To stop cavities without drilling, many families now choose Silver Diamine Fluoride in San Antonio, TX. Silver Diamine Fluoride (SDF) is a special liquid used to slow down or stop early tooth decay. It’s brushed onto the tooth and works by killing cavity-causing bacteria and hardening the area. This treatment is quick, gentle, and perfect for young kids or anyone who is nervous about the dentist. At Smiles of Bulverde, we make SDF visits easy and comfortable. With Silver Diamine Fluoride in San Antonio, you can protect your child’s smile without stress or fear.



Dr. Lisa is a board-certified pediatric dentist who has proudly served the San Antonio community for many years. She earned her dental degree from the University of Texas Health Science Center at San Antonio and completed her pediatric dentistry residency in 2013.
As a mother of three boys, Dr. Lisa understands the importance of creating a safe, caring, and comfortable experience for children and families. She enjoys helping young patients build positive relationships with dental care while providing compassionate treatment.
Pediatric Dentist

Dr. Luciana Ramirez is a San Antonio native who earned her Doctor of Dental Surgery degree from the University of Texas Health Science Center at San Antonio in 2014. She proudly served as a Dental Officer in the United States Navy for five years before returning home to care for her community.
After discovering her passion for working with children, Dr. Ramirez completed advanced training in pediatric dentistry and is board eligible. She is dedicated to creating a safe, welcoming environment where children and families feel comfortable, supported, and cared for.
Pediatric Dentist
No drilling or numbing
Caring, trained professionals
Advanced fluoride protection
At Smiles of Bulverde, we make Silver Diamine Fluoride in San Antonio easy and stress-free. Our family dentist in San Antonio is gentle, patient, and experienced with children of all ages. We always explain the steps clearly and make your child feel safe during the visit.
SDF treatments in San Antonio are fast and affordable. Because SDF treatments are non-invasive, they are much more affordable than restorative procedures like pediatric dental crowns or root canal therapy should an infection reach the tooth's nerve.
Keeping baby teeth healthy is important for eating, speaking, and development. Silver Diamine Fluoride in San Antonio helps preserve baby teeth until they naturally fall out.
Because SDF in San Antonio doesn’t involve shots or drills, children feel more relaxed. This helps build positive experiences at the dentist and reduces future anxiety.
At our San Antonio dental office, we begin by checking your child’s teeth to see if SDF is the right choice. We look for early cavities or soft spots that may benefit from treatment.
We carefully brush the liquid Silver Diamine Fluoride in San Antonio directly onto the affected tooth. It dries fast and begins to protect the tooth from decay right away.
During future checkups in San Antonio, we’ll check the tooth again and reapply SDF if needed. This keeps the area strong and stops the cavity from spreading, especially when combined with regular dental cleanings.
Silver Diamine Fluoride is an FDA-approved liquid medicine used to "freeze" tooth decay in its tracks. It is made of two main ingredients: Silver, which acts as a powerful antimicrobial to kill cavity causing bacteria, and Fluoride, which remineralizes and hardens the tooth structure.
You cannot "wash" or brush SDF off once it has bonded to a cavity. However, if the black spot is an aesthetic concern for your child, it can be covered later. Once the child is older or more comfortable with treatment, we can mask the dark area using dental fillings or a dental crown. The SDF acts as a "holding treatment" to save the tooth until a more permanent cosmetic fix is possible.
No. Once SDF reacts with a cavity, the stained area becomes a permanent black or dark brown color. It does not fade over time because the silver has oxidized and bonded with the decayed tooth structure. This dark spot is actually a sign that the treatment is working and the cavity is no longer active.
The application is fast and painless. At our San Antonio office, we:
Yes. SDF is incredibly safe and has been used globally for decades. Because it is non-invasive and requires no sedation or local anesthesia (numbing shots), it is often the safest option for toddlers, children with special needs, or elderly patients who may be at higher risk during traditional oral surgery.

At Smiles of Bulverde Family Dentistry & Orthodontics, we make it easy for families in North San Antonio, TX, to receive high-quality dental care close to home. Conveniently located on Bulverde Road, our office is easily accessible to patients from Encino Park, Emerald Forest, Redland Ridge, Redland Woods, and Sendero Ridge. Explore our nearby service areas and choose a trusted local dental team for your family’s preventive, restorative, cosmetic, and orthodontic needs.
From preventive and family dentistry to orthodontics, cosmetic treatments, and emergency dental care, we offer complete dental services under one roof to support healthy, confident smiles for every stage of life. Our dental office is designed with your comfort and convenience in mind to ensure stress-free visits for patients of all ages. Located at 22103 Bulverde Road, Suite 108, San Antonio, TX 78259, we offer ample parking, flexible scheduling, and a warm, welcoming environment. Call (210) 907-8666 today to schedule your appointment and discover why families across North San Antonio trust us as their dental and orthodontic home.