Indigenous community members' views on silver diamine fluoride to manage early childhood caries
| Autor: | Julianne Sanguins, Josée G. Lavoie, Mary F Bertone, Jeannette M. Edwards, Robert J Schroth, Scaling-up Healthy Smile Happy Child team, Melina Sturym, Frances Chartrand, Rhonda Campbell, Daniella DeMaré, Grace Kyoon-Achan, Sarbjeet Singh, Michael E. K. Moffatt |
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| Rok vydání: | 2019 |
| Předmět: |
First nation
Adult medicine.medical_specialty Canada Dental Caries Indigenous Grounded theory 03 medical and health sciences 0302 clinical medicine medicine Metis Humans Silver diamine fluoride Fluorides Topical Child General Dentistry 030505 public health Public Health Environmental and Occupational Health Silver Compounds Manitoba 030206 dentistry medicine.disease Focus group Cariostatic Agents 3. Good health Quaternary Ammonium Compounds Dental surgery Family medicine Child Preschool 0305 other medical science Psychology Early childhood caries |
| Zdroj: | Journal of public health dentistryReferences. 80(3) |
| ISSN: | 1752-7325 |
| Popis: | Objectives Early childhood caries (ECC) continues to be the leading reason for pediatric dental surgery in Canada and is particularly prevalent among Indigenous children. Silver diamine fluoride (SDF) offers an alternative method to manage non-restoratively caries. It is important to determine Indigenous communities' views on and receptivity toward SDF. Aim To understand Indigenous community members' views on pediatric dental surgery to treat ECC under general anesthesia (GA) and receptivity to SDF as an alternative to restorative surgery. Methods Focus groups and sharing circles congruent with an Indigenous ways of gathering information were conducted. Three interviewers engaged eight groups of First Nation and Metis communities in three rural Indigenous communities and ne metropolitan urban setting in Manitoba, Canada. Overall, 59 individuals participated. Open coding was guided by grounded theory and further analysis using Nvivo 12 software™. Results Participants mean age was 35.6 years, 88 percent (52 individuals) had a least one child, and 32 percent (19 individuals) were employed. Eight themes emerged, including respondents' fear of dental surgery under GA, fear of pain after dental surgery, parents' need for more information before accepting SDF treatment, and concern about the black staining of treated lesions. Conclusions Indigenous parents' acceptance of SDF as a treatment option is contingent on having more information and assurance that treatment under GA can be avoided. Understanding Indigenous parents' views may ensure better acceptance of SDF as a minimally invasive treatment option to manage ECC. A cautious and informative approach to SDF implementation in Indigenous communities is recommended. |
| Databáze: | OpenAIRE |
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