Research Article
Volume 20 Issue 2 - 2021
Parental Perceptions and Acceptance of Silver Diamine Fluoride Treatment in Al-Madinah Al-Munawarah, Saudi Arabia
Mahmoud Mustafa Ali1*, Ahmed Essam A Mohammed2, Lamia Ghali Alruhailie2 and Turki Deyab S Almoutairy2
1Department of Pediatric Dentistry and Orthodontics, Taibah University Dental College and Hospital, Al‐Madinah Al‐Munawwarah, Saudi Arabia
2Taibah University Dental College and Hospital, Al‐Madinah Al‐Munawwarah, Saudi Arabia
*Corresponding Author: Mahmoud Mustafa Ali, Department of Pediatric Dentistry and Orthodontics, Taibah University Dental College and Hospital, Al‐Madinah Al‐Munawwarah, Saudi Arabia.
Received:December 26, 2020; Published: January 18, 2021


Background: The use of 38% Silver diamine fluoride (SDF) has been proven to be an alternative treatment for caries prevention and arrest. The SDF has drawbacks. The most common drawback of SDF is visible dark staining which could affect the parental acceptance of the utilization of SDF on their children.

Objective: To evaluate parent’s acceptance to SDF treatment and to determine the factors that influence their decision.

Methods: A cross-sectional descriptive observational study was conducted on 233 parents in Al-Madinah Al-Munawarah, Saudi Arabia between October 2020 and November 2020. Data obtained through a web-based survey. The survey included questions about demographic data of the participants, background information about their children, and parental acceptance towards silver diamine fluoride treatment on their children under different child behavioural statues (Cooperative, Upset, Crying, Screaming, and needing general anaesthesia).

Results: Overall, 116 of 233 (49.8%) of parent reported that SDF as acceptable/totally acceptable in anterior teeth if their child assumed cooperative during dental restoration while it was 76.9% for posterior teeth in a cooperative child. Parental acceptance increased when child assumed having behavioral barrier reaching highest acceptance when child assumed needing general anaesthesia (74.7% for anterior, 82% for posterior teeth) with significant higher acceptance for posterior teeth under all behavioral conditions (Wilcoxon Signed Rank test). Interestingly only 60% of parents had same acceptance rating for both anterior and posterior teeth if child assumed cooperative, which increased to 86.3% in case child need general anaesthesia. Parental acceptance in anterior teeth were influenced by parental education level, child carious experience and child behavior during previous dental restoration. On the other hand, parent/caregiver age, family income and child’s gender did not influence either acceptability rating.

Conclusion:  Parental acceptance of SDF treatment is higher for posterior teeth than for anterior teeth. Parent are more likely to accept SDF for anterior and for posterior teeth if their child experienced difficulties during restorative work especially to avoid treatment under GA.

Keywords: Acceptance; Silver Diamine Fluoride; Caries; Prevention; Silver Diamine Fluoride


  1. Alesia K and Khalil HS. “Reasons for and patterns relating to the extraction of permanent teeth in a subset of the Saudi population”. Clinical, Cosmetic and Investigational Dentistry 5 (2013): 51-56.
  2. Petersen PE and Ogawa H. “Prevention of dental caries through the use of fluoride--the WHO approach”. Community Dent Health2 (2016): 66-68.
  3. Peres MA., et al. “Oral diseases: a global public health challenge”. Lancet 10194 (2019): 249-260.
  4. Oliveira BH., et al. “The Effect of Silver Diamine Fluoride in Preventing Caries in the Primary Dentition: A Systematic Review and Meta-Analysis”. Caries Research 1 (2019): 24-32.
  5. Crystal YO and Niederman R. “Evidence-Based Dentistry Update on Silver Diamine Fluoride”. Dental Clinics of North America 1 (2019): 45-68.
  6. Antonioni MB., et al. “Pediatric Dentists' Silver Diamine Fluoride Education, Knowledge, Attitudes, and Professional Behavior: A National Survey”. Journal of Dental Education 2 (2019): 173-182.
  7. Horst JA., et al. “UCSF protocol for caries arrest using silver diamine fluoride: rationale, indications and consent”. The Journal of the California Dental Association 44 (2016): 16-28.
  8. Sabbagh H., et al. “Parental acceptance of silver Diamine fluoride application on primary dentition: a systematic review and meta-analysis”. BMC Oral Health1 (2020): 227.
  9. Crystal YO., et al. “Parental perceptions and acceptance of silver diamine fluoride staining”. Journal of the American Dental Association 7 (2017): 510-518.
  10. Bagher SM., et al. “Parental acceptance of the utilization of silver diamine fluoride on their child's primary and permanent teeth”. Patient Prefer Adherence 13 (2019): 829-835.
  11. Cernigliaro D., et al. “Caregiver satisfaction with interim silver diamine fluoride applications for their children with caries prior to operating room treatment or sedation”. Journal of Public Health Dentistry 4 (2019): 286-291.
Citation: Mahmoud Mustafa Ali., et al. ““Parental Perceptions and Acceptance of Silver Diamine Fluoride Treatment in Al-Madinah Al-Munawarah, Saudi Arabia”. EC Dental Science 20.2 (2021): 12-19.

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