Silver diamine fluoride: Science, strategy, and a code at risk

This week on Dentistry Unmasked, Pam Maragliano and Brian Novy take a deep dive into one of dentistry’s most talked-about preventive materials: silver diamine fluoride (SDF).

Pam and Brian are here to break down what SDF is, how it works at the chemical and clinical levels, and how to thoughtfully select the right cases to ensure predictable, patient-centered outcomes. But the conversation doesn’t stop there. There’s a bigger issue at play—pending legislation that could eliminate a CDT code tied to preventive care, potentially impacting how practices implement and get reimbursed for SDF treatment. What could this mean for your preventive protocols and your bottom line.  If you’re incorporating SDF into your practice—or considering it—this episode delivers the clinical clarity and policy awareness you need to stay informed and prepared and get involved.

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About the Author

Pamela Maragliano, DMD

Chief Editor of Dental Economics

Pamela Maragliano, DMD, is the chief editor of Dental Economics. Based in Salem, Massachusetts, Dr. Maragliano began her clinical career as a dental hygienist. She went on to attend Tufts University School of Dental Medicine, where she earned her doctorate in dental medicine. She then attended the University of California, Los Angeles, School of Dental Medicine, where she became board-certified in prosthodontics. Dr. Maragliano owns a private practice, Salem Dental Arts, and lectures on a variety of clinical topics. You may contact her at [email protected]

Brian B. Nový, DDS

Brian B. Nový, DDS, is the chief dental officer of the Alliance Dental Center, Massachusetts Public Employees Fund. He served as president of the National CAMBRA Coalition and is currently the consumer representative to the United States Food & Drug Administration Dental Products Panel. His awards include the American Dental Association (ADA) Adult Preventive Care Practice of the Year, the Academy of General Dentistry Weclew Award, the Dugoni Award, and the ADA Evidence-Based Dentistry Practice Award. 

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