Aesthetic perception, acceptability and satisfaction in the treatment of caries lesions with silver diamine fluoride: A scoping review

Magno, Marcela Baraúna; Silva, Luciana Pereira da; Ferreira, Daniele Masterson Tavares Pereira; Barja‐Fidalgo, Fernanda; Fonseca‐Gonçalves, Andréa

doi:10.1111/ipd.12465

Cited by 49 publications

(58 citation statements)

References 28 publications

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“…Since we delivered the present survey, SDF remains in the target of many studies that still seek to explore the best protocol, the perception, and acceptability of parents, the knowledge of professionals and their clinical efficacy [17][18][19][20][21][22]. Faced with the great interest in this product and its increasing use worldwide, surveys like ours becomes very important to evaluate the SDF status within each population.…”

Section: Discussionmentioning

confidence: 99%

Survey of Knowledge, Attitudes and Practices of Brazilian Dentists Regarding Silver Diamine Fluoride

Vollú

Moreira

Luiz

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: Current acceptability, barriers to use, and clinical/teaching practices of Silver Diamine Fluoride (SDF) among Brazilian dentists were investigated. Material and Methods: A Google forms questionnaire was sent to dentists (n=10,500) to collect information about the use of SDF and the dentists' workplace, experience, specialty, and city of practice. A logistic regression model was performed. Results: From 409 respondents, 13.2% used SDF. Working at universities increased the use of SDF by 2.29 times (p=0.018) compared to private offices. Each training year, the chance of SDF usage increased by 3% (p=0.008). Pediatric dentists are more likely to use SDF (OR=6.76, p<0.001). There is no association between SDF usage and the city of practice. The majority (75.9%) indicated SDF for noncompliant patients. Dentists (75.9%) reported the exclusive use in deciduous teeth, while 24.1% also use in permanent teeth. The main barrier for non-users was a lack of knowledge (58.3%), while for users, tooth staining (90.7%) and parental acceptance (64.8%) were the complaints. Conclusion: The Silver Diamine Fluoride is not a common product used by the dentists from RJ. Its clinical applicability should be further disseminated; thus, lack of scientific knowledge would cease to be a problem in the use of SDF to arrest caries lesions.

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Section: Discussionmentioning

confidence: 99%

Survey of Knowledge, Attitudes and Practices of Brazilian Dentists Regarding Silver Diamine Fluoride

Vollú

Moreira

Luiz

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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“…Several studies report that SDF appears to be almost twice as effective as fluoride varnish for caries arrest (Rosenblatt et al 2009; Gao et al 2019). The use of SDF has recently gained interest due to its ease of application, relatively low cost, and promising results in those for whom restorative treatment is not possible (Magno et al 2019). One of the known concerns with SDF treatment is the black staining of treated lesions (Alshammari et al 2019; Crystal et al 2019).…”

Section: Introductionmentioning

confidence: 99%

Parents’ Views on Silver Diamine Fluoride to Manage Early Childhood Caries

Kyoon-Achan

Schroth

Martin

et al. 2020

JDR Clinical & Translational Research

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Background: The use of silver diamine fluoride (SDF) as a nonsurgical caries management product is growing. Evidence suggests that SDF is very successful in arresting caries. However, a common concern with SDF treatment is the unaesthetic black staining. The purpose of this qualitative study was to determine parents’ views following their children’s treatment with SDF to manage severe early childhood caries (ECC). Method: Parents were interviewed as part of a mixed-method study of SDF to arrest severe ECC. Children with caries lesions in primary teeth were treated with 2 applications of 38% SDF, followed by fluoride varnish. Semistructured in-person and phone interviews were conducted with 19 parents of children in the study. Data were transcribed verbatim and manually coded and uploaded to NVivo 12 for further coding analysis. Results: None of the parents had previously heard about SDF, and they learned about it from the study dentist. Although parents trusted the dentist’s information on SDF, they welcomed additional evidence, especially relating to product safety and effectiveness. Some parents were minimally concerned with the black staining caused by SDF treatment. It was more important that SDF arrested caries progression, minimized pain and sensitivity, and prevented dental infection. However, some parents expressed concerns related to the unaesthetic black staining. Interestingly, many parents indicated that their children were not overly concerned with the black staining. A majority of parents said that they would recommend the treatment to others. Conclusion: This is the first qualitative study involving parents of children who were treated with SDF. Most parents were accepting of SDF as a nonsurgical treatment to arrest caries and minimize dentinal sensitivity secondary to caries, although some expressed concern about the black staining in anterior teeth. It is important to adequately inform parents of the negative aesthetic consequences and obtain informed consent before treatment. Knowledge Transfer Statement: This qualitative study revealed that many parents of children with severe ECC are accepting of SDF as a nonrestorative caries management option, despite the black staining of caries lesions. Dental professionals need to be aware of these parental concerns and obtain written informed consent prior to treatment. Parents also requested more information and resources on SDF on its benefits, effectiveness, and any associated risks.

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“…This study gains broader importance toward the realization of population health goals when considered within the contexts of its use, including evidence on the acceptability of SDF among diverse patient groups [23][24][25][26][27][28][29]. Findings indicate how this noninvasive, cost-effective, setting-exible treatment may be understood as a meaningful option that providers can con dently consider based on patient characteristics, treatment goals, and other factors.…”

Section: Discussionmentioning

confidence: 96%

Survival of Silver Diamine Fluoride Among Patients Treated in Community Dental Clinics: A Naturalistic Study

Raskin

Tranby²,

Ludwig

et al. 2020

Preprint

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Objectives: To describe survival outcomes of silver diamine fluoride (SDF) among a population-based sample receiving care in community settings.Methods: We analyzed data on SDF applications from de-identified dental claims on Oregon Health Plan patients served by Advantage Dental in 2016, who had been seen in 2015. Survival rates of SDF alone, SDF applied with a sedative filling, and SDF with a same-day restoration were compared. Failure was defined as a restoration or extraction of the tooth 7 to 365 days after initial application, while survival was defined a patient that returned 180 or more days after application and the tooth did not have restoration or extraction. Differences were assessed through Wilcoxon equality of survivor function tests and log-rank equality of survivor tests to compare failure rates, Cox Proportional Hazards models to assess factors associated with survival of SDF, and Kaplan-Meier survival estimate to calculate the probability of survival over time. Results: SDF alone had an overall survival rate of 76%. SDF placed with sedative filling and with a same-day restoration had survival rates of 50% and 84% respectively, likely reflecting the intent of treatment. SDF alone survived exceptionally well on primary cuspids, permanent molars, and permanent bicuspids and among patients aged 10 to 20 years, with modest variation across caries risk assessment categories. A single annual application of SDF was successful in 68% of cases. Among SDF failures on permanent dentition, more than two-thirds of teeth received a minor restoration.Conclusions: SDF is a minimally invasive non-aerosolizing option that demonstrably prevented and arrested early stage dental caries among patients in one “real world” community dentistry setting. Professional organizations, policy makers, providers, and payors should consider broadening the option to use SDF by informing clinical guidelines, reimbursement policies, and treatment decisions, especially amidst COVID-19 pandemic driven guidelines to minimize risk of exposure to airborne pathogens. Future research should address clinical, social, health service delivery, workforce, and economic outcomes including costs and invasive procedures deferred, using diverse population-based samples, and the mechanisms underlying the success of a single application and the potential for SDF to prevent caries found in this study.Trial registration: N/A

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Aesthetic perception, acceptability and satisfaction in the treatment of caries lesions with silver diamine fluoride: A scoping review

Cited by 49 publications

References 28 publications

Survey of Knowledge, Attitudes and Practices of Brazilian Dentists Regarding Silver Diamine Fluoride

Survey of Knowledge, Attitudes and Practices of Brazilian Dentists Regarding Silver Diamine Fluoride

Parents’ Views on Silver Diamine Fluoride to Manage Early Childhood Caries

Survival of Silver Diamine Fluoride Among Patients Treated in Community Dental Clinics: A Naturalistic Study

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