Department of Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Department of Pediatrics, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
Spec Care Dentist. 2024 Nov-Dec;44(6):1804-1811. doi: 10.1111/scd.13058. Epub 2024 Oct 24.
This study aims to evaluate parental acceptance of dental treatment with silver diamine fluoride (SDF) in children with cerebral palsy (CP).
The present study is a case-control study with 80 children in the age range of 6-11 years. Group I consisted of children diagnosed with CP and Group II consisted of children without any Special Health Care Needs and systemic conditions. Preoperative and postoperative behavior assessment was done using Frankl's behavior Rating Scale. 38 % SDF application was done in any one primary molar with occlusal dentinal caries. A well-designed validated structured questionnaire with 10 questions was developed to assess the parental acceptance of dental treatment with SDF. The questionnaire comprised 10 close-ended questions with subdivisions on socio-demographic details, the reason for the previous and current dental visit, and acceptance of dental treatment with SDF. The data were analyzed using SPSS (version 26, IBM, Chicago, USA). Continuous variables were expressed as mean ± standard deviation (M ± SD). Categorical variables were expressed as frequency (n) and percentage (%). The chi-square test was used for qualitative analysis. The level of significance was set at 5%.
The number of children showing positive behavior on Frankl's behavior Rating Scale increased from 55% to 70% after dental treatment with SDF and this difference was statistically significant in Group I (p-value < 0.001). 87.5% of parents in Group I had accepted the discoloration caused after dental treatment with SDF compared to 80% in Group II. In Group I, 95% of parents agreed strongly, while in Group II, 82.5% agreed strongly that SDF can be done on un-cooperative and special health care needs children. This difference in agreement seen between parents of Group I and Group II was found to be statistically significant (p-value = 0.02). Also, the acceptance of SDF was found to be higher in parents who were educationally more qualified in Group I. This difference in the acceptance level of SDF seen based on the educational status of parents was statistically significant (p-value < 0.001).
Parental acceptance of SDF for dental treatment was higher in Group I (children with CP) as a greater number of parents accepted dental treatment despite discoloration with the modality being noninvasive and less time-consuming. Improved behavior rating was observed among children in both groups after dental treatment with SDF.
本研究旨在评估脑瘫（CP）儿童家长对使用银氨溶液（SDF）进行牙科治疗的接受程度。
本研究为病例对照研究，纳入 80 名年龄在 6-11 岁的儿童。第 I 组为确诊为 CP 的儿童，第 II 组为无特殊医疗需求和系统性疾病的儿童。使用 Frankl 行为评定量表对术前和术后行为进行评估。在任何一颗有窝沟牙本质龋的第一恒磨牙中应用 38%的 SDF。设计了一个包含 10 个问题的良好验证的结构化问卷，以评估家长对使用 SDF 进行牙科治疗的接受程度。该问卷包含 10 个封闭式问题，分为社会人口统计学细节、以往和当前牙科就诊的原因以及对使用 SDF 进行牙科治疗的接受程度。使用 SPSS（版本 26，IBM，芝加哥，美国）进行数据分析。连续变量表示为均值±标准差（M±SD）。分类变量表示为频数（n）和百分比（%）。采用卡方检验进行定性分析。显著性水平设为 5%。
在接受 SDF 治疗后，第 I 组中表现出积极行为的儿童数量从 55%增加到 70%，这在统计学上具有显著差异（p 值<0.001）。第 I 组中有 87.5%的家长接受了 SDF 治疗后产生的变色，而第 II 组中只有 80%的家长接受。第 I 组中有 95%的家长强烈同意，而第 II 组中有 82.5%的家长强烈同意可以对不合作和有特殊医疗需求的儿童使用 SDF。第 I 组和第 II 组家长之间对 SDF 的这种认同差异具有统计学意义（p 值=0.02）。此外，第 I 组中教育程度较高的家长对 SDF 的接受程度也更高。基于家长的教育程度，对 SDF 的接受水平的这种差异具有统计学意义（p 值<0.001）。
第 I 组（脑瘫儿童）对 SDF 进行牙科治疗的家长接受度更高，因为尽管治疗方法具有非侵入性且耗时较少，但更多的家长接受了治疗，尽管治疗后会变色。两组儿童在接受 SDF 治疗后行为评分均有所提高。
