ABSTRACT Dental caries is the most common pervasive oral health problem in children which has major impact in terms of pain, impairment of function, and oral health-related quality of life of mass populations affecting communities. Despite the widespread use of fluoride preparations in schools and other public health care centres , preschool children still show a high number of untreated carious lesions . Silver diamine fluoride serves as an alternative care approach for those patients in whom conventional restorative treatment cannot be done. SDF presents with a non-invasive, simple method of application and low cost restoration tool which can be a favourable means of treating caries in children. It has also gained recent global attention by clinicians due its effectiveness in arresting the progression of carious lesion without any pulpal damage .However the potential drawbacks that accompany the use of SDF such as black discolouration of the teeth and unpleasant metallic taste have limited their application in caries restoration .When treating children ,parental acceptance is an integral part of pedodontic procedures .The article provides an insight on the effectiveness of SDF which might outweigh the side effects caused ,the factors affecting parental attitude on acceptance of using SDF and how they differ in using it on anterior and posterior teeth ; in primary and permanent dentitions .