Self-perceived knowledge and attitudes toward the use of silver diamine fluoride in pediatric dentists
DOI:
https://doi.org/10.47990/z57fpg56Keywords:
Pediatric Dentistry , dental caries, Knowledge , attitudeAbstract
Background: Self-perceived knowledge regarding the use of silver diamine fluoride is relevant for pediatric dentists. Objective: To correlate self-perceived knowledge with attitudes towards the use of silver diamine fluoride (SDF) in pediatric dentists in Peru. Materials and methods: A validated self-reported questionnaire was published to 278 pediatric dentists in Peru. Covariates were collected on general characteristics, frequency, education, information and possible barriers regarding SDF. Results: 59.35% indicated having used silver diamine fluoride many times, while 13.67% never used the material. Moderate correlations were recorded between self-perceived knowledge of cavitated lesions with patient-related indications regarding the use of SDF, as well as self-perceived knowledge of non-cavitated lesions with patient-related indications regarding the use of SDF and with considerations for treatment outside the esthetic zone. Likewise, the use of SDF before restorative treatment was found to be related to considerations for treatment outside the esthetic zone. Conclusion: There is a moderate correlation between self-perceived knowledge and attitudes towards the use of SDF in Peruvian pediatric dentists. However, self-perceived knowledge should be reinforced to promote the use of this material, especially in the current context.
References
1. Pitts, N, Baez, R, Diaz-Guallory, C, et al. Early Childhood Caries: IAPD Bangkok Declaration. Int J Paediatr Dent. 2019; 29: 384-386.
2. Tinanoff N, Baez RJ, Diaz Guillory C, Donly KJ, Feldens CA, McGrath C, Phantumvanit P, Pitts NB, Seow WK, Sharkov N, Songpaisan Y, Twetman S. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. Int J Paediatr Dent. 2019; 29(3): 238-248.
3. 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): 73-79.
4. MINSA: Ministerio de Salud, Dirección General de Epidemiología. In: Perfil epidemiológico de salud bucal en escolares de 3 a 5 años, Perú. Lima (2014).
5. Grisolia BM, Dos Santos APP, Dhyppolito IM, Buchanan H, Hill K, Oliveira BH. Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta-analyses. Int J PaediatrDent. 2021 ;31(2):168-183.
6. Guney SE, Araz C, Tirali RE, Cehreli SB. Dental anxiety and oral health-related quality of life in children following dental rehabilitation under general anesthesia or intravenous sedation: A prospective cross-sectional study. Niger J Clin Pract. 2018; 21(10):1304-1310
7. Mallineni SK, Innes NP, Raggio DP, Araujo MP, Robertson MD, Jayaraman J. Coronavirus disease (COVID-19): Characteristics in children and considerations for dentists providing their care. Int J Paediatr Dent. 2020;30(3):245-250.
8. BaniHani A, Santamaría RM, Hu S, Maden M, Albadri S. Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. Eur Arch Paediatr Dent. 2022; 23(5): 667-693.
9. Wakshlak R, Pedahzur R, Avnir D. Antibacterial Activity of silver-killed bacteria: the “zombies'' effect. Sci Rep. 2015; 5:9555.
10. Seifo N, Robertson M, MacLean J, Blain K, Grosse S, Milne R, Innes N. The use of silver diamine fluoride (SDF) in dental practice. Br Dent J. 2020; 228(2): 75–81.
11. Oliveira BH, Rajendra A, Veitz-Keenan A, NiedermanR. The Effect of Silver Diamine Fluoride in Preventing Caries in the Primary Dentition: A Systematic Review and Meta-Analysis. Caries Res. 2019;53(1):24-32.
12. ALOP. Ruta de atención para procedimientos de Odontología Pediátrica durante la etapa de confinamiento o cuarentena de la pandemia COVID-19. Rev. Latinoam Odontop. 2020; 10(2): e-620134.
13. World Health Organization Model List of EssentialMedicines – 22nd List, 2021. Geneva: World Health Organization; 2021 (WHO/MHP/HPS/EML/2021.02).
14. Crystal YO, Niederman R. Evidence-Based Dentistry Update on Silver Diamine Fluoride. Dent Clin North Am. 2019;63(1):45-68.
15. Seifo N., Cassie H, Radford J. et al. “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: 257.
16. Vollú L, Moreira J, Raggio L, Barja F, Fonseca A. Survey of Knowledge, Attitudes and Practices of Brazilian Dentists Regarding Silver Diamine Fluoride. Pesqui. Bras. Odontopediatría Clín. Integr.2020; 20: e4280.
17. 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 CosmetInvestig Dent. 2020; 12:399-407.
18. 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):173-182.
19. Al Habdan AH, Al Awdah A, Aldosari G, Almogbel S, Alawaji R. Caries arrest using silver diamine fluoride: Knowledge, attitude, and perception of adult patients in Saudi Arabia. Saudi Dent J. 2021 ;33(8):1042-1048.
20. Chai H.H, Kiuchi S, Osaka K, Aida J, Chu CH, GaoS. Knowledge, Practices and Attitudes towards Silver Diamine Fluoride Therapy among Dentists in Japan: A Mixed Methods Study. Int. J. Environ. Res. Public Health. 2022;19: 8705.
21. Duangthip D, Fung MHT, Wong MCM, Chu CH, Lo ECM. Adverse Effects of Silver Diamine Fluoride Treatment among Preschool Children. J Dent Res. 2018; 97(4):395-401.
22. 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; 20:227.
23. Detsomboonrat P, Thongmak P, Lertpayab P, Aiemsri W, Sooampon S. Optimal concentration of potassium iodide to reduce the black staining of silver diamine fluoride. J Dent Sci. 2022; 17(1): 300-307.
24. 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.
25. Crystal YO, Janal MN, Hamilton DS, Niederman R. Parental perceptions and acceptance of silver diamine fluoride staining. J Am Dent Assoc. 2017; 148(7):510-518.
26. Moradi S, Sabbagh S, Timms, L & Ravaghi, V. Teaching Minimally Invasive Interventions in Paediatric Dentistry: A Cross-Sectional Survey of Dental Schools in Iran. BMC Oral Health. 2021; 21:368.
27. Shounia TY, Atwan S, Alabduljabbar R. Using Silver Diamine Fluoride to Arrest Dental Caries: A New Approach in the US. J Dent Oral Biol. 2017; 2(18): 1105.
28. Mohammed IE, Shariff N, Mohd Hanim MF, Mohd Yusof MYP, Md Sabri BA, Md Bohari NF, Venkiteswaran A. Knowledge, Attitudes and Professional Behavior of Silver Diamine Fluoride among Dental Personnel: A Systematic Review. Children (Basel). 2022; 9(12): 1936.
29. Crystal YO, Kreider B, Raveis VH. Parental Expressed Concerns about Silver Diamine Fluoride (SDF) Treatment. J Clin Pediatr Dent. 2019;43(3):155-160.
30. Gao SS, Amarquaye G, Arrow P, Bansal K, Bedi R, Campus G, Chen KJ, Chibinski ACR, Chinzorig T, Crystal YO, Duangthip D, Ferri ML, Folayan MO, Garidkhuu A, Hamama HH, Jirarattanasopha V, Kemoli A, Leal SC, Leelataweewud P, Mathur VP, Mfolo T, Momoi Y, Potgieter N, Tezvergil-Mutluay A, Lo ECM, Chu CH. Global Oral Health Policies and Guidelines: Using Silver Diamine Fluoride for Caries Control. Front Oral Health. 2021; 2:685557.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Latin American Pediatric Dentistry Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
How to Cite
