 Hello everybody, Andrew Maeski here with dental L. I actually just saw a patient. You can still see my Loop marks on my nose. I have very sensitive skin. So everything leaves marks even if you know glasses on for two seconds Leaves a mark Anyway, so I'm here to talk about silver diamond fluoride and how I actually use that in my dental hygiene practice I use this stuff literally Almost on every single patient. That's how often I use it So it is called advantage arrest by oral science amazing company. They have everything I love them And I use it in combination with another thing from oral science as well a fluoride varnish Florimax, however, you want to pronounce it. Florimax and advantage arrest. So how do I use them? So for silver dining fluoride, that is for if I suspect a client has a cavity Large small if I suspect they have a cavity I tell them they need to go see a dentist for a dental exam and x-ray to confirm But I do suspect they have a cavity How do I know if I'm looking in there and it looks like a cavity where it's a Brown area black area in some cases and if I take my instrument and it's sticky It's like pin it a little bit. That's a pretty good indication If I put this on silver dining fluoride advantage arrest I use a little tiny micro brush. So I'm going to show you guys two different types of brushes There's a micro brush in there. Well, they're both micro brushes, but you see how the purple one's a lot tinier Here guys, I'll kind of show it to you this way. See how the purple one's a lot tinier this is for silver dining fluoride because This stuff tastes horrible. It's technique sensitive. You have to be careful with it and It stains. So if you're not careful with it, if you're just sort of brushing it on, you know, wherever it Will stain black if you get it on your lip cheek inside the mouth tongue or something It will stain black the stain goes away eventually But I mean who wants to walk out of the dental hygiene office with a black lip or something, right? So you want something more precise like the purple micro brush, okay? So I put it in a dappen dish One drop is all you need for probably three different teeth It depends on the size of the areas, but one drop is all you need you guys It goes a long way. I charge about twenty five dollars Per drop. So if a drop gets me three teeth, great The patient only pays twenty five dollars if a drop gets me one tooth because it's such a large area It's twenty five dollars per drop because this stuff is amazing It kills the cavity on contact. It makes the cavity Hard again, so it will actually arrest that cavity So it doesn't get bigger perfect for a dental hygiene practice where I tell them I want you to go to a dentist to have these cavities looked at but they might not be able to go tomorrow or next week or next month I don't want that cavity to get bigger while they're waiting to go get it looked at because some patients won't ever go We know that so at least I'm doing something to stop that cavity from getting bigger So I use it every day in my practice I use a dappin dish the silver dining fluoride and the tiny micro brush But after the silver dining fluoride I apply the fluoride varnish for two reasons The first reason is because it just tastes so much better. This stuff tastes like death Okay, don't surprise the patient and don't tell them that it doesn't taste horrible I let all of them know kids adults doesn't matter I tell them tastes kind of yucky just so you know But the varnish so with this actually comes in bubblegum mint or caramel. I have the caramel I think it actually tastes pretty good. So I put that on afterwards with a larger Brush because if I try to put it on with this thing it just kind of absorbs too much because this is like a thicker Consistency so this won't go far. You need the larger brush this one So I use the fluoride I put a drop all you need into a dappin dish And I will put it over those areas that I had used the silver dining fluoride But I also like to put it everywhere So if you are applying it as a general fluoride varnish you want to put it on the bottom first So this technique is different from the ones you're probably used to using where you put it on all the teeth everywhere This stuff is amazing because it's not sticky here. Let's just do a close-up It's not sticky But you put it on differently check out the YouTube videos that they have what you do is you put a thin a thin layer On the bottom on the buckle the bottom on the top That's it not on the teeth, but just sort of Down here. Yeah down down there. I know weird the bottom the top have the patient suck in Like this and then suck out Like that. That's it. It can eat drink right away afterwards. No problem I don't use suction for the saliva because I don't want it to clog up my suction So I do have them spit into the sink afterwards They can have water if they want to but I tell them like wait a couple minutes to have it really take effect But on the back it does say you can either drink right away. No problem It will not make the teeth feel sticky. So I use this as a general Varnish anyway, but especially definitely after this Do I charge extra for this it kind of depends if I'm just putting it on the silver diamond fluoride for whatever reason no I'm not going to charge $25 more for that. Although I could but if I'm using it as a general varnish I do charge $25 for this. This stuff is amazing. You want it I put this on my own teeth every like three months or so just to help to protect things So I use these you guys literally probably on almost every patient. It's amazing stuff helps to keep the teeth healthy It's just great stuff helps against cold sensitivity But of course the silver diamond fluoride will stop those cavities I feel every dental office should have it especially for those areas where they might say We're going to keep an eye on that. We're going to watch it. Don't watch a cavity It's going to get bigger right cavities. Don't get smaller. They get bigger Put this on to prevent it from getting worse. I forgot to mention. I am so sorry This will stain the teeth dark like black. I think I did mention it But I didn't really talk about it. Let the patient know it will stain the teeth black I said or sorry the area black not the teeth I say this because let's say a little four-year-old has a cavity here You you want to fix them obviously You might want to apply silver diamond fluoride But if it turns the area black the parents may not be happy with you. They will likely say to you Okay, we're going to go to the dentist like tomorrow because we don't want that stuff to turn it black Let them know do I see kids where I do put this on these areas? Yes, because I see kids Where the parents admit to me that they're not going to go to the dentist anyway Because they simply can't afford it. So they would prefer to spend $25 on this Opposed to $100 each for each tooth for a filling. They're okay to have it look black So let people know parents kids whoever that it does stain the the areas black. Okay um Even doing a quick google search silver diamond fluoride before and after you will see the difference Thank you guys for listening. I hope you guys liked the video and I'll see you in the next one