Is a drill-less dental filling possible?

Med Hypotheses. 2011 Sep;77(3):315-7. doi: 10.1016/j.mehy.2011.05.002. Epub 2011 May 19.


Dental caries, a bacterial process that results in the acidic destruction of tooth structure, has historically been managed by the mechanical excavation of diseased tooth structure and then restoration with a synthetic material. The mechanical excavation of the infected site is most commonly achieved by a dental handpiece, or "drill"; this handpiece may induce stress and anxiety in many patients. Alternatively, a drill-less filling will involve the utilization of silver diamine fluoride (38%) to arrest and prevent dental caries, followed by restoration with a bonded filling material to achieve adequate seal at the lesion margins. This is a minimally invasive procedure that addresses both microbial and mechanical issues posed by dental caries.

MeSH terms

  • Cariostatic Agents / therapeutic use*
  • Dental Caries / drug therapy*
  • Fluorides, Topical
  • Humans
  • Quaternary Ammonium Compounds / therapeutic use*
  • Silver Compounds


  • Cariostatic Agents
  • Fluorides, Topical
  • Quaternary Ammonium Compounds
  • Silver Compounds
  • silver diamine fluoride