Question 1

How many times i can use it in a patient ? Does it have any harmful effect in oral cavity?

Dentalkart · Accepted Answer

Studies have suggested the use of e-SDF according to the patients with high to low caries risk:

In patients with high caries risk:
e-SDF can be applied from 3-4 times annually with atleast a gap of 3-4 months

In patients with moderate to low caries risk:
e-SDF can be applied from 1-2 times annually with atleast a gap of 5-6 months

Yes, it does have few side effects:

The main disadvantage of SDF is its esthetic result (i.e., permanently blackens enamel and dentinal caries lesions and creates a temporary henna-appearing tattoo if allowed to come in contact with skin). Skin pigmentation is temporary since the silver does not penetrate the dermis

Question 2

Can Kids-e-Dental E-SDF (Silver Diamine Fluoride) be applied on soft dentin where caries is close to the pulp but without clinical symptoms?

Dentalkart · Accepted Answer

Yes, Kids-e-Dental E-SDF (Silver Diamine Fluoride) can be applied on soft dentin in deep carious lesions near the pulp, provided the pulp is not exposed and there are no clinical symptoms. It is recommended to leave 0.5–1 mm of dentin beneath the lesion, as silver penetration depends on the remaining dentin thickness and its permeability.

Kids-e-Dental E-SDF (Silver Diamine Flouride)

Kids E-Dental