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Silver Diamine Fluoride 38% Caries Protecting Solution Caries Remover fagmin COMPOSITION : Silver diamine fluoride contains approximately 24-28 % (weight/volume) silver and 5-6 % (weight/volume) Research on the use of Silver Diamine Fluoride says exposure to one drop of SDF orally would result in less fluoride ion content than is present in a 0.25 mL topical treatment of fluoride varnish. The exact amount of silver and fluoride present in one drop of SDF is determined by the specific gravity of the liquid and the dropper used. The main disadvantage of SDF is its esthetic result (i.e., permanently blackens enamel and dentinal caries lesions and creates a temporary henna-appearing tattoo if allowed to come in contact with skin). Skin pigmentation is temporary since the silver does not penetrate the dermis Practical Applications in the following cases : High caries-risk patients with anterior or posterior active cavitated lesions havioral or medical management challenges Patients with multiple cavitated caries lesions that may not all be treated in one visit Difficult to treat cavitated dental caries lesions Patients without access to or with difficulty accessing dental care Active cavitated caries lesions with no clinical signs of pulp involvement.