Parental acceptance of silver Diamine fluoride application on primary dentition: a systematic review and meta-analysis
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RESEARCH ARTICLE
Open Access
Parental acceptance of silver Diamine fluoride application on primary dentition: a systematic review and meta-analysis Heba Sabbagh1* , Mashael Othman2, Layla Khogeer3, Haifa Al-harbi4, Amjad Al harthi4 and Asmaa Abdulgader Yaseen Abdulgader4
Abstract Background: This systematic review of the literature was carried out to assess parental acceptance for silver diamine fluoride (SDF) application and esthetic outcome on their children primary dentition and evaluate factors that might influence their acceptance. Methods: Our research protocol included a search strategy, inclusion/exclusion criteria, and a data extraction plan. The search engines we used were PubMed, Google Scholar, and Science Direct. Reviewers independently reviewed, determined and carried out quality assessment for included studies using CONSORT (for clinical-trials), and STROBE (for Observational studies). In addition, evidence and recommendation’s strength was conducted using Shekelle et al. system. Subsequently, a meta-analysis was performed to assess the association between parental acceptance for SDF treatment and teeth type, location and child’s cooperation. Results: Eight studies fulfilled the inclusion criteria. There were statistically significant differences between parental acceptance for SDF usage on posterior teeth compared to anterior teeth (P < 0.001, OR: 0.23 and 95% CI: 0.15–0.34) and for SDF usage on anterior teeth of uncooperative compared to cooperative children (P < 0.001, OR: 0.27 and 95% CI: 0.17–0.44). Additionally, parent’s acceptance rate for SDF application increased after follow-up visits and education. Conclusion: Parental acceptance for SDF treatment was significantly related to tooth location, child cooperation and pre-operative instruction. Keywords: Parental acceptance, Silver diamine fluoride, Primary dentition, Dental esthetics, Parental perception
Background Development of dental caries is considered the most prevalent infectious disease worldwide [1]. Internationally, 60–90% of school-going children have dental caries [2]. The consequences of untreated dental caries include pain, absence from school, poor school performance, an increased requirement of general anesthesia during treatment, and an increased treatment cost [3, 4]. * Correspondence: [email protected]; [email protected] 1 Department of Pediatric Dentistry, Faculty of dentistry, King Abdulaziz University, Jeddah, Saudi Arabia Full list of author information is available at the end of the article
A recently developed treatment for dental caries is silver diamine fluoride (SDF) [5, 6]. SDF is a topical medicament that acts as an anticariogenic agent against active carious lesions [7, 8]. It is a noninvasive therapy that does not require any surgical procedures, unlike conventional restorative methods, and is cheaper than other treatment options [9, 10]. Unfortunately, SDF causes black discoloration of carious enamel and dentin, which may be an obstacle to its use [11]. The discoloration affects the aesthetic appearanc
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