CC BY 4.0 · European Journal of General Dentistry 2022; 11(01): 032-037
DOI: 10.1055/s-0041-1739510
Original Article

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

1   Department of Pedodontics, Foundation University, University of Islamabad, Islamabad, Pakistan
,
2   Department of Dental Materials, Foundation University, University of Islamabad, Islamabad, Pakistan
,
3   Department of Medical Education, Foundation University, University of Islamabad, Islamabad, Pakistan
,
4   Department of Oral Pathology, Foundation University, University of Islamabad, Islamabad, Pakistan
,
Mehreen Wajahat
2   Department of Dental Materials, Foundation University, University of Islamabad, Islamabad, Pakistan
,
5   College of Dentistry, King Faisal University, Saudi Arabia
› Author Affiliations

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.

Consent

Informed consent was obtained from the participants after explaining to them the research objective and aim, voluntary participation, right to autonomy and confidentiality, and the right to withdraw from participation in the study.


Ethical Approval

This study was approved by The University Research Committee with approval number (ERB Number: UCD/ERCA/20/04 g) and ensured the ethical conduct of the study issued on 2021.


Authors' Contributions

BA conceived and designed the study, conducted research, provided research materials, and collected and organized data. SA, FS, and FF collected and analyzed, and interpreted the data. MW and ZK provided logistic support and collected data. All authors were involved in writing the initial and final draft of the manuscript. All authors have critically reviewed and approved the final draft and are responsible for the content and similarity index of the manuscript.




Publication History

Article published online:
29 November 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Gruythuysen RJM. Non-restorative cavity treatment: should this be the treatment of choice? Reflections of a teacher in paediatric dentistry. Dent Update 2019; 46 (03) 220-228
  • 2 Jiang M, Mei ML, Wong MCM, Chu CH, Lo ECM. Effect of silver diamine fluoride solution application on the bond strength of dentine to adhesives and to glass ionomer cements: a systematic review. BMC Oral Health 2020; 20 (01) 40
  • 3 Crystal YO, Niederman R. Evidence-based dentistry update on silver diamine fluoride. Dent Clin North Am 2019; 63 (01) 45-68
  • 4 Kumar A, Cernigliaro D, Northridge ME. et al. A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries. BMC Oral Health 2019; 19 (01) 228
  • 5 Magno MB, Silva LPD, Ferreira DM, Barja-Fidalgo F, Fonseca-Gonçalves A. Aesthetic perception, acceptability and satisfaction in the treatment of caries lesions with silver diamine fluoride: a scoping review. Int J Paediatr Dent 2019; 29 (03) 257-266
  • 6 Seifo N, Robertson M, Maclean J. et al. The use of silver diamine fluoride (SDF) in dental practice. Br Dent J 2020; 228 (02) 75-81
  • 7 Patel J, Anthonappa RP, King NM. Silver diamine fluoride: a critical review and treatment recommendations. Dent Update 2019; 46 (07) 626-633
  • 8 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 (01) 227
  • 9 Vollú AL, Rodrigues GF, Rougemount Teixeira RV. et al. Efficacy of 30% silver diamine fluoride compared to atraumatic restorative treatment on dentine caries arrestment in primary molars of preschool children: a 12-months parallel randomized controlled clinical trial. J Dent 2019; 88 (January): 103165 DOI: 10.1016/j.jdent.2019.07.003.
  • 10 Abdellatif HM, Ali AM, Baghdady SI, ElKateb MA. Caries arrest effectiveness of silver diamine fluoride compared to alternative restorative technique: randomized clinical trial. Eur Arch Paediatr Dent 2021; 22 (04) 575-585
  • 11 Firouzmandi M, Shafiei F, Jowkar Z, Nazemi F. Effect of silver diamine fluoride and proanthocyanidin on mechanical properties of caries-affected dentin. Eur J Dent 2019; 13 (02) 255-260
  • 12 Crystal YO, Janal MN, Yim S, Nelson T. Teaching and utilization of silver diamine fluoride and Hall-style crowns in US pediatric dentistry residency programs. J Am Dent Assoc 2020; 151 (10) 755-763
  • 13 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 (02) 173-182
  • 14 Khan FR, Mahmud S, Rahman M. The need of paediatric dentistry specialists in Pakistan. J Coll Physicians Surg Pak 2013; 23 (04) 305-307
  • 15 Crystal YO, Marghalani AA, Ureles SD. 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 (05) 135-145
  • 16 Gao SS, Zhao IS, Hiraishi N. et al. Clinical trials of silver diamine fluoride in arresting caries among children: a systematic review. JDR Clin Trans Res 2016; 1 (03) 201-210
  • 17 Gao Z, Ying S, Liu J, Zhang H, Li J, Ma C. A cross-sectional study: comparing the attitude and knowledge of medical and non-medical students toward 2019 novel coronavirus. J Infect Public Health 2020; 13 (10) 1419-1423
  • 18 Chibinski AC, Wambier LM, Feltrin J, Loguercio AD, Wambier DS, Reis A. Silver diamine fluoride has efficacy in controlling caries progression in primary teeth: a systematic review and meta-analysis. Caries Res 2017; 51 (05) 527-541
  • 19 Crystal YO, Kreider B, Raveis VH. Parental expressed concerns about silver diamine fluoride (SDF) treatment. J Clin Pediatr Dent 2019; 43 (03) 155-160
  • 20 Contreras V, Toro MJ, Elías-Boneta AR, Encarnación-Burgos A. Effectiveness of silver diamine fluoride in caries prevention and arrest: a systematic literature review. Gen Dent 2017; 65 (03) 22-29
  • 21 Chałas R, Wójcik-Chęcińska I, Zamościńska J, Bachanek T. Assessment of pain intensity in patients with dentin hypersensitivity after application of prophylaxis paste based on calcium sodium phosphosilicate formula. Med Sci Monit 2015; 21: 2950-2955
  • 22 Vollú AL, Moreira Jde L, 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 2019; 20: 1-7