Parental acceptance of silver Diamine fluoride application on primary dentition: a systematic review and meta-analysis

Sabbagh, Heba Jafar; Othman, Mashael Abdullah; Khogeer, Layla; Alharbi, Haifa; harthi, Amjad Al; Abdulgader, Asmaa Abdulgader Yaseen

doi:10.1186/s12903-020-01195-3

Cited by 40 publications

(51 citation statements)

References 29 publications

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“…One reported that only 53.3% of parents considered SDF treatment for their children acceptable due to discoloration problems [23]. Sabbagh et al showed that parental acceptance of SDF treatment was significantly higher for posterior teeth than for anterior teeth [22]. Hence, this study aimed to quantify the color change produced by SDF in primary molars as well as the masking effect of the KI bleaching agent and CMP and GI restorations.…”

Section: Discussionmentioning

confidence: 98%

“…However, how to reduce the discoloration associated with the application of SDF in primary teeth remains unclear. Several studies have tried to measure the parental acceptance of SDF application in children [22]. One reported that only 53.3% of parents considered SDF treatment for their children acceptable due to discoloration problems [23].…”

Section: Discussionmentioning

confidence: 99%

“…For SDF to be acceptable on a wider scale as a treatment modality for primary teeth, unfavorable adverse effects, such as staining of the tooth structure and adjacent tooth-colored restorations, should be managed [18,21], since this is a considerable concern of patients and parents [22,23].…”

Section: Introductionmentioning

confidence: 99%

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Laboratory evaluation of the potential masking of color changes produced by silver diamine fluoride in primary molars

et al. 2021

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Background The importance of Silver diamine fluoride (SDF) as a minimally invasive and nonaerosolizing management during COVID-19 pandemic has highly increased. SDF is a caries-arresting agent that causes staining of tooth structure. Managing this discoloration will increase its acceptance in treating primary teeth. The main aim of this study was to quantify the color change associated with the application of SDF on extracted carious primary molars, the potential masking of this color change by potassium iodide (KI), composite (CMP) and glass ionomer cement (GI) and the effect of aging on this color masking effect. Methods An in-vitro study in which 52 carious primary molars were collected, prepared, and distributed randomly into four groups equally as follows: Group A: SDF 38%; Group B: SDF 38% + KI; Group C: SDF 38% + CMP; Group D: SDF 38% + GI. Color changes were recorded for each sample at baseline, and after application of the tested materials. Moreover, all samples had undergone Suntest aging followed by a third color reading. CIELAB values L*, a*, b*, ΔL, Δa, and Δb were measured, ΔE was calculated, and data were analyzed using multivariate analysis of variance (MANOVA) and post-Hoc Scheffé test (p < 0.05). Results MANOVA revealed the significant influence of the factor ‘material’. SDF caused an obvious color change compared to the color of carious dentin. Regarding ΔL, the color change of groups C and D was not significant directly after application of the tested materials. After aging, it was significant among all groups, including groups C and D. In Δa there was a difference between SDF and groups B and C after application of the tested materials, and aging produced the same results. The color shifts of Δb of all tested groups varied significantly from one another. After aging, there was no difference between group D and either group A or B. Conclusions Treatment with SDF caused obvious discoloration of carious dentin. Directly after SDF application, all tested materials could effectively mask the color change associated with the application of SDF. CMP was the only material whose color masking effect was not completely reversed by aging.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Laboratory evaluation of the potential masking of color changes produced by silver diamine fluoride in primary molars

et al. 2021

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“…Many published studies have focused on parental acceptance of SDF, [28][29][30] but to our knowledge, few studies have reported on the actual use of SDF in clinical practice. In this pediatric dentistry practice, SDF was presented to parents as a treatment option in every situation where a child's needs were unable to be managed in a timely manner.…”

Section: Discussionmentioning

confidence: 99%

Examining Parental Treatment Decisions Within a Contemporary Pediatric Dentistry Private Practice

Kopczynski

Meyer

2021

PPA

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Purpose The primary objective of this study was to compare relationships between child, parent, and clinical factors with patient-level treatment decisions for early childhood caries. A secondary objective was to describe children that received silver diamine fluoride (SDF) as interim versus long-term treatment. Patients and Methods Parents of 2–6-year-old children seeking care at a multi-center pediatric dentistry private practice were enrolled in this cross-sectional study. Demographic data and dental anxiety data according to the Modified Corah’s Dental Anxiety Scale were collected via questionnaire. A dental visit behavior rating and decayed, missing, and filled tooth (dmft) index were recorded from the child’s dental record. The primary outcome was treatment decision categorized into three groups: (1) treatment with SDF (n=25), (2) conventional restorative treatment under local anesthesia (n=32), and (3) restorative treatment under general anesthesia (n=33). Analyses included descriptive statistics, bivariate analysis, and ordered logistic regression. Results Child age, parent education level, family income, dental insurance status, dental visit behavior rating, and dmft were significantly different across treatment groups in bivariate comparisons. However, when included in multivariable, ordered logistic regression, child dental anxiety was the only significant covariate associated with treatment decisions (Odds Ratio=5.01, 95% confidence interval: 1.51 to 16.63). In secondary analysis, two distinct subgroups were identified within the SDF group: one as long-term treatment (n=9) and one as interim treatment prior to general anesthesia (n=16). The long-term group was younger (mean=3.2 versus 3.7), had lower dmft (mean=4 versus 11.1), and had lower frequency of very high dental anxiety (0% versus 15%). Conclusion The present study identified child dental anxiety as the primary factor associated with treatment decisions at this private practice. The characterization of two subgroups of children treated with SDF has meaningful implications for studies evaluating the economic and public health impacts of SDF.

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“…Parental perception of SDF was variable in literature. A systematic review conducted by Sabbagh et al (12) in 2020, concluded that tolerance to SDF was significantly higher in posterior teeth than anterior ones and in uncooperative children than cooperative ones. They also recommended giving pre-operative instructions to the parents which had a significant positive impact on parental acceptance to SDF treatment.…”

Section: Introductionmentioning

confidence: 99%

Parental Satisfaction After Using Silver Diamine Fluoride on Their Children’s Primary Teeth: A Randomized Clinical Trial

ElGhandour

El-Tekeya

Sharaf

2021

Alexandria Dental Journal

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BACKGROUND: Despite the effectiveness of silver diamine fluoride (SDF) in arresting caries, black staining of carious lesions is a major drawback. OBJECTIVE: To assess parental satisfaction after using SDF versus atraumatic restorative treatment (ART) to manage ECC in their children. MATERIALS AND METHODS:A randomized controlled clinical trial with patient reported outcomes; 100 children with ECC (2-5 years) were equally and randomly divided into two groups; Experimental group (N=50, n=268) received 38% SDF; Control group received ART (N=50, n=286). Parental satisfaction was assessed after 2 weeks using 4-item, 5-level, Likert-scale questionnaire. Quantitative data were represented using mean, and standard deviation (SD). Qualitative variables were displayed using frequency and percentages. Monte Carlo simulation method for Pearson's chi square statistics was applied to compare both groups regarding parental satisfaction. Significance level was set at P value ≤ 0.05. RESULTS: Eighty percent of parents/guardians strongly agreed, agreed or were neutral regarding their children's esthetics after SDF versus 98% after ART (P=0.06). All SDF parents/guardians strongly agreed or agreed it was an easy procedure versus 30% among ART group (P<0.0001). Among SDF parents/guardians, 96% reported the procedure to be pain free versus 74% in ART group (P= 0.008). Among SDF parents/guardians, 88% "strongly agreed" that the taste of received treatment was acceptable to their children versus 82% in ART group. (P= 0.614). CONCLUSION: Parental satisfaction regarding esthetics and taste was comparable after SDF and ART. Significantly more SDF parents/guardians viewed the procedure easy and pain free.

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Parental acceptance of silver Diamine fluoride application on primary dentition: a systematic review and meta-analysis

Cited by 40 publications

References 29 publications

Laboratory evaluation of the potential masking of color changes produced by silver diamine fluoride in primary molars

Laboratory evaluation of the potential masking of color changes produced by silver diamine fluoride in primary molars

Examining Parental Treatment Decisions Within a Contemporary Pediatric Dentistry Private Practice

Parental Satisfaction After Using Silver Diamine Fluoride on Their Children’s Primary Teeth: A Randomized Clinical Trial

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