Perception, Knowledge, and Professional Behavior of Dentists about Silver Diamine Flouride: A Nationwide Survey

Abstract

Objectives The aim of this study was to survey the educational experiences, knowledge, and attitude of dentists in Pakistan about the professional use of silver diamine fluoride (SDF). This study also aimed to determine if SDF educational experience at the undergraduate level can result in a more positive attitude and increased clinical usage of SDF. Materials and Methods This was a cross-sectional survey, conducted at multiple dental institutes across Pakistan using a pre-validated questionnaire to assess the knowledge, experience, and professional expertise of dentists regarding the use of SDF. The data were entered and analyzed using the SPSS (version 23.0) data management software by IBM. Results The results of this study were deemed significant in terms of achievement of the study aims. The majority of the responders, 178 (79.8%), reported online resources to be the main source of information about SDF treatment, whereas 103 (46.1%) responders gained information from a dental journal. A higher number of consultants were reported to be well educated regarding SDF treatment during their residency training as compared with demonstrators, house officers, and postgraduate trainees (p < 0.001). About 64 (28.7%) responders agreed that SDF is a better alternative treatment for children with behavioral issues, 74 (33.2%) agreed that it is a better treatment option for medically fragile patients, and 79 (35.4%) agreed that it can be used as an alternative for patients with dental anxiety. It was agreed by 82 (36.8%) responders that SDF is a good treatment option for patients who recently have received chemotherapy radiation therapy. Conclusion It is the need of time to put all educational efforts together to enhance knowledge regarding the use, advantages, and potential problems of SDF.

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

“…Of the studies, five (35.7%) were conducted in the United States of America [ 21 , 22 , 23 , 24 , 25 ] and another five (35.7%) were conducted in Saudi Arabia [ 26 , 27 , 28 , 29 , 30 ]. The remaining four studies were from Brazil (7.1%) [ 31 ], the Netherlands (7.1%) [ 17 ], Pakistan (7.1%) [ 32 ], and India (7.1%) [ 33 ]. Out of the 14 studies, 10 (71.4%) were performed using an online survey distributed via email or WhatsApp, two (14.3%) used both paper-based and online surveys [ 17 , 26 ], one (7.1%) used only a paper-based survey [ 24 ], and one (7.1%) study did not mention which method was used in distributing the questionnaire [ 32 ].…”

“…The remaining four studies were from Brazil (7.1%) [ 31 ], the Netherlands (7.1%) [ 17 ], Pakistan (7.1%) [ 32 ], and India (7.1%) [ 33 ]. Out of the 14 studies, 10 (71.4%) were performed using an online survey distributed via email or WhatsApp, two (14.3%) used both paper-based and online surveys [ 17 , 26 ], one (7.1%) used only a paper-based survey [ 24 ], and one (7.1%) study did not mention which method was used in distributing the questionnaire [ 32 ]. Outcomes measured from all studies included knowledge, attitude, perception/perceived barriers or advantages, SDF professional behavior or usage, and possible related associations.…”

“…The sample size of included studies ranged from 58 (lowest) to 582 (highest) participants, with respondent ages from 20 to more than 60 years old. The majority of the respondents in seven studies were female (>60%) [ 17 , 26 , 27 , 28 , 29 , 32 , 33 ], in four studies the majority were male (>53%) [ 21 , 22 , 25 , 30 ], and three studies provided no data [ 23 , 24 , 31 ].…”

“…However, none of them mentioned the power of the study. In 10 out of 14 studies, confounding variables were quantified and statistically adjusted using multivariate logistic regression [ 21 , 23 , 24 , 25 , 26 , 27 , 28 , 30 , 31 , 32 ]. To conclude, nine studies were rated good quality [ 21 , 23 , 24 , 25 , 27 , 28 , 30 , 32 , 33 ], two were rated fair quality [ 26 , 31 ], and the remaining three were rated poor quality.…”

“…The majority of the respondents were aware of SDF and its use in dentistry (>60%) [ 22 , 23 , 24 , 25 , 28 , 31 , 32 ]. There was also a study that demonstrated high awareness (62.7%) when asked whether they have ever heard of SDF but at the same time were not sure or were not aware of what SDF is used for (14.9%) [ 30 ].…”