Silver Diamine Fluoride in Oakland, CA offers a conservative way to help manage certain cavities in children without drilling in selected situations. At Redwood Pediatric Dentistry, Dr. Niekia Franklin evaluates each cavity carefully to determine whether SDF is an appropriate option for your child.
Silver Diamine Fluoride (SDF) is a topical liquid applied directly to an area of active tooth decay. The silver component helps control cavity-causing bacteria, while fluoride supports the affected tooth structure and helps make the decayed area more resistant to further breakdown.
SDF can help arrest certain cavities, but it does not replace tooth structure that has already been lost. Depending on the size, location, and condition of the cavity, the tooth may still need monitoring, another SDF application, a filling, a crown, or other restorative care later.
Dr. Niekia Franklin is a board-certified pediatric dentist with advanced training in children’s oral health and a conservative approach to cavity management. She carefully considers the location, size, activity, and condition of each cavity before determining whether SDF is appropriate.
Dr. Franklin helps families understand when monitoring, SDF, or restorative treatment may be the better choice for a particular tooth. She explains the expected dark staining, limitations, possible follow-up needs, and available alternatives so parents can make an informed decision.
Her credentials include:
At Redwood Pediatric Dentistry, SDF recommendations are based on careful evaluation and clear communication. Our team helps families understand when this treatment may be helpful and what to expect before moving forward.
Dr. Franklin evaluates the location and condition of the cavity to determine whether SDF is an appropriate option for your child’s tooth.
We consider less invasive approaches when they can effectively support your child’s oral health while preserving comfort.
We explain how SDF works, including benefits, limitations, staining expectations, and possible future treatment needs.
Our pediatric-focused approach helps children receive care that considers their dental development, comfort, and individual needs.
SDF offers a conservative way to manage certain active cavities when immediate restoration may not be the most appropriate first step. Its role depends on the tooth, extent of decay, and your child’s treatment needs.
SDF is applied directly to active decay to help arrest or slow cavity progression in appropriately selected teeth.
For some children and cavities, SDF may provide time before a filling, crown, or other restorative procedure becomes necessary.
SDF can be useful for some young children or patients who may have difficulty completing more involved dental procedures at that time.
SDF application is generally brief and focused on treating the affected cavity directly. Dr. Franklin first determines whether the tooth is suitable for this type of cavity management.
Dr. Franklin examines the cavity, considers its location and condition, and determines whether SDF is an appropriate treatment option.
The tooth is gently cleaned before applying SDF to the affected area. The goal is to allow the solution to contact the cavity site.
A small amount of SDF is carefully placed directly on the decayed area using a small applicator. No drilling is required for the SDF application itself.
Follow-up visits allow Dr. Franklin to check whether the cavity remains stable and determine whether another application, continued monitoring, or restorative treatment is appropriate.
Reviews
Parents appreciate our honest communication, thoughtful guidance, and commitment to empowering families with the knowledge they need to make confident decisions about their child’s health.
![]()
Morgan CepparoTrustindex verifies that the original source of the review is Google.
This was our first visit and we loved it. They took amazing care of my 14 month old and made her feel comfortable. They were gentle, kind, and playful. A great experience!![]()
Iman ATrustindex verifies that the original source of the review is Google.
This is hands down the best pediatric dentistry in the entire Bay Area. From the moment you walk in, the reception staff is incredibly kind and welcoming. That warmth continues with the dental assistants and Dr. Franklin herself. My children are always so well cared for, but today’s visit truly stood out. When we discovered my young son had cavities, Dr. Franklin immediately sensed our worry. Before even discussing the treatment, she took the time to console my husband and me, reassuring us that this happens often and isn't a reflection of our parenting. Her empathy is unmatched. We are so grateful to have found this practice and cannot recommend them highly enough. If you want the best for your children, look no further. Dr. Franklin + Staff: I wish you all nothing but health, wealth, and success! You guys are WONDERFUL! Thank you, thank you, thank you!![]()
Emily Berenberg SchlesingerTrustindex verifies that the original source of the review is Google.
We love Dr. Franklin and her whole staff. My three boys are all patients at Redwood Pediatric Dentistry and I appreciate their suggestions for dental health and how they really connect with my kids. The lots of personal touches like their names on the door, my little one loves the toys and my older kids appreciate that the staff are all very friendly and fun to talk to. They also make scheduling and insurance billing very easy. Highly recommend!![]()
Linda XuTrustindex verifies that the original source of the review is Google.
I started taking my now three-year-old here when she first turned one. Dr. Franklin and the team makes the experience so seamless and as fun as comforting for the kiddos, as well, a dentist trip can be :). We’re very grateful to have found this place and we’re excited that our kiddos will be here for a very long time.![]()
Courtney JoTrustindex verifies that the original source of the review is Google.
My family and I are so happy we came across Dr. Franklin’s office for my 6 yr old son. All the staff are so friendly and welcoming. You feel like family when you go and I love that not only is the space specifically curated for kids but all the staff have a talent for working with kids. They know exactly what to do to help the kids feel at ease. When my son had a filling, he was nervous going in but once he got on the chair Dr. Franklin explained everything to him step by step and when we was done he said it wasn’t so bad :) I also love that Dr. Franklin gives you a lot options when your child needs treatment. She is very health conscious and puts that at the forefront of her practice. I wish I had a child dentist like this when I grew up. I would always look forward to going. If you’re looking for a dentist for your child, I highly recommend Dr. Franklin!![]()
KatrinaTrustindex verifies that the original source of the review is Google.
I took my 2 year old here for her first dentist visit and we could not have had a better experience! My daughter had so much fun and every staff we interacted with was kind, friendly, and patient! Couldn’t recommend this pediatric dentist more!!![]()
Suzanne SpencerTrustindex verifies that the original source of the review is Google.
Dr Franklin is wonderful and so are all the hygienists we’ve met!![]()
Marianella CaterianoTrustindex verifies that the original source of the review is Google.
We always have a wonderful experience with the team at Redwood Pediatric Dentistry. They are so patient, kind, and great with kids. My daughter always feels comfortable, and everything is explained clearly to both of us. Highly recommend for anyone looking for a great pediatric dentist!
Silver Diamine Fluoride is used to help manage certain active cavities by applying a liquid medication directly to the affected tooth area. It may be considered when a child could benefit from a less invasive approach to cavity treatment.
Yes, the decayed portion of a treated tooth typically turns dark after SDF application. This staining is expected and is part of how the treatment changes the affected cavity area.
SDF application is generally quick and does not involve drilling or numbing the tooth. Your child may notice a taste during treatment, but the procedure is designed to be simple and comfortable.
Not always. SDF can help manage certain cavities, but it does not replace missing tooth structure. Some teeth may still need a filling, crown, or another treatment depending on the extent of decay.
SDF may be considered for children with certain active cavities, including some younger children, children with special healthcare needs, or children who may benefit from a less invasive approach. Dr. Franklin evaluates each situation individually.
Redwood Pediatric Dentistry provides Silver Diamine Fluoride in Oakland, CA for families looking for conservative options to manage certain childhood cavities. Our team evaluates each child’s tooth condition and explains whether SDF, monitoring, or another treatment approach may be appropriate.
Families throughout Oakland and nearby communities, including Montclair, Piedmont, Alameda, and Berkeley, can rely on Redwood Pediatric Dentistry for personalized pediatric dental care. Whether your child has an active cavity or you want to understand available treatment options, Dr. Franklin and our team are here to guide your family.