Factors that influence parental satisfaction with SDF treatment in healthy children and those with special healthcare needs
PurposeSilver diamine fluoride (SDF) is used as a caries management agent for the arrest of dentinal caries lesions. The purpose of this study was to evaluate the satisfaction with SDF treatment provided at a university pediatric dentistry clinic and to identify factors that may contribute to parent...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Dental Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fdmed.2023.1286162/full |
| _version_ | 1827153571076898816 |
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| author | Y. O. Crystal J. H. Jang M. N. Janal V. H. Raveis |
| author_facet | Y. O. Crystal J. H. Jang M. N. Janal V. H. Raveis |
| author_sort | Y. O. Crystal |
| collection | DOAJ |
| description | PurposeSilver diamine fluoride (SDF) is used as a caries management agent for the arrest of dentinal caries lesions. The purpose of this study was to evaluate the satisfaction with SDF treatment provided at a university pediatric dentistry clinic and to identify factors that may contribute to parental dissatisfaction.MethodsWe obtained retrospective data of children who received SDF treatment at our clinic from 1 February 2019 to 28 February 2021. Parents were contacted by phone to participate in a survey that evaluated their satisfaction with the treatment. Satisfaction was evaluated as a function of medical status, ease of treatment, outcome of SDF treatment, esthetics, and understanding of treatment goals and side effects using contingency tables and chi-square statistics.ResultsFrom 209 children who received SDF treatment, we were able to contact 91 parents by telephone, and 79 agreed to participate. Special healthcare needs (SHCN) patients were overrepresented in our sample, comprising 22.3% of all treated and 36.7% of participants. More than 90% were satisfied with the treatment, would do it again and would recommend it to others. Among the 49 children who complained of pain, SDF treatment resolved 82% of these complaints. In the subsample with follow-up in our clinic, approximately half of the treated teeth later received restorative treatment or were extracted, and the other half presented without further treatment. Some children received further treatment elsewhere. Parental dissatisfaction was related to staining of the anterior teeth (p = 0.04), the need for further treatment (p = 0.02) and a lesser understanding of side effects (p = 0.002).ConclusionMost parents were satisfied with SDF therapy as a dental treatment choice due to its easy application and desensitizing effects. Our findings indicate that parental understanding of the interim nature of the treatment and staining of the lesions is important to achieve parental satisfaction. |
| first_indexed | 2024-03-11T10:33:35Z |
| format | Article |
| id | doaj.art-708f2fe07dbc47309add6fac8059c9fc |
| institution | Directory Open Access Journal |
| issn | 2673-4915 |
| language | English |
| last_indexed | 2025-03-20T22:23:52Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Dental Medicine |
| spelling | doaj.art-708f2fe07dbc47309add6fac8059c9fc2024-08-08T12:04:49ZengFrontiers Media S.A.Frontiers in Dental Medicine2673-49152023-11-01410.3389/fdmed.2023.12861621286162Factors that influence parental satisfaction with SDF treatment in healthy children and those with special healthcare needsY. O. Crystal0J. H. Jang1M. N. Janal2V. H. Raveis3Department of Pediatric Dentistry, New York University College of Dentistry, New York, NY, United StatesDepartment of Pediatric Dentistry, New York University College of Dentistry, New York, NY, United StatesDepartment of Epidemiology and Health Promotion, New York University College of Dentistry, New York, NY, United StatesPsychosocialResearch Unit on Health, Aging and the Community (PRUHAC), Department of Cariology and Comprehensive Care, New York University College of Dentistry, New York, NY, United StatesPurposeSilver diamine fluoride (SDF) is used as a caries management agent for the arrest of dentinal caries lesions. The purpose of this study was to evaluate the satisfaction with SDF treatment provided at a university pediatric dentistry clinic and to identify factors that may contribute to parental dissatisfaction.MethodsWe obtained retrospective data of children who received SDF treatment at our clinic from 1 February 2019 to 28 February 2021. Parents were contacted by phone to participate in a survey that evaluated their satisfaction with the treatment. Satisfaction was evaluated as a function of medical status, ease of treatment, outcome of SDF treatment, esthetics, and understanding of treatment goals and side effects using contingency tables and chi-square statistics.ResultsFrom 209 children who received SDF treatment, we were able to contact 91 parents by telephone, and 79 agreed to participate. Special healthcare needs (SHCN) patients were overrepresented in our sample, comprising 22.3% of all treated and 36.7% of participants. More than 90% were satisfied with the treatment, would do it again and would recommend it to others. Among the 49 children who complained of pain, SDF treatment resolved 82% of these complaints. In the subsample with follow-up in our clinic, approximately half of the treated teeth later received restorative treatment or were extracted, and the other half presented without further treatment. Some children received further treatment elsewhere. Parental dissatisfaction was related to staining of the anterior teeth (p = 0.04), the need for further treatment (p = 0.02) and a lesser understanding of side effects (p = 0.002).ConclusionMost parents were satisfied with SDF therapy as a dental treatment choice due to its easy application and desensitizing effects. Our findings indicate that parental understanding of the interim nature of the treatment and staining of the lesions is important to achieve parental satisfaction.https://www.frontiersin.org/articles/10.3389/fdmed.2023.1286162/fullsilver diamine fluoride (SDF)dental cariesparental satisfactionspecial healthcare needscaries arrestcaries management |
| spellingShingle | Y. O. Crystal J. H. Jang M. N. Janal V. H. Raveis Factors that influence parental satisfaction with SDF treatment in healthy children and those with special healthcare needs Frontiers in Dental Medicine silver diamine fluoride (SDF) dental caries parental satisfaction special healthcare needs caries arrest caries management |
| title | Factors that influence parental satisfaction with SDF treatment in healthy children and those with special healthcare needs |
| title_full | Factors that influence parental satisfaction with SDF treatment in healthy children and those with special healthcare needs |
| title_fullStr | Factors that influence parental satisfaction with SDF treatment in healthy children and those with special healthcare needs |
| title_full_unstemmed | Factors that influence parental satisfaction with SDF treatment in healthy children and those with special healthcare needs |
| title_short | Factors that influence parental satisfaction with SDF treatment in healthy children and those with special healthcare needs |
| title_sort | factors that influence parental satisfaction with sdf treatment in healthy children and those with special healthcare needs |
| topic | silver diamine fluoride (SDF) dental caries parental satisfaction special healthcare needs caries arrest caries management |
| url | https://www.frontiersin.org/articles/10.3389/fdmed.2023.1286162/full |
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