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- DOI 10.18231/j.ijohd.v.11.i.2.9
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CrossMark
Evaluation of self-perceived knowledge and attitudes towards the use of silver diamine fluoride in pediatric dentists
- Author Details:
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Ximena Alejandra León Ríos
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César Alfonso Bravo Carrillo
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Rocio Azucena Armas Quiliano *
Ximena Alejandra León Ríos
César Alfonso Bravo Carrillo
Rocio Azucena Armas Quiliano *
Background: Educational institutions and public health entities play a crucial role in promoting awareness of the clinical and social benefits of SDF in pediatric dentists. Increasing the dissemination of evidence-based information can help improve parental acceptance and encourage its use as a minimally invasive, cost-effective option for managing dental caries. By integrating SDF education into dental training programs and community outreach initiatives, professionals can foster better oral health practices from an early age, ultimately contributing to the reduction of untreated caries and improving children's overall well-being.
Aim: To assess the self-perceived knowledge and attitudes of pediatric dentists in Peru regarding the use of silver diamine fluoride (SDF).
Materials and methods: A validated self-reported questionnaire was administered to 278 pediatric dentists in Peru. Covariates regarding pediatric dentists’ general characteristics, frequency of SDF use, education about SDF, information sources for SDF, and possible barriers to SDF use were collected.
Results: The majority (77.28%) of the respondents agreed that SDF is a good non-invasive treatment alternative for restorations in children with behavioral problems such as severe dental anxiety, and 70.87% mentioned it as a useful alternative for patients who cannot obtain conventional dental care or be managed by pharmacological behavioral intervention treatments. As for possible barriers to the use of SDF: 12.59% of the respondents point out the inability to restore form and function, as well as the lack of scientific knowledge, and 7.91% consider that parental acceptance also hinders its application.
Conclusion: Pediatric dentists exhibit a positive attitude toward the use of silver diamine fluoride; however, reinforcing their knowledge is essential to encourage its broader application, particularly in the current context.
References
- Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos- Gomez F, et al. Dental caries. Nat Rev Dis Primers. 2017;3:17030.
- Jain N, Dutt U, Radenkov I, Jain S. WHO's global oral health status report 2022: Actions, discussion and implementation. Oral Dis. 2024;30(2):73–9
- MINSA: Ministry of Health, General Directorate of Epidemiology. Perfil epidemiológico de salud bucal en escolares de 3 a 5 años, Perú. Lima; 2014.
- Pitts NB, Baez RJ, Diaz-Guillory C, Donly KJ, Feldens CA, McGrath C, et al. Early Childhood Caries: IAPD Bangkok Declaration. J Dent Child (Chic). 2019 May 15;86(2):72.
- Machiulskiene V, Campus G, Carvalho JC, Dige I, Ekstrand KR, Jablonski-Momeni A, et al. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Res. 2020;54(1):7–14.
- American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): Classifications, consequences, and preventive strategies. In: The Reference Manual of Pediatric Dentistry. Chicago (IL): American Academy of Pediatric Dentistry;
- p. 71–3.
- American Academy of Pediatric Dentistry. Use of anesthesia providers in the administration of office-based deep sedation/general anesthesia to the pediatric dental patient. In: The 126 Quiliano et al. / International Journal of Oral Health Dentistry 2025;11(2):118–126 Reference Manual of Pediatric Dentistry. Chicago (IL): American Academy of Pediatric Dentistry; 2019. p. 327–30.
- American Academy of Pediatric Dentistry. Policy on minimally invasive dentistry. In: The Reference Manual of Pediatric Dentistry. Chicago (IL): American Academy of Pediatric Dentistry; 2024. p. 98–100.
- Crystal YO, Chaffee BW. Silver diamine fluoride is effective in arresting caries lesions in primary teeth. J Evid Based Dent Pract. 2018;18(2):178–80.
- Seifo N, Robertson M, MacLean J, Blain K, Grosse S, Milne R, et al. The use of silver diamine fluoride (SDF) in dental practice. Br Dent J. 2020;228(2):75–81.
- Brar A, Singh AP, Narad C, Singh R. The role of silver diamine fluoride in contemporary dental practice: A comprehensive review. J Pharm Bioallied Sci. 2024;16(Suppl 3):S1953–55.
- Crystal YO, Marghalani AA, Ureles SD, Wright JT, Sulyanto R, Divaris K, et al. Use of Silver Diamine Fluoride for Dental Caries Management in Children and Adolescents, Including Those with Special Health Care Needs. Pediatr Dent. 2017;39(5):135–45.
- Nelson T, Scott JM, Crystal YO, Berg JH, Milgrom P. Silver Diamine Fluoride in Pediatric Dentistry Training Programs: Survey of Graduate Program Directors. Pediatr Dent. 2016;38(3):212–7.
- Hegde T, Bhavyashri P, Vasthare R, Karthik M, Munoli R. Evaluation of Parental Dental Fear and Anxiety (DFA) on Adolescent Dental Treatment: A Narrative review. J Int Soc Prev Community Dent. 2022;12(1):12–9.
- Chai HH, Chen KJ, Duangthip D, Lo ECM, Chu CH, Gao SS. Parental perspectives on the use of silver diamine fluoride therapy to arrest early childhood caries in kindergarten outreach dental services: A qualitative study. J Dent. 222;125:104250.
- Seifo N, Cassie H, Radford J, Innes N. "It’s really no more difficult than putting on fluoride varnish”: a qualitative exploration of dental professionals’ views of silver diamine fluoride for the management of carious lesions in children. BMC Oral Health. 2020;20:257.
- Sabbagh H, Othman M, Khogeer L, Al-Harbi H, Al Harthi A, Abdulgader Yaseen Abdulgader A. Parental acceptance of silver Diamine fluoride application on primary dentition: a systematic review and meta-analysis. BMC Oral Health. 2020;20(1):227.
- Ladparkdy S, Asvanund Y, Prapansilp W, Srimaneekarn N. The Parental Concern and Acceptance of Silver Diamine Fluoride Treatment in Preschool Children: A Cross Sectional Study. J Int Soc Prev Community Dent. 2024;14(5):413–20.
- Vollú AL, Moreira JPL, Luiz RR, Barja-Fidalgo F, Fonseca- Gonçalves A. Survey of knowledge, attitudes and practices of brazilian dentists regarding silver diamine fluoride. Pesqui Bras Odontopediatria Clin Integr. 2020;20:e4280.
- Bukowski H. Self-Knowledge. In: Zeigler-Hill V, Shackelford TK, editors. Encyclopedia of Personality and Individual Differences. Cham: Springer; 2020.
- Ortega Carrasco R, Veloso Toledo D, Hansen O. Percepción y actitudes hacia la investigación científica. Academo (Asunción). 2018;(2):101–9.
- Antonioni MB, Fontana M, Salzmann LB, Inglehart MR. Pediatric dentists' silver diamine fluoride education, knowledge, attitudes, and professional behavior: A national survey. J Dent Educ. 2019;83(2):173–82.
- Alajlan G, Alshaikh H, Alshamrani L, Alanezi M, Alarfaj S, AlSwayyed T. Knowledge on and Attitude Toward Silver Diamine Fluoride among Saudi Dental Practitioners in Riyadh Public Hospitals. Clin Cosmet Investig Dent. 2020;12:399–407.
- Chai HH, Kiuchi S, Osaka K, Aida J, Chu CH, Gao S. Knowledge, Practices and Attitudes towards Silver Diamide Fluoride Therapy among Dentists in Japan: A Mixed Methods Study. Int J Environ Res Public Health. 2022;19(14):8705.
- Schroë SCH, Bonifacio CC, Bruers JJ, Innes NPT, Hesse D. General and paediatric dentists' knowledge, attitude and practises regarding the use of Silver Diammine Fluoride for the management of dental caries: a national survey in the Netherlands. BMC Oral Health. 2022; 22(1):458.
- Rosenblatt A, Stamford TC, Niederman R. Silver diamine fluoride: a caries silver-fluoride bullet. J Dent Res. 2009;88(2):116–25.
- Horst J, Ellenikiotis E, Milgrom P. UCSF Protocol for caries arrest using silver diamine fluoride: rationale, indications, and consent. J Calif Dent Assoc. 2016;44(1):16–28.
- Dang C, Comnick CL, Tabrizi M, Kaufman L, Soto A, Smith BM, et al. Assessment of knowledge and perception about silver diamine fluoride (SDF) for treating older adults among graduating dental students. J Dent Educ. 2020;84(11):1210–8.
- Crystal YO, Janal MN, Hamilton DS, Niederman R. Parental perceptions and acceptance of silver diamine fluoride staining. J Am Dent Assoc. 2017;148(7):510–8.
- Surendranath P, Krishnappa S, Srinath S. Silver Diamine Fluoride in Preventing Caries: A Review of Current Trends. Int J Clin Pediatr Dent. 2022;15(Suppl 2):S247–S51
- Almarwan M, Almawash A, AlBrekan A, Albluwi S. Parental acceptance for the use of silver diamine fluoride on their special health care-needs child's primary and permanent teeth. Clin Cosmet Investig Dent. 2021;13:195–200.
- Ezzeldin T, Al-Awasi KA, Bader RM, Alshaikhi AY, Hakami AH, Siddiqui IA, et al. A Study to assess the awareness and use of Silver Diammine Fluoride and Hall Technique among dental professionals and dental students in the Eastern Province. Saudi Dent J. 2021;33(8):1166–73.
- Sarvas E. The history and use of silver diamine fluoride in dentistry: A review. J Calif Dent Assoc. 2018;46(1):19-22.
- American Academy of Pediatric Dentistry, Council on Clinical Affairs. Policy on the use of silver diamine fluoride for dental caries management in children and adolescents, including those with special health care needs. Pediatr Dent 2017;39(6):146–55.
- Oliveira BH, Cunha-Cruz J, Rajendra A, Niederman R. Controlling caries in exposed root surfaces with silver diamine fluoride: A systematic review with meta-analysis. J Am Dent Assoc. 2018;149(8):671–9.
- Natarajan D. Silver Modified Atraumatic Restorative Technique: A Way towards "SMART" Pediatric Dentistry during the COVID-19 Pandemic. Front Dent. 2022; 19:12.
- Gao SS, Amarquaye G, Arrow P, Bansal K, Bedi R, Campus G, et al. Global oral health policies and guidelines: Using silver diamine fluoride for caries control. Front Oral Health. 2021;2:685557.
- Almuqrin A, Kaur IP, Walsh LJ, Seneviratne CJ, Zafar S. Amelioration strategies for silver diamine fluoride: moving from black to white. Antibiotics (Basel). 2023;12(2):298.
- Bispo Júnior JP. Social desirability bias in qualitative health research. Rev Saude Publica. 2022;56:101.