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Parents' Satisfaction with Silver Diamine Fluoride Treatment of Carious Lesions in Children

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Purpose: Current national evidence-based recommendations for treatment of carious lesions include the use of 38 percent silver diamine fluoride (SDF). The purpose of this study was to learn parents' opinions of esthetic changes to their children's teeth following treatment with SDF.
Methods: Three-hundred nineteen parents who had previously consented to SDF for caries arrest or caries prevention were asked if their child received SDF, if they noticed changes because of SDF, and how "bothered" they were by the changes.
Results: Two-hundred ten parents reported their child received SDF in the past 12 months, of whom 76 percent were confirmed by Codes on Dental Procedures and Nomenclature (CDT): 115 children received SDF for caries arrest and 45 received topical fluoride (SDF) for prevention. Of all 210 who reported SDF, 30 percent described discoloration of their child's teeth or gingiva. On a scale of zero (not bothered at all by changes due to SDF) to 10 (very bothered), parents' average rating was 1.2 ipoints; the average within the caries arrest group was 1.7.
Conclusion: Dental treatment requires a shared decision between parents and professionals, and follow-up regarding new procedures is warranted. In this study, treatment with SDF was well accepted by most parents.
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Keywords: DENTAL CARIES; GUIDELINES; PATIENT SATISFACTION; SILVER DIAMINE FLUORIDE

Document Type: Research Article

Affiliations: 1: Dr. Huebner is a professor emerita, Department of Health Services, School of Public Health, University of Washington, Seattle, Wash., USA 2: Dr. Milgrom is a professor emeritus, Department of Oral Health Sciences, University of Washington, Seattle, Wash., USA;, Email: [email protected] 3: Dr. Cunha-Cruz is a research associate professor, Department of Oral Health Sciences, University of Washington, Seattle, Wash., USA 4: Dr. Scott is an assistant professor, Office of Research and Graduate Programs, School of Dentistry, University of Missouri Kansas City, Mo., USA 5: Dr. Spiekerman is a research scientist (deceased), Department of Oral Health Sciences School of Dentistry, University of Washington, Seattle, Wash., USA 6: Ms. Ludwig is a director of Clinical Innovations, Redmond, Ore., USA 7: Ms. Mitchell is a director of Plan Operations, Redmond, Ore., USA 8: Dr. Allen is a vice president of Clinical Services, Redmond, Ore., USA 9: Ms. Dysert is a former Chief Operating Officer, Advantage Dental Services LLC, Redmond, Ore., USA 10: Dr. Shirtcliff is president, RMS Dental Director, Inc., Redmond, Ore., USA

Publication date: January 1, 2020

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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