Dental professionals now have a safe, inexpensive, and less invasive option to manage Early Childhood Caries: Silver Diamine Fluoride (SDF) is a liquid containing silver and fluoride that can be brushed on teeth to stop decay, relieve sensitivity, and prevent cavities from getting worse. Silver kills the bacteria that cause tooth decay and fluoride helps strengthen the tooth. SDF is applied directly to the area of decay without first having to drill the tooth. SDF is an inexpensive option that is simple to apply; however, although it stops the decay from progressing, it does not fill the cavity, and the tooth may still need to be restored with a filling or crown. After treatment with SDF, arrested decay will become black, but a dental provider can cover the treated area with a white filling material if needed. This may be less of a problem in baby teeth, which will be lost as the child ages, than for permanent teeth. Even so, because applying SDF is quick, it may be especially helpful for young children and other patients who have trouble sitting still during dental treatments, avoiding the need for sedation or general anesthesia. However, the use of SDF remains controversial and more good quality research is needed to be conclusive on its effectiveness, its need and its adverse effects on early caries and children’s health especially for those in developed countries. This is particularly important in light of the FDA warnings about using general anesthetics and sedation in young children. The American Dental Association recognizes SDF as an effective approach to conservatively manage dental decay.