June 2020

Volume 37, Issue 2

Everyone else is using it, so why isn’t the UK? Silver diamine fluoride for children and young people

Authors: Laura Timms Oliver Sumner Chris Deery Helen Jessica Rogers
doi: 10.1922/CDH_00008Timms07

Abstract

Introduction: Silver diamine fluoride (SDF) is used to prevent and arrest caries across the globe, particularly in the developing world. Whilst its use in the Western World is increasing, it is not yet routinely used in the United Kingdom, nor is it advocated by our national guidelines. Objectives: To explore the literature surrounding the use of SDF, and consider the reasons why SDF has not yet been widely adopted in the United Kingdom (UK). Discussion: There is a growing evidence base for the use of SDF for the arrest and prevention of dental caries in the primary and permanent dentition. Potential side effects include staining of carious tooth structure, but in some cases this is acceptable to parents. There is no evidence for the cost effectiveness of SDF, although it may be a reasonably cost-effective option. Conclusion: SDF is perhaps not yet widely adopted in the UK due to a perceived parental concern about its staining effect. With a growing evidence base and reportedly higher efficacy than fluoride varnish for caries prevention and arrest, SDF has the potential to play an important role in managing dental disease in children and young people in both primary and secondary care. Keywords: paediatric dentistry, caries, silver diamine fluoride

£10 single article

Other articles in this issue

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Editorial: Child oral health; is there anything more to know? 108-109 Download
Caregiver oral health literacy: relationship with socioeconomic factors, oral health behaviors and perceived child dental status 110-114 £10 single article
Associations between caries levels and BMI measures among five-year-old children. Analysis and cross-sectional multi-variable analysis at an individual child level 115-120 £10 single article
Dental Public Health in Action:Challenges and learning in carrying out an enhanced sample to provide small area data for the dental survey of five-year-old children in England 121-124 £10 single article
Randomized Controlled Trial: The effects of Short Message Service on mothers’ oral health knowledge and practice 125-131 £10 single article
Outcomes of a co-designed, community-led oral health promotion program for Aboriginal children in rural and remote communities in New South Wales, Australia 132-137 £10 single article
Greater child dental health inequality in England compared to Wales and Northern Ireland, despite lower average disease levels 138-142 Download
Everyone else is using it, so why isn’t the UK? Silver diamine fluoride for children and young people 143-149 £10 single article
Community-based oral health interventions for people experiencing homelessness: a scoping review 150-160 £10 single article
Deprivation and child dental attendance in England: exploring the shape and moderators 161-166 £10 single article
Letter to the Editor 167-168 £10 single article
Meeting report: The 4th Iranian Congress of Community Oral Health 169-169 £10 single article
IADR Symposium report Special Supplement in the March 2020 Issue of Community Dental Health 170-170 £10 single article

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