ArticleClinical, cosmetic and investigational dentistry2026
Perception, Knowledge and Clinical Use of Silver Diamine Fluoride Among Dental Professionals in Saudi Arabia: A Cross-Sectional Study.
Article in Clinical, cosmetic and investigational dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
Background: Silver diamine fluoride (SDF) is a non-invasive, cost-effective agent proven effective in arresting and preventing dental caries. Despite growing global evidence supporting its use, significant gaps exist in self-reported knowledge and clinical adoption among dental professionals. Previous studies in Saudi Arabia focused exclusively on general dentists, leaving perception and knowledge among a diverse dental workforce largely unexplored. Objective: This study aimed to assess the perception, knowledge, and clinical use of SDF among a diverse group of dental professionals in Saudi Arabia, including pediatric dentists, restorative dentists, postgraduate and undergraduate students across both governmental and private practice settings. Methods: A cross-sectional study was conducted using an online self-administered questionnaire distributed via social media and Email between December 2020 and March 2021, using convenience sampling. A total of 320 dental professionals participated. Responses were analyzed using chi-square tests with significance set at p≤0.05. Results: While 61.3% of participants reported awareness of SDF for arresting caries in children, only 20% reported awareness of the correct application frequency and only 25.9% reported knowledge of its cost-effectiveness. The majority (76.9%) had never used SDF clinically. Females demonstrated significantly higher awareness than males across most domains. Self-reported knowledge and willingness to use SDF increased significantly with higher educational qualification and greater clinical experience. Conclusion: Significant gaps in self-reported knowledge persist regarding SDF application frequency, cost-effectiveness, and clinical use among dental professionals in Saudi Arabia. The findings suggest a potential role for integrating SDF into undergraduate dental curricula and providing continuing professional development programs for practicing clinicians. Generalizability is limited by the convenience sampling approach.
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