{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:10:32Z","timestamp":1783948232929,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore, from a phenomenological qualitative perspective, the perceptions and experiences of caregivers of children treated with silver diamine fluoride (SDF) in Chile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      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\u2009months prior to the interview were included, selected through purposive sampling until thematic saturation was achieved. Semi\u2010structured interviews were carried out either in person or online, recorded, and transcribed verbatim. Data were analysed inductively using thematic analysis with\n                      <jats:italic>Atlas.ti<\/jats:italic>\n                      , ensuring analytical triangulation and team reflexivity. The study was approved by the RedSalud Scientific Ethics Committee (Project P\u201026.2025).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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 \u201csuperpower\u201d 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\u2014particularly in cases involving neurodiversity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Caregivers perceived SDF as an effective, safe, and non\u2010invasive 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\u2010making and promoting a humanised approach to child oral health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70097","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T12:35:31Z","timestamp":1783946131000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Caregiver Perspectives on the Use of Silver Diamine Fluoride as a Caries Treatment in Children in Chile: A Qualitative Phenomenological Exploration"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9088-5547","authenticated-orcid":false,"given":"Horacio","family":"Alarc\u00f3n Venegas","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry University of Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9147-5754","authenticated-orcid":false,"given":"Marco","family":"Cornejo Ovalle","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Dentistry University of Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2434-6200","authenticated-orcid":false,"given":"Miguel","family":"Grand\u00f3n Ya\u00f1ez","sequence":"additional","affiliation":[{"name":"Redsalud  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Plan nacional de salud bucal 2021\u20132030","author":"Ministerio de Salud (MINSAL)","year":"2021"},{"issue":"4","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"101979","DOI":"10.1016\/j.aprim.2021.101979","article-title":"Calidad de vida y caries dental en preescolares, una visi\u00f3n desde la atenci\u00f3n primaria odontol\u00f3gica","volume":"53","author":"D\u00edaz\u2010Fabregat B.","year":"2021","journal-title":"Atencion Primaria"},{"issue":"4","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1177\/00220345211056247","article-title":"Global Burden and Inequality of Dental Caries, 1990 to 2019","volume":"101","author":"Wen P. Y. F.","year":"2022","journal-title":"Journal of Dental Research"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"2013","DOI":"10.2147\/JMDH.S412412","article-title":"Children's Dental Fear: Occurrence Mechanism and Prevention Guidance","volume":"16","author":"Ying J.","year":"2023","journal-title":"Journal of Multidisciplinary Healthcare"},{"key":"e_1_2_11_6_1","first-page":"1","article-title":"Diamine Silver Fluoride and Its Clinical Application","volume":"12","author":"Yamaga R.","year":"1972","journal-title":"Journal of the Osaka University Dental School"},{"issue":"2","key":"e_1_2_11_7_1","first-page":"95","article-title":"Risk Factors for Early Childhood Caries: A Systematic Review and Meta\u2010Analysis of Case Control and Cohort Studies","volume":"41","author":"Kirthiga M.","year":"2019","journal-title":"Pediatric Dentistry"},{"issue":"12","key":"e_1_2_11_8_1","first-page":"1321","article-title":"The Potential of Silver Diamine Fluoride in Non\u2010Operative Management of Dental Caries in Primary Teeth: A Systematic Review","volume":"57","author":"Rogalnikovait\u0117 K.","year":"2021","journal-title":"Medicina"},{"key":"e_1_2_11_9_1","volume-title":"Prevenci\u00f3n y tratamiento de la caries dental con productos sin mercurio y una intervenci\u00f3n m\u00ednima: Serie de notas informativas sobre salud bucodental de la OMS","author":"Organizaci\u00f3n Mundial de la Salud (OMS)","year":"2021"},{"key":"e_1_2_11_10_1","first-page":"533","article-title":"Parents' and Children's Acceptance of Silver Diamine Fluoride Application on Primary Teeth in The United Arab Emirates","volume":"20","author":"Walia T.","year":"2022","journal-title":"Oral Health & Preventive Dentistry"},{"issue":"1","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"4544","DOI":"10.1038\/s41598-024-55456-0","article-title":"Parental Satisfaction and Acceptance of Silver Diamine Fluoride Treatment for Molar Incisor Hypomineralisation in Pediatric Dentistry: A Cross\u2010Sectional Study","volume":"14","author":"Al\u2010Nerabieah Z.","year":"2024","journal-title":"Scientific Reports"},{"issue":"1","key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.sdentj.2022.11.012","article-title":"Necessity and Relevance of Qualitative Research in Pediatric Dentistry: A Literature Review","volume":"35","author":"Baghlaf K.","year":"2023","journal-title":"Saudi Dental Journal"},{"issue":"7","key":"e_1_2_11_13_1","first-page":"7","article-title":"Percepci\u00f3n de los cuidadores sobre la atenci\u00f3n m\u00e9dica ambulatoria pedi\u00e1trica y la adherencia a las indicaciones, instituto nacional de salud del ni\u00f1o","volume":"95","author":"Mar\u00edn Portocarrero J.","year":"2025","journal-title":"Andes Pedi\u00e1trica"},{"key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"104250","DOI":"10.1016\/j.jdent.2022.104250","article-title":"Parental Perspectives on the Use of Silver Diamine Fluoride Therapy to Arrest Early Childhood Caries in Kindergarten Outreach Dental Services: A Qualitative Study","volume":"125","author":"Chai H. H.","year":"2022","journal-title":"Journal of Dentistry"},{"key":"e_1_2_11_15_1","doi-asserted-by":"crossref","DOI":"10.3389\/froh.2024.1421157","article-title":"Enhancing Patient\u2010Provider Encounters When Proposing SDF Therapy by Utilizing a Qualitative Analysis of Parental Feedback","volume":"5","author":"Crystal Y. 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Data Saturation in Qualitative Research","volume":"20","author":"Fusch P. 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H.","year":"2024","journal-title":"Journal of Dentistry"},{"key":"e_1_2_11_25_1","volume-title":"Culture, Health and Illness","author":"Helman C.","year":"2007"},{"issue":"4","key":"e_1_2_11_26_1","first-page":"430","article-title":"Parental Acceptability of Silver Diamine Fluoride: The UK and US Experiences","volume":"34","author":"Timms L.","year":"2024","journal-title":"International Journal of Paediatric Dentistry"},{"issue":"2","key":"e_1_2_11_27_1","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1111\/ipd.13226","article-title":"Parental Perceptions and Acceptance of Silver Diamine Fluoride Staining in Italy","volume":"35","author":"Cappiello M. C.","year":"2025","journal-title":"International Journal of Paediatric Dentistry"},{"issue":"6","key":"e_1_2_11_28_1","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1111\/scd.13058","article-title":"Parental Acceptance of Dental Treatment With SDF in Children With CP","volume":"44","author":"Pattu R. 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