Arrest of caries technique (ACT technique): Silver Diamine Fluoride (SDF)

Abstract

          Arrest of caries technique (ACT) is a way of treating tooth decay without the restoration of damaged tooth structure. The advantages involve non-invasive, simple and painless technique. The method is affordable and cost-effectiveness more than the traditional restoration. Moreover, this technique is suitable for children who cannot endure the dental treatment.

          Silver Diamine Fluoride (SDF) is recommended for using to arrest caries due to the fact that it can inactivate and destroy the form of bacterial plaque. In addition, it helps remineralization of enamel and dentine. However, the cons is tooth coloration because teeth will become black or dark brown color after treating with SDF. Therefore, clinicians need to inform patients and parents about the procedure including its side. The indications of ACT are that dental caries in primary teeth which do not involve dental pulp and patients have never experienced spontaneous pain or abscess. Caries can recur around arrested caries if patients still have high frequency of sugary consumption and have poor oral self-careness. Consequently, oral hygiene instruction and follow-up are necessary to stimulate with the use of ACT.