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Aside from fluoridated water, silver diamine fluoride is the single greatest innovation in pediatric dental health in the last century for the prevention of caries. Despite its recent popularity, it has been used internationally for upwards of 80 years. Silver diamine fluoride treatment is an efficient, painless, quick and safe method of dental treatment and sustainable option for high-risk children and adolescents across all the age groups in arresting dentin caries.