Cappiello Maria Chiara, Durán Ana Veloso, Crystal Yasmi Ornelas, Bagattoni Simone, Jimeno Francisco Guinot
Department of Pediatric Dentistry, Faculty of Dentistry, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Department of Pediatric Dentistry, NYU College of Dentistry, New York University, New York, NY, USA.
Sci Rep. 2025 Jan 27;15(1):3442. doi: 10.1038/s41598-025-87347-3.
Assessing parental aesthetic acceptability of Silver Diamine Fluoride (SDF) staining is crucial for its potential implementation in paediatric dentistry in different regions. This study aimed to compare aesthetic perceptions and acceptance of SDF staining between Spanish and Italian parents, and assess weather acceptability is influenced by location, child's cooperation, or demographic background. A cross-sectional comparative study was conducted among Spanish and Italian parents at three university dental clinics, using a validated Italian version of the questionnaire "Parental perceptions of Silver Diamine Fluoride Dental Color Changes". 264 Spanish and 234 Italian parents participated in the survey. 41.8% of Spanish parents, compared to 65.4% of Italians, considered staining on posterior teeth acceptable (p < 0.001). 17.2% of Spaniards rated anterior teeth acceptable, versus 19.3% of Italians (p < 0.001). Italian parents showed increased acceptability as child's cooperation decreased. Acceptability levels in Spain remained more homogeneous, despite linear mixed model identifying a significant increase in acceptability scores from 'collaboration' to 'non-collaboration' scenario. Spanish and Italian parents found SDF staining on posterior teeth more acceptable than on anterior regions. Level of acceptance increased with child's uncooperative behavior. Spanish parents generally demonstrated a lower acceptance of SDF pigmentation compared to Italians.Trial registration: NCT, NCT06384326. Registered 21 April 2024, https://clinicaltrials.gov/study/NCT06384326.
评估家长对氟化亚锡（SDF）染色的美学接受度对于其在不同地区儿科牙科中的潜在应用至关重要。本研究旨在比较西班牙和意大利家长对SDF染色的美学认知和接受度，并评估接受度是否受地点、孩子的配合程度或人口统计学背景的影响。在三家大学牙科诊所对西班牙和意大利家长进行了一项横断面比较研究，使用经过验证的意大利语版问卷“家长对氟化亚锡牙齿颜色变化的认知”。264名西班牙家长和234名意大利家长参与了调查。41.8%的西班牙家长认为后牙染色可以接受，而意大利家长的这一比例为65.4%（p<0.001）。17.2%的西班牙人认为前牙染色可以接受，而意大利人的这一比例为19.3%（p<0.001）。随着孩子配合程度的降低，意大利家长的接受度有所提高。在西班牙，尽管线性混合模型显示从“合作”到“不合作”的情况下接受度得分有显著增加，但接受度水平仍更为一致。西班牙和意大利家长都认为后牙的SDF染色比前牙区域更可接受。接受度随着孩子不合作行为的增加而提高。与意大利家长相比，西班牙家长对SDF色素沉着的接受度普遍较低。试验注册：NCT，NCT06384326。于2024年4月21日注册，https://clinicaltrials.gov/study/NCT06384326。
