Cary Pediatric Dentistry
Robert D. Elliott, D.M.D., M.S.
Julie R. Molina, D.D.S., M.S.

540 New Waverly Place, Suite 300
Cary, NC 27518
(919) 852-1322

Regular office hours:
M-Th: 8:20am-5pm,
Closed for lunch 1pm-2pm
Fridays: 8:20am-3pm

Summer Hours:
July 22 – August 29, 2019
Monday through Friday 8am-3pm

Silver Diamine Fluoride

The use of Silver Diamine Fluoride in dentistry has been well documented for its safe and successful ability to control tooth decay.  Its application is a conservative approach for the treatment of active decay.

The Procedure:

  • Dry teeth
  • Initial application of 38% Silver Diamine Fluoride (FDA approved product) to appropriate teeth with visible cavities in very small amounts using a micro brush.
  • We will apply a second application in approximately one week following first application.
  • At both of these application visits, 5% Sodium Fluoride varnish (FDA approved product) will be used to seal Silver Diamine Fluoride into the treated tooth and to arrest the decay in the tooth.
  • Home Fluoride Therapy (such as ACT rinse)


  • Silver Diamine Fluoride Allergy (very rare)

Possible Side Effects:

  • A cavity in the presence of Silver Diamine Fluoride will turn that part of the tooth dark. This is an indication that the decay in the tooth is arresting.
  • If Silver Diamine Fluoride comes in contact with skin and/or gums, temporary discoloration will occur.
  • If Silver Diamine Fluoride is placed on a tooth that has a tooth colored restoration on it, discoloration may occur.
  • Silver Diamine Fluoride placed on demineralized enamel (white lesions) may cause discoloration.

The side effects listed above may not include all of the side effects reported by the drug’s manufacturer.  If you notice other effects not listed above, please contact us.

Treatment of tooth decay with Silver Diamine Fluoride does not necessarily prevent the need to place a regular filling in the affected tooth in the future in order to restore function and esthetics.

Our mission is to provide specialized and comprehensive care for infants, children, and adolescents in a friendly, safe, and state-of-the-art environment with a focus on prevention and education for the families. Dr. Elliott, Dr. Molina, and our TEAM are here to positively change this generation’s view of going to the dentist, one child at a time.