• Home
  • NuSmile NuNamel SDF FAQs

NuNamel Silver Diamine Flouride (SDF) FAQs


NuNamel SDF is part of NuSmile’s preventive product line, alongside NuNamel 5% Sodium Fluoride Varnish. This clear 38% silver diamine fluoride (SDF) solution treats dental hypersensitivity by occluding dentinal tubules, with silver providing antimicrobial benefits and fluoride aiding remineralization.

NuNamel SDF should not be used in patients with silver allergies, oral ulcers, canker sores, mucositis, or advanced periodontal disease, as the ammonia content may cause irritation. It is also unsuitable for severe decay with pulpal involvement, as it is not a substitute for restorative treatment.

According to the AAPD, SDF is a minimally invasive treatment used to arrest caries, prevent further decay, and manage dentin hypersensitivity. It can help delay or reduce the need for more extensive procedures and may be applied by trained allied dental personnel under supervision. The AAPD also supports ongoing research to further evaluate its effectiveness and long-term impact. For more details, refer to the AAPD Policy on SDF here.

NuNamel SDF does not stain healthy enamel or dentin. However, it can darken decayed areas as silver interacts with infected lesions. Since these spots are often already discolored, SDF may make them appear even darker. However, informed consent from the patient or guardian is crucial. Explaining the potential staining and benefits of SDF ensures an informed choice.

The maximum recommended amount is 1 drop per 22.05 lbs (10 kg) of body weight per visit.

Yes, restoring the tooth after desensitization is essential for maintaining function, esthetics, and hygiene. Suitable restorative options include glass ionomer, composite, or a prefabricated crown such as NuSmile ZR, BioFlx, Signature, or stainless steel for full coverage.

Note: The use of opaquers is recommended under translucent restorative materials.

Yes, applying fluoride varnish after SDF treatment is recommended as it helps provide extra protection by promoting remineralization and balancing the pH of the oral environment. NuSmile offers a variety of flavors of fluoride varnishes that kids love, including Bubblegum, Strawberry, and Mint. Click here to learn more.

Keep NuNamel SDF in its original container in a cool, dark location. Re-cap immediately after use to prevent accidental staining and to preserve its effectiveness.

No, NuNamel SDF does not come with an applicator brush. However, it can be used with your current micro-brush applicator or any micro-brush of your choice.

NuNamel SDF is available in a 4mL bottle, designed for easy handling and optimal efficiency in most clinical settings.