Parental perception of silver diamine fluoride for the management of dental caries

Abstract

Objectives: This study aims to identify and extract parental perception and acceptance of silver diamine fluoride (SDF) application in treating dental caries with the objective of a) evaluating parental acceptability of SDF as a treatment choice for dental caries in their children and b) investigating parental concerns regarding the use of SDF for childhood caries.

Methods: A cross-sectional survey using a reliable questionnaire was conducted among parents of children aged 2-10 years, who reported to the department of paediatric dentistry at two dental hospitals between June 2020 and January 2021.

Results: 197 participants/guardians were included in the study and 128 showed acceptability towards SDF, out of which, 99 preferred upper posterior teeth for the treatment. The dentists' advice became a major factor affecting treatment option for 108 participants. Parental age also impacted the choice of SDF as a treatment option (i.e., those aged 31-40 years were more aware of SDF treatment than younger or older age groups).

Conclusion: Parental acceptance of SDF in comparison to other dental caries treatment options in children was found to be higher when more invasive treatment choices were provided. Aesthetic appearance and cost of treatment were significant concerns for the parents.

Keywords: Aesthetic; Children; Dental caries; Parental perception; Silver diamine fluoride.