Ladparkdy Souphavady, Asvanund Yuwadee, Prapansilp Woranun, Srimaneekarn Natchalee
Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Department of Anatomy, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
J Int Soc Prev Community Dent. 2024 Oct 29;14(5):413-420. doi: 10.4103/jispcd.jispcd_75_24. eCollection 2024 Sep-Oct.
Silver diamine fluoride (SDF) is a minimally invasive treatment with proven efficacy for managing early childhood caries. However, the dark staining associated with SDF treatment remains a major concern that affects parental acceptance. This study examines the level of parental acceptance of SDF treatment for preschool children in Laos and explores associated factors such as parental anxiety, previous dental experience, and demographic data.
A cross-sectional survey was conducted with 324 parents of children aged 2-5 years enrolled in preschools in Vientiane Capital, Laos. Participants provided demographic information, details on their children's dental history, and their own dental anxiety levels. Following a video demonstration of the effectiveness and application of SDF, parents completed a survey assessing their acceptance of and concerns about SDF using a 5-point Likert scale. Parental dental anxiety was measured with the modified dental anxiety scale. Data were analyzed using chi-square tests, independent tests, and multiple logistic regression ( ≤ 0.05).
Eighty percent of the parents accepted SDF treatment for their children. Those highly concerned about SDF staining were significantly less likely to accept it as a treatment option ( < 0.01). Increased acceptance correlated with reduced concern about staining (95% confidence interval = 15.57-1095.88). Additionally, 84.9% of parents reported some level of dental anxiety, with older parents showing higher acceptance of SDF.
Parents were highly receptive of the SDF treatment for their children's primary dentition. Parents who were older tended to be less concerned about the staining, and those who had a high level of dental anxiety were more likely to accept SDF treatment.
氟化亚锡是一种微创治疗方法，已被证明对治疗幼儿龋齿有效。然而，与氟化亚锡治疗相关的牙齿染色问题仍然是影响家长接受度的主要担忧。本研究调查了老挝学龄前儿童家长对氟化亚锡治疗的接受程度，并探讨了相关因素，如家长焦虑、既往牙科经历和人口统计学数据。
对老挝万象市幼儿园中324名2至5岁儿童的家长进行了横断面调查。参与者提供了人口统计学信息、孩子的牙科病史细节以及他们自己的牙科焦虑水平。在观看了氟化亚锡有效性和应用的视频演示后，家长们使用5点李克特量表完成了一项调查，评估他们对氟化亚锡的接受程度和担忧程度。采用改良牙科焦虑量表测量家长的牙科焦虑。使用卡方检验、独立样本t检验和多元逻辑回归分析数据（P≤0.05）。
80%的家长接受为孩子使用氟化亚锡治疗。那些高度担心氟化亚锡染色的家长接受它作为治疗选择的可能性显著降低（P<0.01）。接受度的提高与对染色担忧的减少相关（95%置信区间=15.57-1095.88）。此外，84.9%的家长报告有一定程度的牙科焦虑，年龄较大的家长对氟化亚锡的接受度更高。
家长对氟化亚锡治疗孩子乳牙高度接受。年龄较大的家长往往对染色问题不太担心，而牙科焦虑程度高的家长更有可能接受氟化亚锡治疗。
