Parents’ satisfaction with aesthetic results of non-invasive Severe-Early Childhood Caries treatments

Ilze Maldupa; Sergio E. Uribe; Egita Senakola; Anda Brinkmane; Nicola Innes

Abstract

Aims: The WHO recommends non-invasive methods including Silver Diammine Fluoride (SDF) in its Implementation Manual for ending Early Childhood Caries (ECC). SDF’s dark staining compromises aesthetics but other non-staining high-fluoride products are largely untested. This randomised clinical trial, evaluated; SDF, Tiefenfluorid and a placebo (each with 2 regimes). The trial’s primary aim was reduction in caries-related complications. The secondary objective reported here is parental satisfaction with aesthetics.
Methods: The trial ran between: September 2020 and May 2022. Ethics approval was obtained (Ethics Committee Nr.6-1/06/20) as was informed written parental consent. At 12-month follow-up parents rated their satisfaction with aesthetics (Likert scale, 1-5) and whether they felt it acceptable to continue with the same treatment. Data analysis involved use of the R statistics programme (R Core Team, 2013).
Results: Four hundred and twenty eight children; (248 (58%) boys, 180 (42%) girls; median (IQR) age, 45 (35;55) months) with S-ECC enrolled in the study, of whom 373 (87%) were followed-up at 12-months. Overall, 166 (44.5%) children experienced major complications. Parents of 144 (69%) children were satisfied with the aesthetic outcomes of treatment (4 or 5 on 5-point Likert scale). For SDF groups: the satisfaction levels were 37 (58%) and 47 (72%); for Tiefenfluorid: 36 (65%) and 51 (77%) and for the placebo: 39 (75%) and 38 (65%). There was no evidence of a statistically significant difference between groups, but parents were more likely to be satisfied with treatment if their children had no visible plaque OR (95%CI) values of 1.91 (1.14;3.24) and no emergencies 1.99 (1.01;4.00). Parents of 359 (96%) children would definitely continue using non-invasive caries treatment.
Conclusions: SDF discolouration did not negatively impact parental satisfaction compared to non-staining treatments. Clean teeth and avoidance of emergencies were important for parental satisfaction.
Acknowledgements: Supported by European Regional Development Fund 1.1.1.2/VIAA/3/19/543, Contract No 9.-14.5/27.

Original language	English
Article number	136
Pages (from-to)	S46-S47
Number of pages	2
Journal	Community Dental Health
Volume	39
Issue number	3
Publication status	Published - Sept 2022
Event	26th European Association of Dental Public Health (EADPH) Congress: Non-communicable diseases: time for action - Faculty of Medicine, University of Montpellier, Montpellier, France Duration: 8 Sept 2022 → 10 Sept 2022 Conference number: 26 https://eadphcongress2022.com/

Keywords*

Early childhood caries
silver diammine fluoride
non-operative
parents
acceptability

Field of Science*

3.2 Clinical medicine

Publication Type*

3.4. Other publications in conference proceedings (including local)

Access to Document

Abstract Presentations on Friday, 9 September 2022 at European Association of Dental Public HeathFinal published version, 809 KBLicence: Unspecified

Parents' satisfaction with aesthetic results of non-invasive Severe-Early Childhood Caries treatments
Maldupa, I. (Speaker), E. Uribe, S. (Co-author), Senakola, E. (Co-author), Brinkmane, A. (Co-author) & Innes, N. (Co-author)
9 Sept 2022
Activity: Talk or presentation types › Oral presentation

Cite this

@article{39c1bb33d82b41f2bb1ab6adc262ff52,

title = "Parents{\textquoteright} satisfaction with aesthetic results of non-invasive Severe-Early Childhood Caries treatments",

abstract = "Aims: The WHO recommends non-invasive methods including Silver Diammine Fluoride (SDF) in its Implementation Manual for ending Early Childhood Caries (ECC). SDF{\textquoteright}s dark staining compromises aesthetics but other non-staining high-fluoride products are largely untested. This randomised clinical trial, evaluated; SDF, Tiefenfluorid and a placebo (each with 2 regimes). The trial{\textquoteright}s primary aim was reduction in caries-related complications. The secondary objective reported here is parental satisfaction with aesthetics.Methods: The trial ran between: September 2020 and May 2022. Ethics approval was obtained (Ethics Committee Nr.6-1/06/20) as was informed written parental consent. At 12-month follow-up parents rated their satisfaction with aesthetics (Likert scale, 1-5) and whether they felt it acceptable to continue with the same treatment. Data analysis involved use of the R statistics programme (R Core Team, 2013).Results: Four hundred and twenty eight children; (248 (58%) boys, 180 (42%) girls; median (IQR) age, 45 (35;55) months) with S-ECC enrolled in the study, of whom 373 (87%) were followed-up at 12-months. Overall, 166 (44.5%) children experienced major complications. Parents of 144 (69%) children were satisfied with the aesthetic outcomes of treatment (4 or 5 on 5-point Likert scale). For SDF groups: the satisfaction levels were 37 (58%) and 47 (72%); for Tiefenfluorid: 36 (65%) and 51 (77%) and for the placebo: 39 (75%) and 38 (65%). There was no evidence of a statistically significant difference between groups, but parents were more likely to be satisfied with treatment if their children had no visible plaque OR (95%CI) values of 1.91 (1.14;3.24) and no emergencies 1.99 (1.01;4.00). Parents of 359 (96%) children would definitely continue using non-invasive caries treatment.Conclusions: SDF discolouration did not negatively impact parental satisfaction compared to non-staining treatments. Clean teeth and avoidance of emergencies were important for parental satisfaction.Acknowledgements: Supported by European Regional Development Fund 1.1.1.2/VIAA/3/19/543, Contract No 9.-14.5/27.",

keywords = "Early childhood caries, silver diammine fluoride, non-operative, parents, acceptability",

author = "Ilze Maldupa and Uribe, {Sergio E.} and Egita Senakola and Anda Brinkmane and Nicola Innes",

year = "2022",

month = sep,

language = "English",

volume = "39",

pages = "S46--S47",

journal = "Community Dental Health",

issn = "0265-539X",

publisher = "FDI World Dental Press Ltd",

number = "3",

note = "26th European Association of Dental Public Health (EADPH) Congress : Non-communicable diseases: time for action, EADPH 2022 ; Conference date: 08-09-2022 Through 10-09-2022",

url = "https://eadphcongress2022.com/",

}

TY - JOUR

T1 - Parents’ satisfaction with aesthetic results of non-invasive Severe-Early Childhood Caries treatments

AU - Maldupa, Ilze

AU - Uribe, Sergio E.

AU - Senakola, Egita

AU - Brinkmane, Anda

AU - Innes, Nicola

N1 - Conference code: 26

PY - 2022/9

Y1 - 2022/9

N2 - Aims: The WHO recommends non-invasive methods including Silver Diammine Fluoride (SDF) in its Implementation Manual for ending Early Childhood Caries (ECC). SDF’s dark staining compromises aesthetics but other non-staining high-fluoride products are largely untested. This randomised clinical trial, evaluated; SDF, Tiefenfluorid and a placebo (each with 2 regimes). The trial’s primary aim was reduction in caries-related complications. The secondary objective reported here is parental satisfaction with aesthetics.Methods: The trial ran between: September 2020 and May 2022. Ethics approval was obtained (Ethics Committee Nr.6-1/06/20) as was informed written parental consent. At 12-month follow-up parents rated their satisfaction with aesthetics (Likert scale, 1-5) and whether they felt it acceptable to continue with the same treatment. Data analysis involved use of the R statistics programme (R Core Team, 2013).Results: Four hundred and twenty eight children; (248 (58%) boys, 180 (42%) girls; median (IQR) age, 45 (35;55) months) with S-ECC enrolled in the study, of whom 373 (87%) were followed-up at 12-months. Overall, 166 (44.5%) children experienced major complications. Parents of 144 (69%) children were satisfied with the aesthetic outcomes of treatment (4 or 5 on 5-point Likert scale). For SDF groups: the satisfaction levels were 37 (58%) and 47 (72%); for Tiefenfluorid: 36 (65%) and 51 (77%) and for the placebo: 39 (75%) and 38 (65%). There was no evidence of a statistically significant difference between groups, but parents were more likely to be satisfied with treatment if their children had no visible plaque OR (95%CI) values of 1.91 (1.14;3.24) and no emergencies 1.99 (1.01;4.00). Parents of 359 (96%) children would definitely continue using non-invasive caries treatment.Conclusions: SDF discolouration did not negatively impact parental satisfaction compared to non-staining treatments. Clean teeth and avoidance of emergencies were important for parental satisfaction.Acknowledgements: Supported by European Regional Development Fund 1.1.1.2/VIAA/3/19/543, Contract No 9.-14.5/27.

AB - Aims: The WHO recommends non-invasive methods including Silver Diammine Fluoride (SDF) in its Implementation Manual for ending Early Childhood Caries (ECC). SDF’s dark staining compromises aesthetics but other non-staining high-fluoride products are largely untested. This randomised clinical trial, evaluated; SDF, Tiefenfluorid and a placebo (each with 2 regimes). The trial’s primary aim was reduction in caries-related complications. The secondary objective reported here is parental satisfaction with aesthetics.Methods: The trial ran between: September 2020 and May 2022. Ethics approval was obtained (Ethics Committee Nr.6-1/06/20) as was informed written parental consent. At 12-month follow-up parents rated their satisfaction with aesthetics (Likert scale, 1-5) and whether they felt it acceptable to continue with the same treatment. Data analysis involved use of the R statistics programme (R Core Team, 2013).Results: Four hundred and twenty eight children; (248 (58%) boys, 180 (42%) girls; median (IQR) age, 45 (35;55) months) with S-ECC enrolled in the study, of whom 373 (87%) were followed-up at 12-months. Overall, 166 (44.5%) children experienced major complications. Parents of 144 (69%) children were satisfied with the aesthetic outcomes of treatment (4 or 5 on 5-point Likert scale). For SDF groups: the satisfaction levels were 37 (58%) and 47 (72%); for Tiefenfluorid: 36 (65%) and 51 (77%) and for the placebo: 39 (75%) and 38 (65%). There was no evidence of a statistically significant difference between groups, but parents were more likely to be satisfied with treatment if their children had no visible plaque OR (95%CI) values of 1.91 (1.14;3.24) and no emergencies 1.99 (1.01;4.00). Parents of 359 (96%) children would definitely continue using non-invasive caries treatment.Conclusions: SDF discolouration did not negatively impact parental satisfaction compared to non-staining treatments. Clean teeth and avoidance of emergencies were important for parental satisfaction.Acknowledgements: Supported by European Regional Development Fund 1.1.1.2/VIAA/3/19/543, Contract No 9.-14.5/27.

KW - Early childhood caries

KW - silver diammine fluoride

KW - non-operative

KW - parents

KW - acceptability

M3 - Meeting Abstract

SN - 0265-539X

VL - 39

SP - S46-S47

JO - Community Dental Health

JF - Community Dental Health

IS - 3

M1 - 136

T2 - 26th European Association of Dental Public Health (EADPH) Congress

Y2 - 8 September 2022 through 10 September 2022

ER -