Parental acceptance of silver Diamine fluoride application on primary dentition: a systematic review and meta-analysis

Table 3 Evidence of SDF parental preference category and recommendation strength

Topic	Recommendation	Evidence Category	Recommendation Strength
Tooth location (anterior vs. posterior)	Parental preference of SDF in posterior teeth is higher than anterior teeth.	III***	C^^^
Patient’s cooperation (cooperative vs. uncooperative)	Parental preference of SDF use in anterior teeth for non-cooperative children is higher than in cooperative children.	III***	C^^^
Follow-up	Parental acceptance rate for SDF use increased with time.	Ib*	A^
Concentration	No difference in parental acceptance between 12 and 38% SDF concentrations.	Ib*	A^
Taste, appearance, application, and amount of discomfort	Most parents found the taste, appearance, application process, and amount of discomfort to their children acceptable.	IIa**	B^^
Instruction lecture before application of SDF^^^^	The group that received an instruction lecture had a lower resistance to SDF treatment compared to the non-instruction group.	III***	C^^^

Notes: This table is according to the recommendation system of Shekelle et al .[27]
* Category Ib is evidence from at least one randomized controlled trial
**Category IIa is evidence from at least one controlled study without randomization
***Category III is evidence from non-experimental descriptive studies, such as comparative studies, correlation studies, and case-control studies
^Class A is directly based on category I evidence
^^Class B is directly based on category II evidence
^^^Class C is directly based on category III
^^^^Only 1 study was available for the recommendation

ISSN: 1472-6831