Silver Diamine Treatment

Silver Diamine is a clear liquid antibiotic that is painlessly brushed on a cavity on a child’s tooth to stop decay.

How does it work?

The silver compound kills the cavity causing bacteria and the fluoride hardens the remaining tooth surface. Smile Academy will only use Silver Diamine on baby teeth as all baby teeth should fall out.

How is the procedure done?

  1. The tooth is dried.
  2. A small amount of Silver Diamine is placed with a very small brush onto the affected teeth with visible cavities.
  3. Allow the tooth to dry for one minute.
  4. Rinse the mouth.

What are the benefits of Silver Diamine?

  • If a child is young or has special needs, this procedure is less invasive than drilling a tooth to fill a cavity or putting a child asleep to fix the tooth.
  • Can help relieve tooth sensitivity.
  • Requires NO anesthesia (shots).
  • Non-invasive (requires NO drill).
  • Painless.
  • Safe per the FDA.
  • Reduces trauma to the child.
  • Reduces risk (general anesthesia).
  • Affordable (typically covered under insurance).
  • Quick treatment time.
  • Procedure can be done while Smile Academy is at your child’s school for dental exams and cleanings.

What are the contraindications of Silver Diamine?

  • Cavities treated with the Silver Diamine will turn permanently dark. Healthy tooth structure will not stain. Decay is typically already dark on the child’s tooth.
  • If Silver Diamine gets on the skin or gums, a harmless temporary brown stain may appear on that area. The stain will disappear in 1-3 weeks. This cannot be washed off.
  • Child might have a metallic taste in their mouth immediately after treatment, this will go away quickly.
  • Allergies to silver.
  • If the child has painful sores or raw areas on the gums.

Will further treatment need to be done?

Silver Diamine does not eliminate the need for all fillings or restorative dentistry. The DMD on site will determine if your child fits the protocol for Silver Diamine Treatment. If your child needs other treatment done, a Dental report card will be sent home in your child’s folder explaining treatment recommended.

Does Silver Diamine always work?

Every reasonable effort will be made to ensure the success of the treatment. There is a risk that the procedure will not stop the decay, and no guarantee of success is granted or implied. If the tooth decay is not arrested, the decay will progress. In that case the tooth will require another treatment of Silver Diamine, dental fillings, root canal therapy or extraction.

Does insurance cover this treatment option?

Typically, yes.