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by TheTaytay 1929 days ago
We became exposed to this mentality and reluctance to adapt when exploring solutions to our son’s cavities. There is an amazingly effective treatment called SDF that arrests cavities with no need for drilling by painting it on in a procedure that takes about 1 minute. It’s proven to work, is non invasive, and much easier to use to treat a squirming small child. It’s been used for decades in Japan. Only recently did it become allowed in the US. Yet a couple of years ago it was still shockingly difficult to find dentists who knew about or approved of its use. I was also surprised to find very little literature linking particular bacteria to tooth decay. I think Bristle is on to something here, and I am glad that they are pushing this research forward. Tooth decay seems to have many of the hallmarks of an infection, yet its primary treatment is still to remove damaged portions of teeth with a drill. It feels remarkably primitive.
3 comments

Since Silver Diamine Fluoride is a little newer, it helps to look at Silver Nitrate, which has the same mechanism save for the, you know, fluoride (which is a boon).

Medical management of caries is anathema to assuming seven figures in debt to hang up a license and turn on the lights, and I’m not implying ill will. The first world countries with national healthcare sans dental could use this without coming close to the dental standard of care - a cavity arrested with silver nitrate is actually better to drill and fill since the infection is halted.

Did you see any of the permanent staining that is mentioned in a sister comment's aappublications link (https://www.aappublications.org/news/2016/08/05/SilverDiamin...)?
If anyone is looking for more information on SDF (silver diamine fluoride), there is some information here:

https://www.aappublications.org/news/2016/08/05/SilverDiamin...