{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T05:26:54Z","timestamp":1787376414074,"version":"build-2736575974"},"reference-count":52,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"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":["Int J Dental Hygiene"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Despite the free childhood dental care in New Zealand (NZ), the need for extensive dental treatment, particularly hospital dental treatment is on the rise. This study aimed to explore the perspectives of oral health professionals and cariology experts on the use of silver diamine fluoride (SDF) in reducing outpatient dental hospitalisation and oral health inequity among NZ paediatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative approach was applied. Thirteen registered oral health professionals, who routinely provide restorative and curative care to children in NZ, alongside cariology experts, participated in semi\u2010structured one\u2010to\u2010one interviews. The transcripts were analysed using an inductive thematic approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The data analysis led to three major themes: Theme one: \u2018Black Diamond\u2019, referring to SDF's benefits and effectiveness in caries management with significant focus on its potential to reduce the demand for dental treatment under general anaesthesia (GA). However, post\u2010treatment black staining raised universal concern. Theme two: Transparency, emphasising public awareness, dental professionals' knowledge and informed consent. Thus, informed consent must be discussed with patients and caregivers who must understand SDF outcomes. Theme three: Teeth tell stories, highlighting oral health inequity. While SDF may be a game changer for caries management and enhancing oral health care accessibility, addressing systemic inequity is essential to improve oral health equity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SDF is a valuable, yet limited option for arresting caries and reducing GA treatment demand. Clear communication and informed consent are important before SDF application. While it may enhance dental care accessibility, SDF alone is not sufficient to eliminate oral health inequities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.70153","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T04:59:23Z","timestamp":1787374763000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A \u2018Black Diamond\u2019, But Not a \u2018Silver Bullet\u2019: Oral Health Professionals' Perception of\n                    <scp>SDF<\/scp>\n                    Use in New Zealand\u2014A Qualitative Study"],"prefix":"10.1111","author":[{"given":"Batool","family":"Ghashi","sequence":"first","affiliation":[{"name":"Sir John Walsh Research Institute, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2936-6463","authenticated-orcid":false,"given":"Hanna","family":"Olson","sequence":"additional","affiliation":[{"name":"Sir John Walsh Research Institute, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3493-7251","authenticated-orcid":false,"given":"Zeina Al","family":"Naasan","sequence":"additional","affiliation":[{"name":"Sir John Walsh Research Institute, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"issue":"3","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1111\/cdoe.12362","article-title":"WHO Global Consultation on Public Health Intervention Against Early Childhood Caries","volume":"46","author":"Phantumvanit P.","year":"2018","journal-title":"Community Dentistry and Oral Epidemiology"},{"key":"e_1_2_11_3_1","article-title":"Dental Treatment of Children Under General Anaesthesia in District Health Boards in New Zealand","volume":"114","author":"Hunt G. R.","year":"2018","journal-title":"New Zealand Dental Journal"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1007\/s40368-019-00447-3","article-title":"Dental Characteristics and Treatments of Children Under General Anesthesia in Germany","volume":"20","author":"Takriti M.","year":"2019","journal-title":"European Archives of Paediatric Dentistry"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6831-15-3","article-title":"Issues Arising Following Referral for GA Extraction","volume":"15","author":"Goodwin M.","year":"2015","journal-title":"BMC Oral Health"},{"issue":"2","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","DOI":"10.3390\/dj4020020","article-title":"Public Health Aspects of Paediatric Dental Treatment Under General Anaesthetic","volume":"4","author":"Thomson W. M.","year":"2016","journal-title":"Dentistry Journal"},{"issue":"1","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1177\/0022034514557546","article-title":"Socioeconomic Inequality and Caries","volume":"94","author":"Schwendicke F.","year":"2015","journal-title":"Journal of Dental Research"},{"key":"e_1_2_11_8_1","volume-title":"Our Oral Health: Key Findings of the 2009 NZ Oral Health Survey Wellington (NZ): Ministry of Health","author":"Ministry of Health","year":"2010"},{"key":"e_1_2_11_9_1","article-title":"NZ School Dental Service and Inequalities","volume":"5","author":"Moffat S. 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Wellington (NZ)."},{"key":"e_1_2_11_23_1","volume-title":"Guidance on SDF Use in Aotearoa NZ","author":"NZ Oral Health Clinical Advisory Network","year":"2025"},{"issue":"8","key":"e_1_2_11_24_1","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1177\/1744987120927206","article-title":"Purposive Sampling","volume":"25","author":"Campbell S.","year":"2020","journal-title":"Journal of Research in Nursing"},{"key":"e_1_2_11_25_1","volume-title":"Getting Started in Pedagogic Research","author":"Edmunds S.","year":"2013"},{"issue":"2","key":"e_1_2_11_26_1","first-page":"42","article-title":"Interview guide development","volume":"3","author":"Naz N.","year":"2022","journal-title":"Competency Based Social Science Research Journal"},{"issue":"2","key":"e_1_2_11_27_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Thematic Analysis","volume":"3","author":"Braun V.","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"e_1_2_11_28_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.114523","article-title":"Sample Sizes for Saturation in Qualitative Research: A Systematic Review of Empirical Tests","volume":"292","author":"Hennink M.","year":"2022","journal-title":"Social Science & Medicine"},{"issue":"4","key":"e_1_2_11_29_1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.15236\/ijcpd.2020.16.4.143","article-title":"Primary Prevention Overview","volume":"16","author":"Mansur E. K. M.","year":"2020","journal-title":"International Journal of Clinical Preventive Dentistry"},{"issue":"5","key":"e_1_2_11_30_1","article-title":"Caries Prevention Review","volume":"8","author":"Sicca C.","year":"2016","journal-title":"Journal of Clinical and Experimental Dentistry"},{"issue":"4","key":"e_1_2_11_31_1","article-title":"Kindergarten Preventive Approach","volume":"8","author":"Chai H. H.","year":"2020","journal-title":"Health"},{"key":"e_1_2_11_32_1","first-page":"249","article-title":"SDF Therapy Review","volume":"58","author":"Zheng F. M.","year":"2022","journal-title":"Japanese Dental Science Review"},{"issue":"1","key":"e_1_2_11_33_1","first-page":"59","article-title":"Dentists' Adoption of SDF","volume":"6","author":"Meyer B. 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