Silver Diamine Fluoride: The Major Buzz at the 2017 PDC!

Silver Diamine Fluoride: The Major Buzz at the 2017 PDC!

During the 2017 Pacific Dental Conference, more than 3,000 dental professionals were presented the most awaited ingredient in caries management : Silver Diamine Fluoride. Available under the brand Advantage ArrestTM (manufactured by Elevate Oral Care, USA), it has recently been cleared by Health Canada to be sold by Oral Science. (NPN 80075746)

Silver Diamine Fluoride (SDF) offers the possibility to arrest the cariogenic process even if cavitations are present and extend through the tooth’s enamel layer. It has been used internationally for decades to arrest dental caries in primary and permanent teeth. SDF has also been featured in many mass media outlets, including the New York Times, to educate the general population on how it is an alternative to the traditional restorative caries treatment.

In fact, SDF addresses the significant public health issue of untreated dental caries. It becomes a highly effective, non-invasive and low cost caries treatment, especially to avoid general anesthesia for kids with multiple caries, for underserved population lacking access to restorative dental services, for patients with intellectual and developmental disabilities, and for every person wanting to avoid the anxiety and consequences of dental restorations.

Arresting tooth decay at an earlier stage is so important that SDF was awarded the Breakthrough Therapy Designation by the US FDA, a classification that accelerates the approval process of drugs that treat life-threatening diseases where there are no therapies available. In fact, it is the only oral care medicine to ever receive that designation.

SDF’s mechanism of action is really simple: the fluoride prevents further demineralization, the silver provides the antimicrobial and protective effect, while the ammonia stabilizes the formula. It is ideal for root caries, to secure margins of posterior restorations, under a restoration as a liner and to save existing restorations.

At the centre of this buzz was Steve Pardue, co-founder of Elevate Oral Care, who provided the presentation during the 2 days of the conference. “SDF was not just another new product on the exhibit hall, it’s one of those technologies that come once in a while during a decade and completely changes the game. I really felt it while presenting and answering the many questions of the crowd. I am also extremely happy about how fast the word is spreading into the dental community and how well all types of dental professionals, regulatory bodies and dental media are reacting to the arrival of SDF in Canada.”

“We are proud of offering an innovation that was long awaited in Canada. SDF will create a true paradigm shift in caries management. It also becomes a major pillar of our Minimally Invasive Approach to Treating Dental Caries, which can be offered to dental offices, study clubs and oral hygiene schools by our team of consultant and dental professionals“, commented Daniel Menard, CEO and co-founder of Oral Science.

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Filatova - June 20, 2018

Is there a list of clinics where SDF treatment is available? Preferably near Toronto or Guelph.
The link that was posted below does not work anymore

Chloé Labrie - March 8, 2018

Dear Dr. Maltz,

Thank you for your comment regarding Advantage Arrest!

I have sent you an email with the information requested. I hope this will help you.

Kind regards,


Dr Jack Maltz - February 26, 2018

I would like some information on SDF, and to order some for my office. Send some samples with info

Renaud Belanger-Forget - April 22, 2017

Hi Joe,

Please visit for all the current dental professionals who offer Advantage Arrest treatment in Canada.

Have a great week-end!


Joe - April 22, 2017

What a perfect solution to maintain my son’s cavities without doing general anesthesia. Would you please recommend a dental clinic near Toronto that provides dental service with SDF. Thanks!

Chloé Labrie - April 11, 2017

Hi Ms. Carlson,

First, we want to thank you for your interest in SDF! To answer your question :
- Yes, SDF has a metallic taste that can last for 5 minutes if accidentally spilled on a patient’s tongue (this should never occur with properly trained staff).
- A bottle contains 8 ml and is approximately 250 drops. One drop can do up to 5 sites.
- In Canada, one bottle of SDF cost $230, it represents a cost per application around $0.92.
- Unopened, the shelf life of SDF is 3 years.
- Dental hygienist can buy SDF.
- Since you are in Nebraska, I suggest you contact Steve Pardue from Elevate Oral Care (spardue@elevateoralcare) or visit Elevate Oral Care Website to buy it online: ajouter adresse de steve

Again, we truly appreciate your interest in SDF and we hope that you could start using it soon enough! Do not hesitate to contact us back if you have other questions regarding SDF.

Have a great day!


Cynthia Carlson - April 10, 2017

I am anxious to try SDF! I have a Public Health Authorization in Nebraska USA which allows me to have my own business that provides care in alternate settings. I currently provide on site care to an Alzheimer’s Care facility. I see references to SDF use with elders but mostly references and demonstrations for children. I see a great need to provide this service to the clients I provide care to. Our state board of Dentistry has stated that SDF applications can be done by dental hygienists so I am ready!
A few questions, is there a taste to the SDF? how many applications would 1 bottle provide? what is the cost per bottle? what is the shelf life of the product? do you sell to hygienists? where can I purchase this?

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