A panel of experts convened by the ADA Council on Scientific Affairs has developed clinical recommendations for the nonrestorative treatment of carious lesions, including the ADA's first-ever recommendations for silver diamine fluoride (SDF). This guideline is the first in a series of four guidelines that will focus on caries management. The other guidelines are scheduled to be published in the coming years and will focus on caries prevention, restorative treatments for carious lesions, and carious lesion detection and diagnosis.
Nonrestorative Treatments for Carious Lesions Clinical Practice Guideline (2018)
Use the clinician and patient tabs below to access the full guideline, chairside guides summarizing the guideline's recommendations for primary and permanent teeth, a "For the Patient" page that communicates the guideline's recommendations to patients, and much more.
- Clinical recommendations
- Systematic review
- Chairside guide for the nonrestorative treatment of carious lesions on ...
- JADA commentary: "Caries Management for the Modern Age"
- Oral Health Topics on ...
- New Dentist Now blog: What It's Like to Develop a Clinical Practice Guideline
- Search JADA for research related to nonrestorative caries treatment
- ADA Library resources
- Instructional video on how to apply silver diamine fluoride (SDF)
Content on this page is for informational purposes only. It is based off of on the “Evidence-Based Clinical Practice Guideline on Nonrestorative Treatments for Carious Lesions,” published in the October 2018 issue of the Journal of the American Dental Association. Content is neither intended to nor does it establish a standard of care or the official policy or position of the ADA; and is not a substitute for professional judgment, advice, diagnosis, or treatment. ADA is not responsible for information on external websites linked to this website.
Clinical practice guidelines include recommendation statements intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options.