{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:18:51Z","timestamp":1784546331978,"version":"3.55.0"},"reference-count":30,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Education, Culture, Sports, Science and Technology, Japan","award":["20K10212"],"award-info":[{"award-number":["20K10212"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background: The aim of this study was to evaluate the differences in the knowledge and attitude regarding silver diamine fluoride (SDF) between two groups, differentiated by whether they had experience in SDF use, of dental students and clinical trainee dentists in Japan. Methods: A survey was designed consisting of three dental classes (fourth, fifth, and sixth years) and clinical trainees at Kyushu Dental University. A survey was designed consisting of 32 questions about the knowledge, attitudes, esthetic acceptability, and potential barriers regarding the use of SDF. Results: A total of 286 surveys (response rate of 85.4%) were collected. Among all respondents, 21.7% had experience with SDF use in their clinical practice. Regarding the knowledge score for SDF (0 to 12 points), in the respondents with no experience of using SDF, the mean score was 3.06, and that of respondents with experience of using SDF was 1.66, which was a significant difference (p &lt; 0.001). The mean esthetic acceptability score for SDF use (\u22128 to 8 points) of the clinical trainees was \u22121.00 and that of the fourth-year students was 0.74, which was a significant difference (p &lt; 0.05). Conclusions: the results indicate that dental students and clinical trainees need to increase their clinical experience with SDF.<\/jats:p>","DOI":"10.3390\/dj11120282","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T02:55:32Z","timestamp":1701744932000},"page":"282","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of the Knowledge, Attitudes, and Practices Regarding Silver Diamine Fluoride (SDF) between Japanese Dental Students with Experience Using SDF and Those with No Experience Using SDF: A Cross-Sectional Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5803-0742","authenticated-orcid":false,"given":"Yuko","family":"Fujita","sequence":"first","affiliation":[{"name":"Division of Developmental Stomatognathic Function Science, Department of Health Promotion, Kyushu Dental University, Kitakyushu City 803-8580, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"ref_1","first-page":"1","article-title":"Diammine silver fluoride and its clinical application","volume":"12","author":"Yamaga","year":"1972","journal-title":"J. Osaka Univ. Dent. Sch."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1111\/idj.12320","article-title":"Mechanisms of silver diamine fluoride on arresting caries: A literature review","volume":"68","author":"Zhao","year":"2018","journal-title":"Int. Dent. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"685557","DOI":"10.3389\/froh.2021.685557","article-title":"Global Oral Health Policies and Guidelines: Using Silver Diamine Fluoride for Caries Control","volume":"2","author":"Gao","year":"2021","journal-title":"Front. Oral Health"},{"key":"ref_4","first-page":"16","article-title":"UCSF Protocol for Caries Arrest Using Silver Diamine Fluoride: Rationale, Indications and Consent","volume":"44","author":"Horst","year":"2016","journal-title":"J. Calif. Dent. Assoc."},{"key":"ref_5","first-page":"135","article-title":"Use of Silver Diamine Fluoride for Dental Caries Management in Children and Adolescents, Including Those with Special Health Care Needs","volume":"39","author":"Crystal","year":"2017","journal-title":"Pediatr. Dent."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.identj.2022.06.006","article-title":"A Review of the Protocol of SDF Therapy for Arresting Caries","volume":"72","author":"Yan","year":"2022","journal-title":"Int. Dent. J."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Seifo, N., Cassie, H., Radford, J.R., and Innes, N.P.T. (2019). Silver diamine fluoride for managing carious lesions: An umbrella review. BMC Oral Health, 19.","DOI":"10.1186\/s12903-019-0830-5"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Schroe, S.C.H., Bonifacio, C.C., Bruers, J.J., Innes, N.P.T., and Hesse, D. (2022). General and paediatric dentists\u2019 knowledge, attitude and practises regarding the use of Silver Diammine Fluoride for the management of dental caries: A national survey in the Netherlands. BMC Oral Health, 22.","DOI":"10.1186\/s12903-022-02475-w"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"173","DOI":"10.21815\/JDE.019.020","article-title":"Pediatric Dentists\u2019 Silver Diamine Fluoride Education, Knowledge, Attitudes, and Professional Behavior: A National Survey","volume":"83","author":"Antonioni","year":"2019","journal-title":"J. Dent. Educ."},{"key":"ref_10","unstructured":"(2023, September 11). Ministry of Health, Labour and Welfare. Survey of Dental Diseases. Survey of Dental Diseases. Available online: https:\/\/www.mhlw.go.jp\/content\/10804000\/001112405.pdf."},{"key":"ref_11","first-page":"36","article-title":"Use of dental care and prevalence of caries among immigrant and Spanish-born children","volume":"78","author":"Garrido","year":"2011","journal-title":"J. Dent. Child (Chic.)"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1111\/eos.12609","article-title":"Socio-economic inequality in oral health in childhood to young adulthood, despite full dental coverage","volume":"127","author":"Verlinden","year":"2019","journal-title":"Eur. J. Oral Sci."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1002\/jdd.12261","article-title":"Assessment of knowledge and perception about silver diamine fluoride (SDF) for treating older adults among graduating dental students","volume":"84","author":"Dang","year":"2020","journal-title":"J. Dent. Educ."},{"key":"ref_14","first-page":"28","article-title":"Validity and Reliability of the Research Instrument; How to Test the Validation of a Questionnaire\/Survey in a Research","volume":"5","author":"Taherdoost","year":"2016","journal-title":"SSRN Electron. J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives","volume":"6","author":"Hu","year":"2009","journal-title":"Struct. Equ. Model."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1177\/0049124192021002005","article-title":"Alternative ways of assessing model fit","volume":"21","author":"Browne","year":"1992","journal-title":"Sciol. Methods Res."},{"key":"ref_17","unstructured":"American Dental Association (2023, October 19). Silver Diamine Fluoride. Available online: https:\/\/www.ada.org\/resources\/research\/science-and-research-institute\/oral-health-topics\/silver-diamine-fluoride."},{"key":"ref_18","first-page":"152","article-title":"Cytotoxic effects of silver diamine fluoride","volume":"32","author":"Fancher","year":"2019","journal-title":"Am. J. Dent."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"399","DOI":"10.2147\/CCIDE.S270562","article-title":"Knowledge on and Attitude toward Silver Diamine Fluoride among Saudi Dental Practitioners in Riyadh Public Hospitals","volume":"12","author":"Alajlan","year":"2020","journal-title":"Clin. Cosmet. Investig. Dent."},{"key":"ref_20","first-page":"212","article-title":"Silver Diamine Fluoride in Pediatric Dentistry Training Programs: Survey of Graduate Program Directors","volume":"38","author":"Nelson","year":"2016","journal-title":"Pediatr. Dent."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/j.adaj.2018.07.002","article-title":"Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions: A report from the American Dental Association","volume":"149","author":"Slayton","year":"2018","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1748-5908-6-42","article-title":"The behaviour change wheel: A new method for characterising and designing behaviour change interventions","volume":"6","author":"Michie","year":"2011","journal-title":"Implement. Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"103171","DOI":"10.1016\/j.jdent.2019.07.009","article-title":"Effects of restoring SDF-treated and untreated dentine caries lesions on parental satisfaction and oral health related quality of life of preschool children","volume":"88","author":"Jiang","year":"2019","journal-title":"J. Dent."},{"key":"ref_24","first-page":"e5","article-title":"Clinical Instructions for Using Silver Diamine Fluoride (SDF) in Dental Caries Management","volume":"42","author":"Young","year":"2021","journal-title":"Compend. Contin. Educ. Dent."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"103578","DOI":"10.1016\/j.jdent.2020.103578","article-title":"Effect of silver diammine fluoride and glass ionomer on remineralisation of natural dentine caries","volume":"106","author":"Chan","year":"2021","journal-title":"J. Dent."},{"key":"ref_26","first-page":"148","article-title":"Effect of Silver Diamine Fluoride (SDF) Application on Microtensile Bonding Strength of Dentin in Primary Teeth","volume":"38","author":"Wu","year":"2016","journal-title":"Pediatr. Dent."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Jiang, M., Mei, M.L., Wong, M.C.M., Chu, C.H., and Lo, E.C.M. (2020). Effect of silver diamine fluoride solution application on the bond strength of dentine to adhesives and to glass ionomer cements: A systematic review. BMC Oral Health, 20.","DOI":"10.1186\/s12903-020-1030-z"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1590\/S1678-77572009000500003","article-title":"Glass ionomer cements and their role in the restoration of non-carious cervical lesions","volume":"17","author":"Francisconi","year":"2009","journal-title":"J. Appl. Oral Sci."},{"key":"ref_29","first-page":"137","article-title":"Microleakage in class II composite resin restorations: Total bonding and open sandwich technique","volume":"4","author":"Loguercio","year":"2002","journal-title":"J. Adhes. Dent."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Sabbagh, H., Othman, M., Khogeer, L., Al-Harbi, H., Al Harthi, A., and Abdulgader Yaseen Abdulgader, A. (2020). Parental acceptance of silver Diamine fluoride application on primary dentition: A systematic review and meta-analysis. 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