Silver Diamine Fluoride

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What is silver diamine fluoride?

Silver diamine fluoride (SDF) is a minimally invasive Restorative Dentistry treatment that has been shown to be effective in stopping the progression of cavities. Cavities treated with SDF usually turn black and hard. This liquid medication is applied directly to the cavity. Stopping cavity progression in all targeted areas may take several applications of SDF, and reapplication may be necessary to maintain the results. Treatment with SDF is a minimally invasive option offered by Dr. Abraham here at Castle Hills Pediatric Dentistry.

Why would silver diamine fluoride treatment be needed?

Many children have a fear of the dentist, and having to get cavities filled can cause a significant amount of anxiety which could be released through seductive agents. If a cavity is left untreated, the area of decay can and will get larger. To halt the spread and progression of decay, silver diamine fluoride can be used. This procedure requires no shot or drilling. The silver used will kill the bacteria and the fluoride is used to strengthen the tooth. SDF has been approved for use in the dental field by the Food and Drug Administration, so it is completely safe for children.

Who is a candidate for silver diamine fluoride treatment?

The best candidate for SDF treatment is any patient who has decay on any surface as long as they are accessible with a brush for applying SDF. The cavity should not be involving the nerve and the tooth should have no signs of nerve inflammation or reports of any pain. By halting the progression of decay, your child’s oral health is benefited and the surrounding teeth remain untouched. Here at Castle Hills Pediatric dentistry, we can determine if your child is a good candidate for SDF treatment. With the help of an examination of the area of decay and a review of your child’s dental and medical history, Dr. Abraham will determine if this treatment is right for your child.

What happens during the silver diamine fluoride process?

Before After
Before After

The process to apply SDF to the teeth is easy, quick and noninvasive. Dr Abraham isolates and dries the tooth. The SDF liquid is painted on the cavity part of the tooth. She will wait few minutes for the liquid to penetrate the tooth and then will dry the tooth afterwards. This procedure is very quick and requires little cooperation. One of the most common side effects of this treatment is black staining of the tooth surfaces that have been treated. At each subsequent dental visit, we will check the tooth to ensure that the decay has not gotten worse. Silver diamine fluoride is incredibly effective at killing the bacteria that causes dental caries, and it’s a great way to avoid having to get a cavity filled!

If you think your child would benefit from SDF treatment, call Castle Hills Pediatric Dentistry today and one of our helpful staff members can further assist you.

Meet the Doctor

Simi Abraham DDS is a board certified pediatric dentist who has dedicated her professional life for the enhancement of oral health of her patients. Dr. Abraham received her Doctorate in Dental Surgery from New York University College of Dentistry in 2010 where she graduated with honors. Dr. Abraham was working as a general dentist for 5 years in TX before she decided to pursue her career in pediatric dentistry.

Video Testimonials

Our patients say.

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“ Dr. Abraham was amazing, caring, and patient with our two daughters. The girls loved their time there as she explained everything she was going to do. Absolutely love everything about Castle Hill Pediatric Dentistry. The staff is some of the most caring and kind people you will ever meet. They get to know you and the kids on a personal level. I highly recommend Castle Hills Pediatric Dentistry!!! ”

Ajay P.

“ From the moment that we arrived, I knew that we were in the right place. The decor is a dream for children. I loved Ruth, Dr. Abraham, and the front desk staff were absolutely amazing. The place was clean and neat. I loved the rooms. They made my daughter feel comfortable. They explained everything to me. I wish that I had this experience as a child. Schedule today. You won't be disappointed.”

Whitney M.

“ The staff was so patient and understanding with my autistic son. It’s sometimes hard to find doctors/staff who treat children with autism with respect but everyone was so kind and worked with us throughout a difficult visit for x rays. Dr Abraham also asked lots of questions and seemed to really care about her patients. I would recommend them to anyone with small children! :) ”

Brittany B.

“ What a great place! From the moment my child walked in, we were promptly greeted with smiles and made to feel welcome. The first dentist visit (especially for a 15-month old) can be a scary place, but Dr. Abraham and her team made us feel instantly comfortable and taken care of. My little even held the assistant's hand! Great care from a caring team and all smiles from the smallest of patients is a win, win, win!! Thanks, Castle Hills! ”

K. D. P.

“ My 4 year old had her first appointment and I was so pleased. From the time we walked in the door there was a gentle and happy atmosphere. The office is colorful and calming. The person giving her x-rays was patient and explained everything to my curious little person. Then cleaning her teeth was a breeze and fun. The doctor was very knowledgeable and friendly and I appreciated her expertise. Overall wonderful experience and I am very pleased. Can't wait to return for checkups! ”

Ty A.

“ Beyond amazing! My husband and I we’re kind of worried how our daughter would react with her first ever dental appt here in the US that he has to take a day off from work to be there for it. Days prior to her appt she kept telling us she is scared. But on the day of the appt, SHE DID GREAT!! Nothing we expected at all, not even what we hoped for her reaction, to say the least. She sat still most of the time and listened to the instructions the dentist told her. She kept telling us she enjoyed the whole process afterwards. ”

Doris A.

Convenient Location For Pediatric Dental Care

Our pediatric dental office is conveniently located in Carrollton, TX, making it easier for families in Carrollton and nearby communities to access specialized dental care for children. Located at 4541 N Josey Lane, Suite 210, our office provides a welcoming environment where children can receive personalized dental care in a comfortable setting.

Whether your child needs preventive care, a sports mouthguard evaluation, routine dental visits, or treatment for a dental concern, our team is here to support your child’s growing smile. We focus on creating positive dental experiences while helping parents understand their child’s oral health needs at every stage of development.

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