Parents’ Views on Silver Diamine Fluoride to Manage Early Childhood Caries

2020 ◽  
pp. 238008442093069
Author(s):  
G. Kyoon-Achan ◽  
R.J. Schroth ◽  
H. Martin ◽  
M. Bertone ◽  
B.A. Mittermuller ◽  
...  
Keyword(s):  
Early Childhood ◽  
Informed Consent ◽  
Qualitative Study ◽  
Early Childhood Caries ◽  
Study Data ◽  
Silver Diamine Fluoride ◽  
Anterior Teeth ◽  
Caries Management ◽  
Caries Lesions ◽  
Childhood Caries

Background: The use of silver diamine fluoride (SDF) as a nonsurgical caries management product is growing. Evidence suggests that SDF is very successful in arresting caries. However, a common concern with SDF treatment is the unaesthetic black staining. The purpose of this qualitative study was to determine parents’ views following their children’s treatment with SDF to manage severe early childhood caries (ECC). Method: Parents were interviewed as part of a mixed-method study of SDF to arrest severe ECC. Children with caries lesions in primary teeth were treated with 2 applications of 38% SDF, followed by fluoride varnish. Semistructured in-person and phone interviews were conducted with 19 parents of children in the study. Data were transcribed verbatim and manually coded and uploaded to NVivo 12 for further coding analysis. Results: None of the parents had previously heard about SDF, and they learned about it from the study dentist. Although parents trusted the dentist’s information on SDF, they welcomed additional evidence, especially relating to product safety and effectiveness. Some parents were minimally concerned with the black staining caused by SDF treatment. It was more important that SDF arrested caries progression, minimized pain and sensitivity, and prevented dental infection. However, some parents expressed concerns related to the unaesthetic black staining. Interestingly, many parents indicated that their children were not overly concerned with the black staining. A majority of parents said that they would recommend the treatment to others. Conclusion: This is the first qualitative study involving parents of children who were treated with SDF. Most parents were accepting of SDF as a nonsurgical treatment to arrest caries and minimize dentinal sensitivity secondary to caries, although some expressed concern about the black staining in anterior teeth. It is important to adequately inform parents of the negative aesthetic consequences and obtain informed consent before treatment. Knowledge Transfer Statement: This qualitative study revealed that many parents of children with severe ECC are accepting of SDF as a nonrestorative caries management option, despite the black staining of caries lesions. Dental professionals need to be aware of these parental concerns and obtain written informed consent prior to treatment. Parents also requested more information and resources on SDF on its benefits, effectiveness, and any associated risks.

scholarly journals Applications of Silver Diamine Fluoride in Dentistry

2021 ◽  
pp. 163-170
Author(s):  
Sayali Deshpande ◽  
Amit Reche ◽  
Priyanka Paul Madhu ◽  
Kumar Gaurav Chhabra ◽  
Sunaina Mutyalwar
Keyword(s):  
United States ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
Dental Treatment ◽  
Silver Ions ◽  
The United States ◽  
Control Agent ◽  
Silver Diamine Fluoride ◽  
Patient Cooperation ◽  
Childhood Caries

Various studies published in the literature around the world indicate a significant prevalence of early childhood caries (ECC). Treatment of early childhood caries (ECC) using silver diamine fluoride (SDF) has become a viable alternative, particularly for young and anxious children, because traditional restorative treatments is unlikely to combat this prevalent condition. Arrested caries is identified by the hardening of teeth and it changes its color from dark brown to black. More restorative treatments can be performed if necessary. Traditional ECC restorative treatments are not always inexpensive or feasible, as they involve patient cooperation to achieve a satisfactory result. Japan was the first country to promote silver diamine fluoride in 1960. SDF has been used to prevent the spread of caries in various Asian nations, including Japan and China. It was enacted as a fluoride to treat sensitive teeth in the United States by Food and Drug Administration ( FDA). For young children or individuals with specific needs, it is painless and simple to use .The fluoride in SDF stimulates remineralization while the silver ions act as an antimicrobial agent when applied to carious lesions and stop cariogenic biofilms from growing. SDF also prevents future degradation of the dentin's collagen. With a 38 percent use rate, SDF has been utilized in a number of nations. According to a review, SDF is a harmless, economical caries control agent with a wide utilisation in dentistry, and it may meet the WHO Millennium Development Goal (MDG) as well as the United States Institute of Medicine's criteria. The applications of SDF in dental treatment are discussed in this article.

scholarly journals Penatalaksanaan early childhood caries Management of early childhood caries

2011 ◽  
Vol 10 (3) ◽  
pp. 179
Author(s):  
Fajriani Fajriani ◽  
Hendrastuty Handayani
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Dental Hygiene ◽  
Treatment Plan ◽  
High Rate ◽  
Tooth Decay ◽  
Inappropriate Use ◽  
Caries Management ◽  
Dental Diseases ◽  
Childhood Caries

Early childhood caries (ECC), also known as milk bottle caries is a syndrome of severe tooth decay, occurs ininfants and children, is an infectious disease that develops rapidly and lead to health problems in children. Thissyndrome can be caused by inappropriate use of bottles. Most cases of untreated ECC to children aged 20 months.At this stage many children need serious treatment, because this will result in trauma to both the children andparents. The most common treatment ECC and other dental diseases have been included in each treatment ofdisease. Efforts to educate families about dental hygiene and practice start a diet, the high rate of recurrence of anyevidence of disease ranging from tooth decay to the failure of the treatment plan resulted in the need for specialattention to this disease. This paper is expected to be a good input for a dentist in the treatment of ECC

Early childhood caries and parents’ challenges in implementing oral hygiene practices: a qualitative study

2020 ◽  
Vol 31 (1) ◽  
pp. 106-114
Author(s):  
Baranya Shrikrishna Suprabha ◽  
Violet D’Souza ◽  
Ramya Shenoy ◽  
Yarmunja Mahabala Karuna ◽  
Anupama Panakaje Nayak ◽  
...  
Keyword(s):  
Early Childhood ◽  
Qualitative Study ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Hygiene Practices ◽  
Childhood Caries

Parental perspectives on early childhood caries: A qualitative study

2020 ◽  
Vol 30 (4) ◽  
pp. 451-458 ◽  
Author(s):  
Matheus Lotto ◽  
Anna Paola Strieder ◽  
Patricia Estefania Ayala Aguirre ◽  
Maria Aparecida Andrade Moreira Machado ◽  
Daniela Rios ◽  
...  
Keyword(s):  
Early Childhood ◽  
Qualitative Study ◽  
Early Childhood Caries ◽  
Parental Perspectives ◽  
Childhood Caries

scholarly journals Behavioural Etiological Factors that Contribute to the Occurrence of Severe Early Childhood Caries

2021 ◽  
Vol 26 (1) ◽  
pp. 70-74
Author(s):  
Daniela Eşian ◽  
Cristina Bica ◽  
Anamaria Bud ◽  
Oana Stoica ◽  
Eugen Bud
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Study Data ◽  
Dietary Factors ◽  
Control Group ◽  
Close Link ◽  
Feeding Method ◽  
Dmft Index ◽  
Severe Early Childhood Caries ◽  
Childhood Caries

Abstract Severe early childhood caries (S-ECC) is one of the most common pathologies affecting primary dentition. The complex etiology is the result of the interaction of microbial factors and also of dietary factors. For this study a group of 40 children diagnosed with S-ECC was compared with a control group of 35 children without caries. The study data was obtained through clinical examination of both children and mothers, and on the basis of a questionnaire completed by the mothers of the subjects. The odontal status of the mothers was evaluated by determining the DMFT index. The results of the study showed that the mothers of the subjects with S-ECC had a significantly higher DMF-T caries index than the ones in the control group and that there is a close link between the birth of the child, newborn feeding method, mother’s habits, cariogenic diet and the occurrence of severe early childhood caries.

Diversity of Site-Specific Microbes of Occlusal and Proximal Lesions in Severe- Early Childhood Caries (S-ECC)

2021 ◽  
Author(s):  
Kausar Sadia Fakhruddin ◽  
Lakshman Perera Samaranayake ◽  
Rifat Akram Hamoudi ◽  
Hien Chi Ngo ◽  
Horoshi Egusa
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Rrna Gene ◽  
Proximal Caries ◽  
Dissimilarity Data ◽  
Hypervariable Regions ◽  
Curtis Dissimilarity ◽  
Caries Lesions ◽  
Severe Early Childhood Caries ◽  
Childhood Caries

Abstract Background: Severe-early childhood caries (S-ECC) is a global problem of significant concern, commonly manifest as a dentinal lesion on the occlusal and proximal surfaces of the affected deciduous dentition. Although there are major ecological differences between these two niches, it is unclear whether these are reflected in the composition of their dysbiotic cariogenic microbiome. Therefore, we compared the compositional differences in the microbiota of occlusal and proximal caries lesions in S-ECC. Methods: Deep-dentine caries samples (19-occlusal and 19-proximal) from asymptomatic primary molars of children with S-ECC (n=19) belonging to caries-code 5/6, according to ICDAS classification, were evaluated. Employing two primer pools, we amplified and compared the bacterial 16S rRNA gene sequences of the seven hypervariable regions (V2 to V4 and V6 to V9) using a next-generation sequencing based assay.Results: Bray-Curtis dissimilarity data indicated that occlusal lesions had a more homogeneous microbial community structure than the proximal lesions with significant compositional differences at species level (p=0.01; R-value of 0.513). Together, the occlusal and proximal niches harbored 263 species, of which 202 (76.8%) species were common to both locales, while 49 (18.6%) and 12 (4.6%) disparate species were exclusively isolated from the proximal and occlusal niches, respectively. The most commonly found genera at both locales included Streptococcus, Prevotella, and Lactobacillus, with 33, 27, and 22 species each, respectively. In addition, Streptococcus mutans predominated in the proximal cavities (p≤0.05), as opposed to Atopobium parvulum (p=0.01) in the occlusal niches, while Vellonella alcalescens was present in similar proportions in both habitats (p≥0.05). Conclusions: Distinct differences between the caries microbiota of occlusal and proximal caries in S-ECC exist. The former niche appears to provide a habitat for a more homogeneous growth of communal microbiota than the latter. This may be due to the conditions prevalent in relatively quiescent inter-proximal regions, as opposed to the occlusal regions exposed to the ebb and flow of salivary and masticatory forces, and/or the anatomical and structural differences in the two locales. The clinical implications of these findings in terms of the rate and severity of caries progression remain to be determined.

Sign in / Sign up

Export Citation Format

Share Document