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Silver diammine fluoride (SDF), also known as silver diamine fluoride in most of the dental literature (although this is a chemical misnomer), is a topical medication used to treat and prevent dental caries (tooth decay) and relieve dentinal hypersensitivity. [1]
Fluoride varnish is widely used in the United Kingdom, following guidelines from multiple sources backing its efficacy. Public Health England, a UK government organisation sponsored by the Department of Health, released guidance in 2014 recommending fluoride varnish application at least twice yearly for children and young adults. [13]
There are many types of fluoride varnishes and among them the popular brands are Duraphat and Fluor Protector. Currently, the anti-caries effect fluoride varnishes are backed up by Cochrane systematic reviews, 2002 which was updated in 2013 included 22 trials with 12,455 children aged 1–15 years old.
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A fluoride regime is also encouraged with either high fluoride toothpaste (Duraphat 5000), wearing splints with fluoride gel applied for 10 minutes/day or alcohol free fluoride mouthwashes. [28] The patient’s oral condition needs to be taken into consideration and tailored accordingly as trismus may be present which would not allow the back ...
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