Caregiver Perspectives on the Use of Silver Diamine Fluoride as a Caries Treatment in Children in Chile: A Qualitative Phenomenological Exploration.

IF 2.9 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Horacio Alarcón Venegas, Marco Cornejo Ovalle, Miguel Grandón Yañez
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Abstract

Objectives: To explore, from a phenomenological qualitative perspective, the perceptions and experiences of caregivers of children treated with silver diamine fluoride (SDF) in Chile.

Methods: An exploratory qualitative study with a phenomenological approach was conducted between August and October 2025. Twelve caregivers of children who had received SDF treatment at least 6 months prior to the interview were included, selected through purposive sampling until thematic saturation was achieved. Semi-structured interviews were carried out either in person or online, recorded, and transcribed verbatim. Data were analysed inductively using thematic analysis with Atlas.ti, ensuring analytical triangulation and team reflexivity. The study was approved by the RedSalud Scientific Ethics Committee (Project P-26.2025).

Results: Caregivers described an acceptance process influenced by initial feelings of fear, the trust fostered by clear professional communication, and the prioritisation of the wellbeing of their children over aesthetic concerns. The black staining caused by SDF was interpreted in varied ways, ranging from a negative effect to a symbol of protection or even a "superpower" that reinforced the value of dental care. The clinical experience was perceived positively due to the absence of pain, the simplicity of the procedure, and the calmness of the children-particularly in cases involving neurodiversity.

Conclusions: Caregivers perceived SDF as an effective, safe, and non-invasive treatment that prioritised the wellbeing of the children over aesthetics. Clear information, professional trust, and empathetic communication were key factors in its acceptance. The findings highlighted the need to incorporate cultural, emotional, and communicative dimensions into paediatric dental practice, strengthening shared decision-making and promoting a humanised approach to child oral health.

护理人员对使用二胺氟化银作为智利儿童龋齿治疗的看法:定性现象学探索。
目的:从现象学定性的角度探讨智利儿童二胺氟化银(SDF)治疗的照顾者的看法和经验。方法:于2025年8 - 10月采用现象学方法进行探索性质的研究。12名在访谈前至少6个月接受过SDF治疗的儿童看护人被纳入,通过有目的的抽样选择,直到主题饱和。半结构化的访谈是亲自或在线进行的,记录并逐字抄写。数据采用Atlas主题性分析进行归纳分析。Ti,确保分析三角和团队反思。该研究已获得RedSalud科学伦理委员会(项目P-26.2025)的批准。结果:照顾者描述了一个接受过程,其影响因素包括最初的恐惧感觉、清晰的专业沟通所培养的信任,以及将孩子的福祉置于审美考虑之上。由SDF引起的黑色染色有各种各样的解释,从负面影响到保护的象征,甚至是加强牙齿护理价值的“超能力”。临床经验被认为是积极的,因为没有疼痛,手术简单,儿童的平静-特别是在涉及神经多样性的病例中。结论:护理人员认为SDF是一种有效、安全、无创的治疗方法,优先考虑儿童的健康而不是美观。清晰的信息、专业信任和共情沟通是其被接受的关键因素。研究结果强调需要将文化、情感和交流维度纳入儿科牙科实践,加强共同决策并促进儿童口腔健康的人性化方法。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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