NEW Proximal SDF Application Without Floss

Simplify your proximal silver diamine fluoride (SDF) applications by eliminating the use of floss. Apply to the contact area of clean, dry teeth. Saturate the contact area on the buccal, occlusal, an lingual surfaces with SDF. Allow it to absorb by capillary action for one minute. Cover with fluoride varnish (2 studies have now shown this increases the efficacy for caries arrest by 4%). Reassess and reapply at a minimum of six month intervals. This method is easier for patients to tolerate, simpler for clinicians to do, prevents SDF from absorbing into the floss instead of the tooth (which is where we want it), prevents accidental bleeding of the gums from the floss, and reduces procedure time and overhead costs. Resources: Polacek J, Malhi N, Yang YJ, Scully AC, Soki FN, Boynton JR. Silver Diamine Fluoride and Progression of Incipient Approximal Caries in Permanent Teeth: A Retrospective Study. Pediatr Dent. 2021 Nov 15;43(6):475-480. PMID: 34937619. https://pubmed.ncbi.nlm.nih.gov/34937619/ Abdellatif EB, El Kashlan MK, El Tantawi M. Silver diamine fluoride with sodium fluoride varnish versus silver diamine fluoride in arresting early childhood caries: a 6-months follow up of a randomized field trial. BMC Oral Health. 2023 Nov 17;23(1):875. doi: 10.1186/s12903-023-03597-5. PMID: 37978488; PMCID: PMC10656986. https://pubmed.ncbi.nlm.nih.gov/37978488/ Sihra R, Schroth RJ, Bertone M, Martin H, Patterson B, Mittermuller BA, Lee V, Patterson B, Moffatt ME, Klus B, Fontana M, Robertson L. The Effectiveness of Silver Diamine Fluoride and Fluoride Varnish in Arresting Caries in Young Children and Associated Oral Health-Related Quality of Life. J Can Dent Assoc. 2020 Jun;86:k9. PMID: 32543369. https://pubmed.ncbi.nlm.nih.gov/32543369/