Silver Diamine Fluoride in Treating Early Childhood Caries
Early Childhood Caries
Active tooth decay in young children remains a challenging health issue in pediatric populations. Caries is commonly referred to as cavities or tooth decay. Children given sugary juices, milk, or formula to drink during the day or overnight are more likely to develop early childhood caries (ECC). ECC is a chronic infectious disease caused by the interaction of sugars, bacteria, and tooth enamel. Acids produced by the bacteria metabolizing sugars gradually breakdown the tooth’s enamel over time. Children’s exposed to these bacteria early are more likely to develop immediate and long-lasting oral health issue than children who were not exposed to the bacteria. Early childhood caries (ECC) is a very rapid form of tooth decay. Because of the aggressiveness of ECC, cavities develop much faster, and when not properly treated, the tooth can decay deep into the roots. Treating tooth decay in young children can be very challenging and requires significant cooperation by the child and can be very expensive if sedation is needed.
Silver Diamine Fluoride (SDF)
According to the American Academy of Pediatric Dentistry (AAPD), the use of silver diamine fluoride (SDF) is effective in treating caries in young children and adolescent patients. SDF is made of silver and fluoride. The silver helps kill bacteria, and the fluoride promotes remineralization of the enamel. Evidence-based clinical studies indicate that SDF is 70-80% effective in arresting caries in young children. SDF is a safe, low cost, and minimally invasive treatment. Most dentists use a liquid form of SD that is applied directly to the surface of the affected teeth. SDF is commonly used on areas affected by cavities. Some unwanted effects of SDF applications can cause dark staining on the site of application. Research has provided evidence that applying SDF on other teeth not affected by tooth decay can be an effective preventive treatment. SDF has proven to be much more effective at reducing cavity than the traditional application of fluoride varnish. There is no set number of SDF application required for effective treatment. Most dentists apply SDF once per year. However, continue reapplication of SDF and close monitoring by a dentist is highly recommended to evaluate any possible changes in your oral healthcare needs.
The Verdict on SDF Treatment
SDF treatment has been shown clinically to be effective in stopping cavity development once it is formed. Early SDF treatment can significantly reduce caries and improve the overall health of young children. The application of SDF is quick, minimally invasive, and is a comfortable alternative for very young children who cannot tolerate invasive dental procedures.
Don’t forget to schedule your children’s regular cleaning and check up with their dentist to screen for early tooth decay. Be sure to contact California Dental Group at (800) 407-0161 for your appointment.
