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Knowledge, Practices and Attitudes towards Silver Diamine Fluoride Therapy among Dentists in Japan

A Mixed Methods Study

Bibliographic Data

ID15480947
AuthorsHollis Haotian Chai (0000-0001-9291-8238, Xiamen University), Sakura Kiuchi (0000-0002-8298-8643, Tohoku University), Ken’ichi Osaka (0000-0001-6885-9514, Tohoku University), Jun Aida (0000-0002-8405-9872, Tokyo Medical and Dental University), Chun Hung Chu (0000-0002-8167-0430, University of Hong Kong), Sherry Shiqian Gao (0000-0002-8340-5737, Xiamen University, corresponding author)
Year2022
Volume19
Issue14
Pages8705-8705
Publication date2022-07-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19148705
PMID35886557
OpenAlexW4285731842
LanguageEN
Citations received1
References cited17

In 2021, the World Health Organization included silver diamine fluoride (SDF) as an essential medicine to manage caries in adults and children. SDF was developed in the 1960s, but its use for children became unpopular in Japan because of the decline and low prevalence of early childhood caries. This mixed methods study explored the knowledge, practices and attitudes towards SDF therapy among dentists promoting fluoride use in Japan. It also investigated senior dentists' perceptions of SDF therapy in Japan. The quantitative study invited all 173 members of the largest organisation promoting fluoride use in Japan to complete a web-based questionnaire survey. Sixty (60/173; 35%) dentists promoting fluoride use in Japan completed the questionnaire survey. All dentists knew of SDF treatment, and 50 (50/60; 83%) used SDF for dental care. Fifty-nine dentists (59/60; 98%) agreed that SDF therapy was simple and quick. All 60 dentists agreed that SDF was effective to arrest caries; 51 dentists (51/60; 85%) agreed that SDF was effective to prevent caries. Most dentists (51/60; 85%) were concerned about SDF's unaesthetic staining. Fifty-seven dentists (57/60; 95%) used SDF to arrest primary posterior teeth, and 52 dentists (52/60; 87%) used SDF to arrest root caries. However, 25 dentists (25/60; 42%) did not use SDF to prevent caries in permanent teeth. The qualitative study interviewed 12 senior dentists using snowball sampling and achieved data saturation. The dentists opined that SDF therapy was effective, simple, painless, non-invasive and inexpensive. SDF is seldom used in Japan at present because of the unaesthetic black staining and the low prevalence of early childhood caries; however, it can regain popularity by arresting root caries in the aging population

Early childhood caries · Family medicine · Oral health · Snowball sampling · Dental Erosion and Treatment · Dental Health and Care Utilization · Dentistry · Medicine · Oral microbiology and periodontitis research

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  • Response Rates and Responsiveness for Surveys, Standards, and the Journal

    Open Access•Jack E Fincham•American Journal of Pharmaceutical…•2008

  • Dental Fear and Anxiety of Kindergarten Children in Hong Kong

    Open Access•Madeline Jun Yu Yon, Kitty Jieyi Chen et al.•International Journal of…•2020

  • Integrating quantitative and qualitative research

    Open Access•Alan Bryman•Qualitative Research•2006

Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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