<p>Parental acceptance of the utilization of silver diamine fluoride on their child’s primary and permanent teeth</p>

Abstract

Purpose: Silver diamine fluoride (SDF) is an effective caries control agent. The aim of our study was to investigate the parental acceptance of the utilization of SDF on their child’s primary and permanent teeth and to determine the factors that influence their decision-making. Patients and methods: This descriptive cross-sectional study included parents of healthy children aged 12 years and younger and currently receiving dental treatment. The interview questionnaire was conducted and pre-tested for face and content validity. The trained interviewing dentists showed colored pictures of primary and permanent teeth before and after receiving SDF treatment. The statistical significance was set at P <0.05. Results: A total of 104 parents were included in the study. The mean parental rating of treatment acceptability of the staining associated with SDF was 3.9±1.95. The plurality considered the staining caused by SDF treatment strongly not acceptable 46 (43.4%). Parental acceptance of SDF treatment was significantly affected by the location and type of teeth. Parents showed significantly higher acceptance of SDF treatment on their child’s primary compared to permanent teeth and posterior compared to anterior in both dentitions ( P <0.001). In addition, parents of children with a history of uncooperative behavior during previous dental treatment were significantly more accepting of SDF treatment regardless of the type and location of the teeth. Conclusion: Parental acceptance of SDF increased for primary compared to permanent teeth, on anterior compared to posterior teeth in both dentitions and for uncooperative children.

Acceptance of Parents to Silver Diamine Fluoride in Pre-cooperative Children: A Cross-sectional Study

“…20 Although discoloration caused by SDF was unacceptable to most of the parents, many would still choose SDF instead of pharmacological methods like sedation or general anesthesia. These results were similar to the study done by Bagher, 15 wherein parents of children with history of uncooperative behavior during previous dental treatment were significantly accepting SDF regardless of type and location of teeth. The reason for choosing SDF may be the parent's awareness of anesthetic agents being associated with potential risk to patient's overall health with some reports of morbidity and mortality.…”

“…These results were in conjunction to the study done by Crystal 14 and Bagher. 15 However, contrasting results were reported by Alshammari 16 where majority of the parents strongly refused SDF treatment both in front and back teeth. Also, other authors have reported that parents preferred tooth-colored restorations over amalgams and silver metal crowns 17 and zirconia esthetic crowns over other anterior restorations.…”

“…It is recommended that the consent forms with photographs of SDF application on front and back teeth should be presented to the parents before SDF application. 15 In recent literature, SDF has attracted attention as an additional approach to caries management. It is bactericidal to cariogenic bacteria mainly Streptococcus mutans, promotes remineralization of demineralized enamel and dentine, and also hampers degradation of the dentine collagen.…”

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

“…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.…”

“…The existing literature on SDF focuses primarily on young children who still have primary dentition [10,13,15,[22][23][24][25][26][27][28] and older adults [16,30], often omitting older children, adolescents, and working-age adults. The strongest evidence on SDF derives from randomized controlled trials (RCTs) whether individual or aggregated into evidence reviews, which compare SDF with placebo or other treatments, limit the intervention to SDF alone versus when used in combination with restorative procedures, and generate ndings from samples treated under ideal clinical conditions and from analyses that control for covariates [6,[10][11][12][13][14][15][16][17].…”