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Published September 2026

1 of 3After the cleaning, the teeth are dried with a puff of air
  1. After the cleaning, the teeth are dried with a puff of air
  2. A sticky varnish is painted on every surface
  3. It sets on contact with saliva and hardens the enamel for months

Who usually does it

hygienist. Done in general and pediatric offices, usually at a cleaning visit.

One question worth asking

Is fluoride covered at my age on this plan, or is it an out-of-pocket line?

Silver diamine fluoride

Cleanings and gum carePreventiveD1354

D1354. A liquid painted on a cavity to stop it growing without drilling; it turns the spot dark.

Fluoride is painted or brushed onto teeth to strengthen enamel and slow early decay. Silver diamine fluoride is a stronger liquid that can stop a small cavity from growing without drilling.

The teeth are dried and the varnish is painted on in a minute or two; it sets on contact with saliva and keeps working for months. Silver diamine fluoride is a different liquid that can stop a small cavity from growing without drilling, though it stains the treated spot dark. Codes differ by which product is used and whether it is counted per visit, per tooth or per arch. Most plans file this as Preventive. What they actually pay varies by plan.

Codes for this

D1206PreventiveFluoride varnishA sticky varnish painted on the teeth that sets in seconds; the most common fluoride for children and adults.per visit · Done oftenD1208PreventiveFluoride foam, gel or rinseFluoride in a tray or rinse held in the mouth for a few minutes; the older style.per visit · Done oftenD1354PreventiveSilver diamine fluorideA liquid painted on a cavity to stop it growing without drilling; it turns the spot dark.per tooth · Done sometimesD1355PreventiveOther cavity-stopping medicineA non-fluoride medicine painted on a tooth to slow decay.per tooth · Rarely doneD5986BasicCustom fluoride trayA custom-made tray for applying fluoride gel at home, usually after radiation treatment.per arch · Rarely done
Have this on your plan?

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Part of these flowsAdult check-up cycleRoutine check-up cycle for a young childFirst dental visit by age oneFirst adult molars and sealantsTeen check-up cycle and second-molar sealantsEarly cavities on baby teeth (under three)

Related

Silver diamine fluoride (D1354): what happens, step by step | TruthMolar