Parental Expressed Concerns about Silver Diamine Fluoride (SDF) Treatment
Abstract
Background: The staining associated with its caries arrest may be a deterrent for the use of Silver Diamine Fluoride (SDF). This study aims to elucidate the concerns that inform parents' perceptions and acceptance of SDF as a treatment option for their child. Study Design: We analyzed qualitative data obtained through an investigation in which parents attending a pediatric dental appointment participated in a survey, which included an open-ended question to evaluate their opinions about SDF staining. Thematic analysis of the comments, offered by the subsample of participants who replied to this question (n=43), yielded insights about perception of SDF therapy. Results: Most parents who provided comments were mothers (83.7%), college graduates (72.1%), primarily white (48.8%) or Hispanic (27.9%). Six themes emerged from the thematic analysis of the parents' responses: Esthetic Concerns, Psychosocial Concerns, SDF Treatment Process, Risks and Side Effects, Situational Benefits, and Dental Treatment Process. While many of the parents' comments are related to appearance, other topics that merit consideration when discussing SDF treatment were mentioned. Conclusions: Although parents are concerned about the esthetic impact of SDF, they understand the risks of alternative treatments and welcome information that will allow them to make an informed decision. Location of the cavities and visibility of the staining appear to heavily influence the decision to accept or reject this therapy.
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Consistent consumption of fermentable carbohydrates stimulates acid production by oral bacteria, thereby facilitating enamel demineralization and the development of caries.
“The dietary choices we make profoundly affect the prevention of dental caries; consistent consumption of fermentable carbohydrates stimulates acid production by oral bacteria, thereby facilitating enamel demineralization and the development of caries [37].”
From Minimally Invasive Techniques for Managing Dental Caries in Children: Efficacy, Applications, and Future Directions (2025) · cites this paper as [37]
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- Authors
- Crystal, Y., Kreider, B., & Raveis, V.
- Venue
- Journal of Clinical Pediatric Dentistry
- Publisher
- MRE Press
- Published
- 2019-01-01
- Volume
- 43
- Issue
- 3
- Pages
- 155-160
- ISSN
- 0145-5508 (ISSN-L)
- 1053-4628
- 1557-5268
- OpenAlex
- W2939691711
- Cited by
- 50
- References
- 4
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 7 · 2021: 11 · 2020: 9
- FWCI
- 7.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Pediatric Dentistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Keywords
- silver diamine fluoride, parental attitudes, treatment acceptance, caries arrest, tooth discoloration, psychosocial problems, pediatric dentistry, informed decision-making, cavity location
- MeSH terms
- Quaternary Ammonium Compounds, Cariostatic Agents, Child, Esthetics, Dental, Female, Fluorides, Topical, Humans, Male, Patient Acceptance of Health Care, Silver Compounds, Dental Care for Children
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