 Hello everybody Andrea here i'm going to be showing you guys how I apply silver diving fluoride in my practice, so I use advantage arrest. By oral science it's extremely cost effective you only need one drop per tooth sometimes one drop can cover up to three teeth depending on the surface area so i'm going to show you guys on my. patient today very helpful and all of the products that I use to go along with it, so of course you need gloves, which you would have anyway but silver dining fluoride does stain it stains the area so be careful. you'd be using a tray anyway but don't just touch everything don't just you know, because you might not realize it, but it does stain surfaces furniture, all of that. I have stained my compressor top a little bit I don't know how I did it, but I must have touched it after I touched silver dining fluoride somehow. And the stain doesn't come off for a while i'm in fact i'm still trying to get it off so be careful, it does stain it will stain your patients cheek if, for some reason. you're going to apply it and they move a little bit it will stain so just let parents know let the patients know it does stain other areas. it's temporary the stain will come off if you work on kids a lot like I do it's very common no big deal that the child might move, but they will notice a stain afterwards. So what you need is a dappen dish a little cup something that is disposable, so you can just throw it out afterwards. At the end of the video i'm going to show you how I throw this out because. it's not good to just throw it in your garbage because it's going to stain other things I actually. put it inside a dirty glove and then throw it out, so it doesn't stain anything staining is a big thing, so please be careful. What you need is a micro brush so i'm going to show you guys two different types, you do not want this one it's too big. You want the smaller one, do you guys see the difference, I would use this for a fluoride varnish this I would use for silver diamond fluoride because it's more concentrated. This again is for the overall area, this would be too big, you would get silver diamond fluoride everywhere, it needs to be very, very concentrated localized to that area. And you need some gauze your saliva ejector that type of thing but that's pretty basic, so what I want you to make sure to tell parents is silver diamond fluoride or the patient. tell them that it is killing the cavity causing bacteria, this is how I explain it so silver diamond fluoride kills cavity causing bacteria so. That bacteria hopefully won't spread so when they go to the dental office, they might have heard before. Oh, you have a couple watch areas we're not going to put a filling in yet, but we're going to watch wait and see when I see patients if I see a suspected area or a watch area. I don't wait and see I know it's going to get bigger, so what I do to those watch areas is I apply silver diamond fluoride so hopefully it doesn't get bigger. And I let them know for it to work, the most effectively I need to come back to reapply it in two weeks and then consistently every six months. But I would much rather have this than to get a filling I put this on my own teeth, yes, you have to apply it consistently but you're getting your teeth cleaned anyway, so why not. Let them know it does stain that cavity causing area a dark color if it's not a cavity if there's no bad bacteria it's not going to stay. It does not stain the whole tooth just the little area let your patients know that as soon as I tell them it's going to stain the area they automatically think oh my God, my tooth is going to turn black no it just stains the little area kind of like this. That like little black part on the top, so it will be dark, but that means it is actively killing the bacteria. I do not put silver diamond fluoride on the front teeth, because it will stain and nobody wants black spots on their front teeth, the back teeth who cares nobody's going to see them anyway. So make sure to shake shake shake when i'm explaining silver diamond fluoride or talking to my patient i'm shaking it, so I do shake it for probably a good 30 seconds. I have noticed if you don't shake it well enough it doesn't come out a light blue color it's kind of like a black color. So you want to shake shake shake it Okay, that is the key and then what I do, of course, have your gloves on. Have you have your gloves on I put it in this little cup one drop is all you need I bend the micro brush a little bit for just extra. it's just easier to get at if you bend them too much it breaks and you have to get another one so be careful don't bend it too much I put a drop in. You know what guys i'll show I will show you let me put on some glass. It wasn't planning on showing you, but why not, I wish I had a patient to do this for okay so shake shake shake i'm going to put a drop in here. Okay, so i'm just going to be careful, so I don't spill it all over the place and then i'll show you guys recap it right away you don't want it spilling. So, can you guys see that little blue dot that's all you need, and this can work for one tooth or up to three teeth depending on the surface. Take your micro brush obviously dip it in again you guys sorry i'm just being careful because I don't want to get it everywhere. So it is gone it's literally on the micro brush see how it's kind of like a blue color. So what you do and it's not going to show up here because obviously there's no cavity causing bacteria, but what you do sorry guys, I wish it was more in focus i'm probably going to do another video closer to but you literally just i'll show you guys on this empty tooth here. No it's not really in focus, but. darn. This is live you guys can see I haven't done this before so like on video I do this many times, but just not on video. So i'm definitely going to do another video I apologize, but what you want to do is you want to brush it on like this for a good 10 seconds if you can. I count to 10 for my patient and then that's literally it they can eat drink anything afterwards what you don't want to do is do this. Because that's not concentrated right you need to get it right in there with your micro brush, this is probably going to stain everywhere I don't really know I haven't tried it on the type of dog before. You want to get it right in there for a good 10 seconds that's it if there's a lot of saliva you want to suction off the saliva first. wipe it off with some guys whatever you want to do, but again you guys you want to get right in there concentrated. Not like this, you just want to get right to that spot where it's a cavity okay i'm going to show you how I take off my gloves when i'm using silver diamond fluoride I literally take off my glove like this. And then again like this, I put it in the garbage that way, so you know nothing's going to stain the stuff is crazy like it stains everywhere i'm going to wipe the type of dawn afterwards and really, really clean it. But I will take a better picture you guys I apologize i'll try to do a closer up video, but do you guys see how it has to be very concentrated on the tooth. i'll leave the link to the oral science video as well, so you guys can see kind of how that's applied. And what I forgot to mention, which is almost the most important is it tastes awful okay kids never like the taste they're probably going to maybe cry a little bit. They might try to move if you can't get it in there for 10 seconds that's okay it's still going to work. But if you can if your patients cooperating do that, but just get it in as quickly as you can. Even just touching it it's going to work, but you do kind of want to rub it in a little bit and then you're good to go. Your patient can eat or drink afterwards tell them to rinse to get the taste out of there it doesn't taste good it's a very metallic taste. But it's killing bacteria it's not going to taste good, so I hope this helps you guys, thank you for watching, thank you for listening and i'll see you guys in the next one.