Silver Diamine Fluoride Clinical Cases
Clinical Cases
It is common to hear that silver diamine fluoride turns teeth black. This is a misconception that prevents clinicians from gaining full benefit from the use of SDF. While infected lesions will turn darker, healthy tooth structure remains unaffected. Review the cases below to see for yourself!
Clinical Resources
Further reading to expand your understanding of silver diamine fluoride in clinical use.
Abstract: “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.”
Dr. Thierry Boulanger demonstrates how silver diamine fluoride has allowed him to successfully manage a variety of cases and improve patient outcomes.
The use of silver diamine fluoride is gaining popularity in the U.S. but many clinicians are still hesitant to use it on their patients due to a few common myths. This document explains what they are and why they aren’t true.
Educational Articles
- A Practical Guide to Silver Diamine Fluoride – Jeanette MacLean, DDS, DABPD, FAAPD – February 2020, Dimensions of Dental Hygiene
- Clinical Instructions for Using Silver Diamine Fluoride (SDF) in Dental Caries Management – Adriana Semprum-Clavier, DDS, Douglas A. Young, DDS, Jeanette K. MacLean, DDS, Jeremy A. Horst, DDS, John C. Frachella, DMD, Roopwant Kaur, BDS, Ryan L. Quock, DDS, Steve Duffin, DDS – June 2021, Compendium
- UCSF Protocol for Caries Arrest Using Silver Diamine Fluoride: Rationale, Indications and Consent – Jeremy A. Horst, Hellene Ellenikiotis & Peter L. Milgrom – March 2023, Journal of the California Dental Association
- Silver Diamine Fluoride - A fast, easy, painless, and safe tool to manage caries in children – Catherine Cabanzon, CRDH, BASDH – December 2023
- Policy on the Use of Silver Diamine Fluoride for Pediatric Dental Patients – American Academy of Pediatric Dentistry – 2023, The Reference Manual of Pediatric Dentistry
- Comparing Fee-for-Service and Capitation Revenue Models in Dental Practice: Part 1 – Steve Duffin, DDS – December 2023, Dental Economics
- Comparing Fee-for-Service and Capitation Revenue Models in Dental Practice: Part 2 – Steve Duffin, DDS – January 2024, Dental Economics
- Hi-Ho, Silver! When SDF makes sense in treating adult patients – Drs. Justin J. Cardarelli and Marmar Mesgarzadeh – January 2024, Dentaltown
- SDF Multiple Clinical Applications and Insurance Reporting Considerations – Jan/Feb 2024, Practice Booster Insurance Solutions Newsletter
- Restorative Choices: When to use glass ionomer cement or composite to restore teeth after SDF treatment – Drs. Roopwant Kaur and Luis G. Sensi – July 2024, Dentaltown
- SDF Essentials A quick guide for general practitioners – Dr. Roopwant Kaur – February 2025, Dentaltown
- Rethinking Silver Diamine Fluoride in Cosmetic Restorative Dentistry – Pamela Maragliano-Muniz, DMD – May 2025, Dental Economics
- Silver Diamine Fluoride for Prevention of Endodontic Treatment in Adults - Joy Void-Holmes, DHS, BSDH, RDH – Jan 2026, Dentaltown
Treat & Restore with Silver Diamine Fluoride


































