Esthetic Concerns and Acceptability of Treatment Modalities in Primary Teeth: A Comparison between Children and Their Parents

Abstract

Background and Aim. Esthetic concerns in primary teeth have been studied mainly from the point of view of parents. The aim of this study was to study compare the opinions of children aged 5–8 years to have an opinion regarding the changes in appearance of their teeth due to dental caries and the materials used to restore those teeth. Methodology. A total of 107 children and both of their parents (n = 321), who were seeking dental treatment, were included in this study. A tool comprising a questionnaire and pictures of carious lesions and their treatment arranged in the form of a presentation was validated and tested on 20 children and their parents. The validated tool was then tested on all participants. Results. Children had acceptable validity statistics for the tool suggesting that they were able to make informed decisions regarding esthetic restorations. There was no difference between the responses of the children and their parents on most points. Zirconia crowns appeared to be the most acceptable full coverage restoration for primary anterior teeth among both children and their parents. Conclusion. Within the limitations of the study it can be concluded that children in their sixth year of life are capable of appreciating the esthetics of the restorations for their anterior teeth.

Use of Restorative Full Crowns Made with Zirconia in Children: A Systematic Review

“…In a study where the esthetic concerns and agreeableness of treatment modalities in deciduous teeth of youngsters and their folks were compared, Zirconia crowns seemed, by all accounts, to be the most worthy full-coverage restoration for deciduous teeth among the kids and their parents. 33 This was in accordance with the study by Holsinger et al 34…”

Aesthetic perception, acceptability and satisfaction in the treatment of caries lesions with silver diamine fluoride: A scoping review

“…The consciousness about self can begin as early as 3‐5 years of age, and dental self‐perception is the way in which a child sees, judges, or qualifies his or her own mouth. Pani et al concluded that children often agree with their parents, which would mean that, according to the results of this scoping review, children would have a good acceptance and satisfaction with SDF treatment. Soares et al suggest that children aged 4‐5 years old have negative social perceptions and self‐perceptions regarding altered dental aesthetics .…”

Parental perceptions and acceptance of silver diamine fluoride staining

“…Dentists assume that parents will demand the best esthetic appearance for their children,15 and the results of many studies support that assumption, with investigators reporting that parents prefer tooth-colored restorations over amalgams and silver metal crowns16 and zirconia esthetic crowns over other anterior resto-rations. 17,18 However, all of these restorations require the use of local anesthetics to conduct tooth reduction in addition to caries removal, for which patient cooperation is imperative.…”