Abstract
References
- 1. GBD 2021 Oral Disorders Collaborators. Trends in the global, regional, and national burden of oral conditions from 1990 to 2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet 2025;405(10482):897-910.
- 2. Mehta A. Trends in dental caries in Indian children for the past 25 years. Indian J Dent Res 2018;29(3):323-328.
- 3. Pandey P, Nandkeoliar T, Tikku AP, Singh D, Singh MK. Prevalence of dental caries in the Indian population: A systematic review and meta-analysis. J Int Soc Prev Community Dent 2021;11(3):256-265.
- 4. Sultan A, Juneja A, Siddiqui M, Kaur G. Feasibility of community-based silver diamine fluoride (SDF) initiatives for dental caries control: An Indian perspective. Arch Dent Res 2023;13(2):69-76
- 5. Bruen BK, Steinmetz E, Bysshe T, Glassman P, Ku L. Potentially preventable dental care in operating rooms for children enrolled in Medicaid. J Am Dent Assoc 2016;147(9):702-708.
- 6. Uppal S, Sultan A, Juneja A. Silver Diamine Fluoride Use in Children with Special Health-care Needs: Breaking the Barriers. Arch Med Health Sci 2024;12(2):237-241.
- 7. 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(5):527-541.
- 8. Fung HT, Wong MC, Lo EC, Chu CH. Arresting early childhood caries with silver diamine fluoride-a literature review. Oral Hyg Health 2013;1:117.
- 9. Horst JA. Silver fluoride as a treatment for dental caries. Adv Dent Res 2018;29(1):135-140.
- 10. Crystal YO, Marghalani AA, Ureles SD, Wright JT, Sulyanto R, Divaris K, Fontana M, Graham L. 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):135E-145E.
- 11. Zhao IS, Gao SS, Hiraishi N, Burrow MF, Duangthip D, Mei ML, Lo EC, Chu C. Mechanisms of silver diamine fluoride on arresting caries: a literature review. Int Dent J 2018;68(2):67-76.
- 12. Bridge G, Martel A, Lomazzi M. Silver diamine fluoride: Transforming community dental caries program. Int Dent J 2021;71(6):458-461.
- 13. Castillo JL, Rivera S, Aparicio T, Lazo R, Aw TC, Mancl LL, Milgrom P. The short-term effects of diammine silver fluoride on tooth sensitivity: a randomized controlled trial. J Dent Res 2011;90(2):203-208.
- 14. Sultan A, Mehta A, Juneja A, Siddiqui M. Evaluating parental acceptance for silver diamine fluoride therapy–a pilot study. RSBO 2020;17(2):226-229.
- 15. Pitts NB, Ekstrand KR, Foundation I. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS)—methods for staging the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013;41:e41-e52.
- 16. American Academy of Pediatric Dentistry. Chairside guide: Silver diamine fluoride in the management of dental caries lesions. Pediatr Dent 2017;40(6):492-493.
- 17. Clemens J, Gold J, Chaffin J. Effect and acceptance of silver diamine fluoride treatment on dental caries in primary teeth. J Public Health Dent 2018;78:63-68.
- 18. 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.e4.
- 19. Bagher SM, Sabbagh HJ, AlJohani SM, Alharbi G, Aldajani M, Elkhodary H. Parental acceptance of the utilization of silver diamine fluoride on their child's primary and permanent teeth. Patient Prefer Adherence 2019;13:829-835.
- 20. Alshammari AF, Almuqrin AA, Aldakhil AM, Alshammari BH, Lopez JNJ. Parental perceptions and acceptance of silver diamine fluoride treatment in Kingdom of Saudi Arabia. Int J Health Sci (Qassim) 2019;13(2):25-29.
- 21. 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.
- 22. Buldur B, Taskaya B. Clinical effectiveness and parental acceptance of silver diamine fluoride in preschool children: a non-randomized trial. J Clin Pediatr Dent 2024;48(6):78-88
- 23. 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.
- 24. Caroline J, Maharani DA, Adiatman M, Rahardjo A, Callea M. Effect and impact of silver diamine fluoride application in primary teeth caries on children's quality of life. J Phys Conf Ser 2018;1073:042001.
- 25. Yilmaz N, Ocak M, Okte Z. Remineralization of Primary Molar Dentine with Silver Diamine Fluoride and Sodium Fluoride: An In Vitro Study. Cumhuriyet Dent J 2020;23:340-347.
- 26. Chaurasiya A, Gojanur S. Evaluation of the clinical efficacy of 38% silver diamine fluoride in arresting dental caries in primary teeth and its parental acceptance. J Ind Soc Pedod Prev Dent 2021;39(1):85-89.
- 27. Sultan A, Sultan N, Juneja A. Prospects of silver diamine fluoride (SDF) in reducing dentin hypersensitivity: An updated review. IP Int J Periodontol Implantol 2023;8(4):181-189.
- 28. Shrivastava U, Barjatya K, Bharath BA, Vatsal A, Shrivastava R, Manker A, Chand BR, Juneja P. Effectiveness and parental perception of silver diamine fluoride toward treatment of dental caries in primary teeth. Int J Clin Pediatr Dent 2021;14(6):790-794.
Assessment of Parental Perception and Clinical Efficacy of Silver Diamine Fluoride Application in Primary Dentition: A Prospective Study
Abstract
Background: Silver diamine fluoride (SDF) is a promising, cost-effective treatment for caries arrest. Despite its clinical efficacy, concerns regarding tooth discolouration and limited data on parental acceptance in India highlight the need for further research. Aim: To evaluate the clinical effectiveness of 38% SDF in arresting caries in primary teeth and assess parental perceptions of the treatment post-application. Methodology: A non-randomized, prospective, single-arm clinical study was conducted on 107 children aged 1–10 years with at least one carious lesion (ICDAS scores 3–6) in primary dentition. SDF application was done at baseline and during follow-up evaluations, which were done at 2 weeks and 3 months. A questionnaire assessed parental perceptions, including time efficiency, comfort, pain, taste, and satisfaction post-application. Clinical outcomes, including lesion colour, texture, and pain, were evaluated by an independent dentist. Chi square test was used to assess the association between parental perception and variables like age, gender and tooth position.Results: Parental satisfaction was high, with 71% rating the treatment as comfortable and 48.5% finding the taste acceptable. Clinical outcomes revealed significant improvements in lesion texture, with 93.4% of lesions becoming hard after 3 months. Lesion colour transitioned predominantly to black (93.4%), indicating remineralization. Pain and sensitivity significantly decreased over time, and most (86%) reported no pain during treatment. Conclusion: These findings demonstrated Silver Diamine Fluoride effectiveness in reducing pain and enhancing lesion remineralization. Given the study's findings, integrating SDF therapy into routine pediatric dental care can significantly improve caries management, particularly in underserved communities.
References
- 1. GBD 2021 Oral Disorders Collaborators. Trends in the global, regional, and national burden of oral conditions from 1990 to 2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet 2025;405(10482):897-910.
- 2. Mehta A. Trends in dental caries in Indian children for the past 25 years. Indian J Dent Res 2018;29(3):323-328.
- 3. Pandey P, Nandkeoliar T, Tikku AP, Singh D, Singh MK. Prevalence of dental caries in the Indian population: A systematic review and meta-analysis. J Int Soc Prev Community Dent 2021;11(3):256-265.
- 4. Sultan A, Juneja A, Siddiqui M, Kaur G. Feasibility of community-based silver diamine fluoride (SDF) initiatives for dental caries control: An Indian perspective. Arch Dent Res 2023;13(2):69-76
- 5. Bruen BK, Steinmetz E, Bysshe T, Glassman P, Ku L. Potentially preventable dental care in operating rooms for children enrolled in Medicaid. J Am Dent Assoc 2016;147(9):702-708.
- 6. Uppal S, Sultan A, Juneja A. Silver Diamine Fluoride Use in Children with Special Health-care Needs: Breaking the Barriers. Arch Med Health Sci 2024;12(2):237-241.
- 7. 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(5):527-541.
- 8. Fung HT, Wong MC, Lo EC, Chu CH. Arresting early childhood caries with silver diamine fluoride-a literature review. Oral Hyg Health 2013;1:117.
- 9. Horst JA. Silver fluoride as a treatment for dental caries. Adv Dent Res 2018;29(1):135-140.
- 10. Crystal YO, Marghalani AA, Ureles SD, Wright JT, Sulyanto R, Divaris K, Fontana M, Graham L. 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):135E-145E.
- 11. Zhao IS, Gao SS, Hiraishi N, Burrow MF, Duangthip D, Mei ML, Lo EC, Chu C. Mechanisms of silver diamine fluoride on arresting caries: a literature review. Int Dent J 2018;68(2):67-76.
- 12. Bridge G, Martel A, Lomazzi M. Silver diamine fluoride: Transforming community dental caries program. Int Dent J 2021;71(6):458-461.
- 13. Castillo JL, Rivera S, Aparicio T, Lazo R, Aw TC, Mancl LL, Milgrom P. The short-term effects of diammine silver fluoride on tooth sensitivity: a randomized controlled trial. J Dent Res 2011;90(2):203-208.
- 14. Sultan A, Mehta A, Juneja A, Siddiqui M. Evaluating parental acceptance for silver diamine fluoride therapy–a pilot study. RSBO 2020;17(2):226-229.
- 15. Pitts NB, Ekstrand KR, Foundation I. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS)—methods for staging the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013;41:e41-e52.
- 16. American Academy of Pediatric Dentistry. Chairside guide: Silver diamine fluoride in the management of dental caries lesions. Pediatr Dent 2017;40(6):492-493.
- 17. Clemens J, Gold J, Chaffin J. Effect and acceptance of silver diamine fluoride treatment on dental caries in primary teeth. J Public Health Dent 2018;78:63-68.
- 18. 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.e4.
- 19. Bagher SM, Sabbagh HJ, AlJohani SM, Alharbi G, Aldajani M, Elkhodary H. Parental acceptance of the utilization of silver diamine fluoride on their child's primary and permanent teeth. Patient Prefer Adherence 2019;13:829-835.
- 20. Alshammari AF, Almuqrin AA, Aldakhil AM, Alshammari BH, Lopez JNJ. Parental perceptions and acceptance of silver diamine fluoride treatment in Kingdom of Saudi Arabia. Int J Health Sci (Qassim) 2019;13(2):25-29.
- 21. 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.
- 22. Buldur B, Taskaya B. Clinical effectiveness and parental acceptance of silver diamine fluoride in preschool children: a non-randomized trial. J Clin Pediatr Dent 2024;48(6):78-88
- 23. 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.
- 24. Caroline J, Maharani DA, Adiatman M, Rahardjo A, Callea M. Effect and impact of silver diamine fluoride application in primary teeth caries on children's quality of life. J Phys Conf Ser 2018;1073:042001.
- 25. Yilmaz N, Ocak M, Okte Z. Remineralization of Primary Molar Dentine with Silver Diamine Fluoride and Sodium Fluoride: An In Vitro Study. Cumhuriyet Dent J 2020;23:340-347.
- 26. Chaurasiya A, Gojanur S. Evaluation of the clinical efficacy of 38% silver diamine fluoride in arresting dental caries in primary teeth and its parental acceptance. J Ind Soc Pedod Prev Dent 2021;39(1):85-89.
- 27. Sultan A, Sultan N, Juneja A. Prospects of silver diamine fluoride (SDF) in reducing dentin hypersensitivity: An updated review. IP Int J Periodontol Implantol 2023;8(4):181-189.
- 28. Shrivastava U, Barjatya K, Bharath BA, Vatsal A, Shrivastava R, Manker A, Chand BR, Juneja P. Effectiveness and parental perception of silver diamine fluoride toward treatment of dental caries in primary teeth. Int J Clin Pediatr Dent 2021;14(6):790-794.
Details
| Primary Language | English |
|---|---|
| Subjects | Paedodontics |
| Journal Section | RA |
| Authors | |
| Publication Date | September 30, 2025 |
| Submission Date | January 10, 2025 |
| Acceptance Date | June 23, 2025 |
| Published in Issue | Year 2025 Volume: 28 Issue: 3 |
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