Paradigm Shift: Silver Diamine Fluoride in Cosmetic Dentistry 

In the world of esthetic dentistry, where the goal is a flawless smile, silver diamine fluoride (SDF) has long been cast aside. Known for turning infected tooth surfaces black, its use has traditionally been confined to pediatric and geriatric care—where function and disease control often take precedence over looks. But as one prominent dentist from Salem, Massachusetts argues in her recent Dental Economics article, it’s time we rethink that outdated mindset.

In “Rethinking silver diamine fluoride in cosmetic restorative dentistry”, Dr. Pamela Maragliano-Muniz explains that “With proper case selection and integration protocols, SDF can become a valuable clinical and business tool—even in a practice focused on esthetics. In fact, strategic use of SDF improves diagnostic precision, enhances prevention, and stabilizes carious teeth, all without compromising patient satisfaction.”

According to Dr. Maragliano-Muniz, the dental hygiene department is the perfect place to integrate silver diamine fluoride into daily workflow. Hygienists can easily apply silver diamine fluoride during routine visits —especially interproximally or in posterior areas—where discoloration isn’t visible. In those cases, aesthetics are not compromised and both the patient and clinician take full advantage of SDF’s outstanding benefits. If restorative treatment is needed, which is the case for most adult patients, the patient can be reappointed for a later time with a peace of mind that the affected area is under control. 

Restorative dentists might be concerned about the implications silver diamine fluoride will have on their finances. There is no need to worry. As Dr. Maragliano-Muniz says “Incorporating SDF into practice is clinically and financially beneficial. In my practice, we charge a per tooth fee for SDF application at all dental hygiene visits. This is a billable procedure distinct from fluoride varnish, and both may be applied in the same visit. Some third-party payers reimburse for SDF under specific guidelines, but understanding plan details is crucial for accurate coding and transparent patient communication.”

So why wait? Incorporate silver diamine fluoride into your treatment protocols today! If you are looking for a great-value, reliable product, check out our SilverSense SDF^®.

Access Dr. Maragliano-Muniz’s full article.