Silver diamine flouride
Recently I have used silver flouride a couple of times in a clinical setting. The product we have access to is Riva star which comes in a two bottle system or a single use 2 capsule system. The supposed benefits of this compound is that it forms a precipitate that has a desensitising effect on the dentine, a remineralising effect on the tooth structure and an antibacterial effect which is supposed to arrest the caries process. It comes in a two bottle system with silver flouride in the grey bottle and potassium iodide in the green bottle. This differs from other systems which is purely application of silver flouride solution. The main downside with silver flouride is the staining of soft and hard tissues that comes with it's application. The Riva star product claims to eliminate this with the application of potassium iodide which precipitates out the excess silver ions into potassium iodide. My concern is that this may reduce the effectiveness of the product in terms of reminerali