST 2017
89
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Table of Contents for the Digital Edition of Dentaltown August 2017
Dentaltown August 2017 - Intro
Dentaltown August 2017 - Cover1
Dentaltown August 2017 - Cover2
Dentaltown August 2017 - 1
Dentaltown August 2017 - 2
Dentaltown August 2017 - 3
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Dentaltown August 2017 - Cover3
Dentaltown August 2017 - Cover4
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