If the tooth is vital and there is no Any obvious debris is removed with a CSDS silver fluoride (AgF) applied by microbrush
pain, it is isolated with cotton triplex syringe . No caries is site is kept wet with AgF for 1 minute (ideally 3)
rolls removed

10% stannous fluoride is applied a reducing agent turning the surface of the carious
lesion black

(Convatec)

surface of the lesion is re-examined to see if the entire surface has a
black matte. If not the non-pigmented
area is inspected to ensure there is no
pulp exposure. If it isn’t re-apply; following the same procedure listed above