Abstract
Background: Silver diamine fluoride has been widely studied as an agent for managing dental decay. This case report explores its potential for managing peripulpal decay in older adults and for preserving vital pulps.Case description: This is a case report on the use SDF with incomplete caries removal in adult asymptomatic deep caries in 277 teeth. All were indirect pulp caps that were immediately filled with resin or amalgam-bonded fillings in a one-step approach. Over 95% did not require root canal treatment after follow-up (average 16 months, up to six years) and there was no significant postoperative sensitivity.Practical implications: SDF has the potential to offer a fast, cost-effective approach for older patients with deep decay and offers guidance for treatment planning for cases of xerostomia and rampant decay.
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