The SMART Technique, Silver Diamine Fluoride, and Other Modern Dental Procedures

November 19, 2025
Child getting fluoride treatment image

At Great Marsh Pediatric Dentistry, we understand that bringing your child to the dentist can sometimes feel overwhelming, especially when a cavity is discovered. As parents ourselves, we know you want the gentlest, most effective care possible for your little one. We are here to walk with you through every step of your child’s dental journey, providing clear information and compassionate care. Modern dentistry has made incredible advancements, offering new ways to treat cavities that are less invasive and more comfortable for children. We are proud to offer these innovative solutions to our patient families.

Our goal is to create a positive and supportive environment where your child feels safe and comfortable. These modern techniques help us do just that by making treatment quicker, quieter, and more pleasant. By focusing on prevention and using minimally invasive procedures when treatment is needed, we help build a foundation of trust and confidence. We want every visit to our office to be a step toward a lifetime of healthy smiles, and that starts with making even necessary treatments like restorative dentistry a positive experience.

The SMART Technique

One of the most exciting advances we use is the SMART technique. SMART stands for Silver Modified Atraumatic Restorative Technique. This gentle approach allows us to treat cavities without the use of a dental drill, which means no noise, no vibration, and often no need for local anesthetic injections. For many children, especially those who are young or feel anxious, this can make a world of difference in their dental experience. The "atraumatic" part of the name is key—it is designed to be a stress-free process for your child.

The procedure itself is straightforward and comfortable. We begin by applying a liquid called Silver Diamine Fluoride to the cavity, which stops the decay from progressing. After a few weeks, we place a tooth-colored filling directly over the treated area to restore the tooth's shape and function. This two-step process not only resolves the cavity but also protects the tooth from future decay. The SMART technique is a wonderful option for managing cavities in baby teeth, helping us preserve them until they are ready to fall out naturally, all while keeping your child comfortable and happy.

Silver Diamine Fluoride (SDF)

Silver Diamine Fluoride, or SDF, is a key component of the SMART technique, but it can also be used as a standalone treatment. It is an FDA-approved liquid that acts like a powerful medicine for teeth. Composed of silver, which has antimicrobial properties, and fluoride, which helps reminieralize tooth structure, SDF is a highly effective tool for stopping cavities in their tracks. We simply paint the clear liquid onto the surface of a cavity, and it goes to work immediately to halt the decay process.

The application of SDF is quick, painless, and completely non-invasive. There are no drills or injections involved, making it an ideal choice for very young children, those with special healthcare needs, or any child who might feel nervous about dental procedures. While SDF does cause the decayed part of the tooth to darken, this is a small cosmetic trade-off for a treatment that is effective and comfortable. For baby teeth, which will eventually be replaced, SDF offers a simple and powerful way to manage decay and prevent it from spreading, ensuring your child’s mouth stays healthy.

PapacarieDUO

PapacarieDUO is another gentle and innovative option for managing tooth decay, ideal for children who experience anxiety about traditional dental procedures. This minimally invasive treatment uses an enzyme gel to soften decayed tissue, which can then be removed without the need for drills or injections. PapacarieDUO is particularly beneficial for sensitive children and those with special healthcare needs, as it prioritizes comfort and reduces the stress often associated with dental care. By preserving more of the healthy tooth structure, this method supports long-term oral health while offering a calming and child-friendly experience. With PapacarieDUO, your child’s dental visits can be more positive and their smiles protected in a compassionate, effective way.

Other Modern Dental Procedures

Beyond SDF and the SMART technique, pediatric dentistry has embraced many other innovations to ensure your child receives the best care available. We use state-of-the-art digital radiography, which provides clear, instant X-ray images with minimal radiation exposure. This technology is faster and more comfortable for your child than traditional film X-rays and allows us to detect potential issues with incredible accuracy. We can show you the images right away and discuss our findings together, making you an active partner in your child's dental health plan.

We also utilize advanced, tooth-colored materials for fillings and crowns. These modern composites and ceramics are not only aesthetically pleasing, blending in seamlessly with your child’s natural smile, but they are also strong and durable. We can place tooth-colored fillings to repair small cavities or use custom-fitted crowns to protect a tooth that has experienced more significant decay or trauma. These materials allow us to restore teeth to their natural strength and appearance, ensuring your child can eat, speak, and smile with confidence. Our commitment to using the latest technology and materials means we can provide care that is safer, more effective, and more comfortable for your child.

Creating a Positive Dental Home

Our practice is built on a foundation of kindness, empathy, and expertise. We believe that every child deserves to have a positive relationship with their dentist, and we work hard to make that a reality for every family who walks through our doors. By embracing modern, minimally invasive procedures like the SMART technique and SDF, we can provide effective care while minimizing any potential anxiety for your child. Our team is dedicated to educating families and empowering children to take pride in their oral health, creating a dental home that your child will look forward to visiting for years to come.

Frequently Asked Questions About Restorative Dentistry

Is the SMART technique or SDF safe for my child?

Yes, both the SMART technique and Silver Diamine Fluoride (SDF) are considered safe and effective by the American Dental Association and the FDA. SDF has been used for decades in other countries and has a strong track record of success in pediatric dentistry here in the United States. We will always discuss all available treatment options with you and explain the benefits of each one to help you make an informed decision that you feel confident about. Your child's safety and well-being are always our top priorities.

Will my child need to be numbed for these procedures?

One of the greatest benefits of the SMART technique and SDF is that they often do not require local anesthetic, or "numbing." Because these procedures are non-invasive and do not involve a dental drill, they are typically painless. This helps create a more comfortable and stress-free experience for your child, reducing dental anxiety and building a positive association with dental care. For restorative procedures that may require it, we use gentle techniques to ensure your child’s comfort.

At Great Marsh Pediatric Dentistry, we are honored to be your partners in caring for your child’s smile. Our team, led by Dr. Marina Mooradian, is committed to providing gentle, compassionate, and state-of-the-art dental care in a warm and welcoming environment. If you have any questions about our modern dental procedures or would like to schedule an appointment for your child, please contact us. We look forward to welcoming you to our dental family.

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Great Marsh Pediatric Dentistry
65 Central Street, Unit 101
Georgetown,
MA
01833
978-234-4300
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