Paediatric dentists’ views on the use of silver diammine fluoride: a UK perspective

Timms, Laura; Graham, Anna R.; Gallacher, Nicola; Large, Jessica; Simpson, Sarah; Johnson, Rosamund; Gallichan, Nathalie; Oliver, Rachel; Morgan, Emma; Hardwick, Constance; Gormley, Alexander; Dixon, Carly

doi:10.1308/rcsfdj.2021.29

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…The reason for this low adoption is still unclear. However, apart from the major drawback of SDF application, which is the occurrence of black staining on the tooth lesion once it is arrested, few studies have indicated that dental personnel’s perceptions and attitudes towards SDF have influence on its usage [ 18 , 19 ]. Furthermore, numerous systematic reviews have been conducted to assess the clinical effectiveness of SDF, but until now, there has been no comprehensive systematic review to evaluate the knowledge, attitudes, and usage by dental personnel.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes and Professional Behavior of Silver Diamine Fluoride among Dental Personnel: A Systematic Review

et al. 2022

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Apart from the major drawback of black staining once lesion is arrested, few studies have indicated that dental personnel’s perception and attitude towards silver diamine fluoride (SDF) influences its usage. This report aims to provide a systematic review presenting dental personnel’s knowledge, attitudes, and perceptions, (KAPs) regarding SDF. A search of multiple electronic literature databases and a manual search were performed. The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement. A comprehensive search yielded 719 publications and 14 cross-sectional studies matching the inclusion criteria. Awareness of SDF among respondents ranged from 29.6% to 87.8%, whereas awareness of its use in dentistry ranged from 14.4% to 94.5%. Regarding attitude towards SDF, the mean score ranged from 3.39 to 14.35. An increase in knowledge of and attitude towards SDF is significantly associated with the usage of SDF and may increase the usage of SDF. This review provides vital information on dental personnel’s KAPs regarding SDF. It is anticipated that the adaptation of SDF usage will be more widespread in the future, especially among children. Findings from the review may assist intervention programs to change misperceptions and to enhance awareness regarding SDF among dental personnel.

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Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes and Professional Behavior of Silver Diamine Fluoride among Dental Personnel: A Systematic Review

et al. 2022

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A multi-site service evaluation of silver diamine fluoride use for children

Timms,

Bux,

Maybin

et al. 2023

Br Dent J

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Introduction The use of silver diamine fluoride (SDF) is relatively new to the UK. It is unknown how it is being used and for what indications in UK paediatric dental services.Aim To: 1) establish how SDF is being used across different paediatric dental settings in the UK; and 2) consider parental and patient views on the treatment experience and side effect of discolouration.Method A multi-site service evaluation was carried out across six paediatric dentistry units covering hospital and community services. Data were collected prospectively from 17/02/2020 to 02/03/2022. Simple descriptive statistics were used to analyse the data.Results Data were collected for 54 patients. The included patients had an age range of 2-13 years, with a mean of 4.9 years. The reason SDF was chosen was reported as: to avoid general anaesthetic (n = 25); to avoid extractions (n = 8); stabilisation (n = 25); acclimatisation (n = 24); and insufficient cooperation for other treatment (n = 17). In total, 42 cases had SDF applied to the primary dentition. This was in the anterior dentition for 18 patients and the posterior dentition for 15, with nine patients having SDF applied both anteriorly and posteriorly. The majority of children and parents were accepting of the technique and immediate aesthetic outcome.Conclusion In the services involved in this multi-site service evaluation, SDF is used for young patients in the primary dentition for the purpose of caries arrest. The technique was viewed positively by the majority of parents and children.

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Parental acceptability of silver diamine fluoride: The UK and US experiences

Timms,

Choi,

Marshman

et al. 2024

Int J Paed Dentistry

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BackgroundInternational data suggest that parents may have reservations about the use of silver diamine fluoride (SDF).AimThe aims of this study were to: (1) examine the acceptance of parents/carers towards the use of SDF for the management of caries in children's primary teeth in secondary care dental settings in the UK and the United States and (2) determine which factors may affect the acceptance of the use of SDF.DesignThis was a cross‐sectional questionnaire of SDF acceptability, completed by parents of young children. It was validated and adapted to local populations. Data were analysed with descriptive and inferential statistics.ResultsOf the 113 Sheffield parents, 73% reported that they would accept SDF treatment of children's posterior teeth, with 58% reporting this for anterior teeth. Parents having less concern about posterior aesthetics had a statistically significant effect on reported acceptance of SDF (p = .013). In the Colorado sample (n = 104), 72% reported that they would accept SDF on posterior teeth, and 58% reported that they would accept SDF on anterior teeth. Concerns about aesthetics had an effect on decreasing SDF acceptance overall (p = .0065) in anterior (p = .023) and posterior teeth (p = .108).ConclusionThe majority of parents in the two study populations accepted the treatment using SDF. However, concern about aesthetics had an influence on acceptability.

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Paediatric dentists’ views on the use of silver diammine fluoride: a UK perspective

Cited by 4 publications

References 18 publications

Knowledge, Attitudes and Professional Behavior of Silver Diamine Fluoride among Dental Personnel: A Systematic Review

Knowledge, Attitudes and Professional Behavior of Silver Diamine Fluoride among Dental Personnel: A Systematic Review

A multi-site service evaluation of silver diamine fluoride use for children

Parental acceptability of silver diamine fluoride: The UK and US experiences

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