Author Name: Dr. Sandra Thompson
Silver Diamine Fluoride (SDF) is a proven dental treatment that combines silver, which kills cavity-causing bacteria, and fluoride, which strengthens the enamel to make teeth more resistant to future decay.
One of the main benefits of SDF is that it buys time before a filling is needed. Instead of immediately requiring drilling or sedation, SDF allows parents and dentists to manage the cavity in a quick and gentle way.
For many families in Providence, SDF is a popular choice for young children who may not sit through longer procedures, for anxious patients who fear dental tools, and for anyone seeking a drill-free solution to cavity care.
The effects of Silver Diamine Fluoride (SDF) are not permanent, but they can provide protection for a significant amount of time. In most cases, the treatment can last anywhere from 6 months to 2 years, depending on factors like the size of the cavity, your child’s diet, and daily oral hygiene habits.
SDF works best when follow-up applications are scheduled as recommended by the dentist. Parents should also know that the black staining left behind on the treated tooth is actually a positive sign.

Most children benefit from having Silver Diamine Fluoride reapplied every 6 months, often during their routine dental visits. Reapplication may also be recommended sooner if a cavity begins to soften or spread, or if your child develops new cavities.
In some cases, your dentist may also suggest a second application for stronger results, especially when treating larger cavities or teeth that are at a higher risk of decay.
The length of time Silver Diamine Fluoride remains effective can vary depending on your child’s habits and oral health.
- Daily brushing and flossing habits play a big role. Kids who brush twice a day with fluoride toothpaste and floss regularly often see longer-lasting results from SDF.
- A diet high in sugary foods and drinks can shorten the effectiveness of treatment by feeding cavity-causing bacteria. Limiting sweets and sodas helps protect the treated teeth.
- Saliva flow is another factor. Children with dry mouth don’t get the natural cleansing and protective benefits of saliva, which can cause decay to progress more quickly.
- Lastly, your child’s overall dental health and cavity risk level matter. Kids who are more prone to cavities may need more frequent monitoring and reapplication of SDF.
Keeping up with Silver Diamine Fluoride maintenance offers lasting protection and peace of mind for families.
- It helps prevent pain and infection while parents and dentists decide on the best time for permanent treatment.
- Regular touch-ups can reduce the need for drilling or sedation, making dental care much less stressful for kids.
- By keeping cavities under control, SDF also saves families money by lowering the risk of emergency dental visits.
- Perhaps most importantly, it keeps kids smiling and confident — no toothaches interrupting their school days, playtime, or sleep.
With consistent maintenance, children in Providence can enjoy healthier smiles and avoid many of the challenges that come with untreated decay.
Follow-up visits for Silver Diamine Fluoride are quick and stress-free, making them easy for both kids and parents. During the appointment, the dentist will perform a simple visual exam and gently clean the treated tooth to prepare it for evaluation.
If needed, the dentist will apply another layer of SDF, a process that only takes a few minutes and requires no drilling or shots.
Choosing the right Providence pediatric dentist is key to making the most of Silver Diamine Fluoride treatment. Parents should:
- Look for a provider experienced in SDF application and managing cavities in children.
- Ensure the office is kid-friendly and offers preventive education to build healthy habits.
Dr. Sandra Thompson, Pediatric Dentist at Desert Kids Dental, reviewed this article. A graduate of UC Berkeley and UNLV, Dr. Thompson went on to complete her pediatric residency at Cincinnati Children’s Hospital and is board-certified in pediatric dentistry.