This week on Brush with Britt, I’m joined by Shelley Brown, RDH, for an eye-opening conversation about silver diamine fluoride (SDF) — one of the most exciting tools we have in modern preventive dentistry.

SDF isn’t just about “stopping cavities.” It represents a shift toward minimally invasive, patient-centered care that allows hygienists to expand their impact in meaningful ways.

Shelley shares her expertise and passion for prevention as we dive into:

-How SDF works to halt active decay and protect vulnerable teeth before they progress

-When to use it — from pediatric patients to older adults, special needs populations, and a wide range of patients in between.

-How hygienists can lead the way in incorporating SDF into preventive protocols and advocating for its use chairside

-Overcoming the stigma of staining by learning how to set patient expectations and frame the “why” behind treatment

-Communication strategies that work when explaining SDF to parents, caregivers, or hesitant patients

-Why SDF matters for prevention — especially as we fight health disparities and look for solutions beyond the drill-and-fill model

Shelley and I also talk about the bigger picture: how embracing preventive services like SDF helps us reclaim our role as primary prevention specialists in dentistry. For hygienists who are passionate about protecting smiles, reducing disease, and practicing at the top of their scope, SDF is an incredible tool that can change lives.

Whether you’re brand new to silver diamine fluoride or already using it in practice, this conversation will give you practical tips, renewed excitement, and the confidence to advocate for prevention-first dentistry.

🎧 Grab your headphones and join us for a powerful episode with Shelley Brown, RDH, as we celebrate what’s possible when hygienists lead the charge in prevention.

👉 If this episode sparks something for you, share it with your hygiene bestie, bring it up at your next team meeting, and keep the conversation on prevention growing!

Shelley Brown, MEd, BSDH, RDH, Shelley has worked in dentistry for 23 years. She co-owns Hygiene Edge, whose goal is to inspire dental professionals to be their best, and promote industry best practices. Their Youtube channel has over 25 million views on their helpful videos. Shelley also currently works as adjunct faculty at the Utah College of Dental Hygiene, a baccalaureate program. She owns Homebound Smiles, where she provides care in public health settings. Shelley is an award recipient of the 2021 Today’s RDH Honor Awards and was on the 2023 RDH Magazine advisory board. She loves riding her 4 young boys around in her cargo bike.

Contact Shelley:

Email: ⁠care@shelley.dental⁠

Instagram: @shelley_the_hygienist

LinkedIn: ⁠https://www.linkedin.com/in/shelley-brown-rdh/⁠

Disclaimer: The Brush with Britt podcast is for educational purposes only and does not constitute the practice of dentistry, medicine, or other health-care services. No provider–patient relationship is formed, and the content is not a substitute for professional advice, diagnosis, or treatment. Listeners should always seek the guidance of their licensed health-care providers for any questions or concerns. The views and opinions expressed by guests are their own and do not necessarily reflect those of Brittany Glauz, (Brush with Britt).

98. Silver Diamine Fluoride: Stopping Cavities, Expanding Prevention