Paediatric dentists’ views on the use of silver diammine fluoride: a UK perspective

Laura Timms*, Anna Graham, Nicola Gallacher, Jessica Large, Sarah Simpson, Rosamund Johnson, Nathalie Gallichan, Rachel Oliver, Emma Morgan, Constance Hardwick, Alexander Gormley, Carly Dixon

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

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Silver diamine fluoride (SDF) is an option for biologic caries management that is not well utilised in the United Kingdom (UK). Caries in the primary dentition is common in the UK, and despite current treatment options many children require invasive treatment and multiple extractions. SDF could provide an alternative and due to their clinical expertise paediatric dentists are well placed to discuss this.

Fourteen semi-structured interviews were carried out with paediatric dentists across the UK. This was a heterogeneous sample including working across different settings, with differing levels of experience and both academic and NHS primary employment. Thematic analysis was undertaken with respondent validation.

Participants felt SDF could be useful where patients have caries in their primary dentition, are asymptomatic and cannot manage other treatment options. The five themes influencing their views were child factors, parental influence, external influences, the clinician’s knowledge, experience and beliefs and the properties of SDF.

Paediatric dentists interviewed feel that there is a role for SDF in caries management in the UK. They believe case selection and communication with families is important.
Original languageEnglish
Pages (from-to)114-119
Number of pages6
JournalFaculty Dental Journal
Issue number3
Publication statusPublished - 1 Jul 2021


  • caries
  • caries management
  • silver diammine fluoride
  • topical fluoride
  • SDF


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