{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:25:40Z","timestamp":1792783540911,"version":"4.5.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Open access funding provided by HEAL-Link Greece."}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Paediatr Dent"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Assess the knowledge and attitudes of parents\/guardians regarding their children's oral health and their preferences regarding the treatment of carious primary teeth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study including the completion of a questionnaire by parents\/guardians of healthy children aged 2\u201312\u00a0years attending the Department of Pediatric Dentistry (NKUA). Data were collected through 35 questions regarding demographic characteristics of the participants, oral hygiene and dietary habits, and parents\u2019 knowledge of the importance of oral health and primary teeth. Treatment preferences were assessed through clinical scenarios accompanied by colored clinical photographs. Results were presented in frequency tables and comparisons with specific child and parent-characteristics were evaluated using chi-squared and Fisher's exact test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Parents were mainly females (73%), married (81%), aged\u2009&gt;\u200940\u00a0years (56%), and high school graduates (57%). Most children brushed alone (56%), twice (48%) daily, with a manual toothbrush (65%) and consumed sugary snacks daily (38%). More than two-thirds of parents recognized the relationship between oral hygiene and general health (82%) and the importance of primary teeth (72%). Almost all parents would like to restore their children\u2019s asymptomatic (94%) and symptomatic (98%) primary teeth, with pulp therapy and stainless-steel crowns being the treatment of choice (58%). The decision on treatment about cavitated\/non-cavitated primary teeth was not correlated with any of the parental or child-related factors. Acceptance of minimally invasive treatments was higher among highly educated parents and parents of boys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Insight into parents' perceptions and preferences regarding the treatment of primary teeth is necessary and should be considered during treatment planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40368-025-01002-z","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T08:52:36Z","timestamp":1738313556000},"page":"507-516","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Knowledge, attitudes and preferences of parents\/guardians regarding dental treatment of their children\u2019s primary teeth: a questionnaire cross-sectional study"],"prefix":"10.1007","volume":"26","author":[{"given":"C.","family":"Ninou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4197-5827","authenticated-orcid":false,"given":"K.","family":"Seremidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Agouropoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Papaioannou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Gizani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"1002_CR1","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1038\/sj.bdj.4801157a","volume":"191","author":"A Adewumi","year":"2001","unstructured":"Adewumi A, Hector MP, King JM. Children and informed consent: a study of children\u2019s perceptions and involvement in consent to dental treatment. Br Dent J. 2001;191:256\u20139. https:\/\/doi.org\/10.1038\/sj.bdj.4801157a.","journal-title":"Br Dent J"},{"key":"1002_CR2","first-page":"105","volume":"7","author":"A Agouropoulos","year":"2013","unstructured":"Agouropoulos A, Dalampiras S, Babatzia A, Chatziemmanouil K, Papagiannouli L. Oral health status of preschool children of the island of Thasos. Paedodontia. 2013;7:105\u201314.","journal-title":"Paedodontia"},{"key":"1002_CR3","unstructured":"Agouropoulos A. Oral health status of preschool children in the prefecture of Attica and effectiveness of a 2-year preventive program for this population. Doctoral thesis, Athens 2012."},{"key":"1002_CR4","doi-asserted-by":"publisher","first-page":"322","DOI":"10.3389\/fpubh.2019.00322","volume":"7","author":"OB Al-Batayneh","year":"2019","unstructured":"Al-Batayneh OB, Al-Khateeb HO, Ibrahim WM, Khader YS. Parental knowledge and acceptance of different treatment options for primary teeth provided by dental practitioners. Front Public Health. 2019;7:322. https:\/\/doi.org\/10.3389\/fpubh.2019.00322.","journal-title":"Front Public Health"},{"key":"1002_CR5","first-page":"25","volume":"13","author":"AF Alshammari","year":"2019","unstructured":"Alshammari AF, Almuqrin AA, Aldakhil AM, Alshammari BH, Lopez JNJ. Parental perceptions and acceptance of silver diamine fluoride treatment in Kingdom of Saudi Arabia. Int J Health Sci (Qassim). 2019;13:25\u20139.","journal-title":"Int J Health Sci (Qassim)"},{"key":"1002_CR6","doi-asserted-by":"publisher","first-page":"300","DOI":"10.26719\/emhj.20.139","volume":"27","author":"N Alsulamy","year":"2021","unstructured":"Alsulamy N, Lee A, Thokala P, Alessa T. Views of stakeholders on factors influencing shared decision-making in the Eastern Mediterranean Region: a systematic review. East Mediterr Health J. 2021;27:300\u201311. https:\/\/doi.org\/10.26719\/emhj.20.139.","journal-title":"East Mediterr Health J"},{"key":"1002_CR7","doi-asserted-by":"publisher","first-page":"6432","DOI":"10.26452\/ijrps.v11i4.3436","volume":"11","author":"A Asif","year":"2020","unstructured":"Asif A, Gurunathan D. Parental acceptance of silver diamine fluoride treatment for children. Int J Res Pharm Sci. 2020;11:6432\u20135.","journal-title":"Int J Res Pharm Sci."},{"key":"1002_CR8","doi-asserted-by":"publisher","first-page":"829","DOI":"10.2147\/PPA.S205686","volume":"13","author":"SM Bagher","year":"2019","unstructured":"Bagher SM, Sabbagh HJ, AlJohani SM, Alharbi G, Aldajani M, Elkhodary H. Parental acceptance of the utilization of silver diamine fluoride on their child\u2019s primary and permanent teeth. Patient Prefer Adherence. 2019;13:829\u201335. https:\/\/doi.org\/10.2147\/PPA.S205686.","journal-title":"Patient Prefer Adherence"},{"key":"1002_CR9","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1186\/s12911-020-01317-5","volume":"20","author":"M Benecke","year":"2020","unstructured":"Benecke M, Kasper J, Heesen C, Sch\u00e4ffler N, Reissmann DR. Patient autonomy in dentistry: demonstrating the role for shared decision making. BMC Med Inform Decis Mak. 2020;20:318. https:\/\/doi.org\/10.1186\/s12911-020-01317-5.","journal-title":"BMC Med Inform Decis Mak"},{"key":"1002_CR10","doi-asserted-by":"publisher","first-page":"741783","DOI":"10.1155\/2013\/741783","volume":"2013","author":"E Bozorgmehr","year":"2013","unstructured":"Bozorgmehr E, Hajizamani A, Mohammadi T. Oral health behavior of parents as a predictor of oral health status of their children. ISRN Dentistry. 2013;2013:741783. https:\/\/doi.org\/10.1155\/2013\/741783.","journal-title":"ISRN Dentistry."},{"key":"1002_CR11","first-page":"16","volume":"25","author":"PS Casamassimo","year":"2003","unstructured":"Casamassimo PS. Dental disease prevalence, prevention, and health promotion: the implications on pediatric oral health of a more diverse population. Pediatr Dent. 2003;25:16\u20138.","journal-title":"Pediatr Dent"},{"key":"1002_CR12","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1111\/jphd.12241","volume":"78","author":"J Clemens","year":"2018","unstructured":"Clemens J, Gold J, Chaffin J. Effect and acceptance of silver diamine fluoride treatment on dental caries in primary teeth. J Public Health Dent. 2018;78:63\u20138. https:\/\/doi.org\/10.1111\/jphd.12241.","journal-title":"J Public Health Dent"},{"key":"1002_CR13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0130602","volume":"10","author":"MA Clementino","year":"2015","unstructured":"Clementino MA, Gomes MC, Pinto-Sarmento TC, Martins CC, Granville-Garcia AF, Paiva SM. Perceived impact of dental pain on the quality of life of preschool children and their families. PLoS ONE. 2015;10: e0130602. https:\/\/doi.org\/10.1371\/journal.pone.0130602.","journal-title":"PLoS ONE"},{"issue":"14","key":"1002_CR14","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1186\/1472-6963-14-271","volume":"19","author":"MK Constand","year":"2014","unstructured":"Constand MK, MacDermid JC, Dal Bello-Haas V, Law M. Scoping review of patient-centered care approaches in healthcare. BMC Health Serv Res. 2014;19(14):271. https:\/\/doi.org\/10.1186\/1472-6963-14-271.","journal-title":"BMC Health Serv Res"},{"key":"1002_CR15","first-page":"E135","volume":"39","author":"YO Crystal","year":"2017","unstructured":"Crystal YO, Marghalani AA, Ureles SD, et al. Use of silver diamine fluoride for dental caries management in children and adolescents, including those with special health care needs. Pediatr Dent. 2017;39:E135\u201345.","journal-title":"Pediatr Dent"},{"key":"1002_CR16","unstructured":"Eurostat. Title of subordinate document. In: Population by educational attainment level, sex and age (%). 2023. https:\/\/ec.europa.eu\/eurostat\/databrowser\/view\/edat_lfs_9903\/default\/table?langen. Accessed 29 May 2023."},{"key":"1002_CR17","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0280441","volume":"18","author":"S Felgner","year":"2023","unstructured":"Felgner S, Henschke C. Patients\u2019 preferences in dental care: A discrete-choice experiment and an analysis of willingness-to-pay. PLoS ONE. 2023;18: e0280441. https:\/\/doi.org\/10.1371\/journal.pone.0280441.","journal-title":"PLoS ONE"},{"key":"1002_CR18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267656","volume":"17","author":"S Felgner","year":"2022","unstructured":"Felgner S, Dreger M, Henschke C. Reasons for (not) choosing dental treatments-A qualitative study based on patients\u2019 perspective. PLoS ONE. 2022;17: e0267656. https:\/\/doi.org\/10.1371\/journal.pone.0267656.","journal-title":"PLoS ONE"},{"key":"1002_CR19","doi-asserted-by":"publisher","first-page":"2758","DOI":"10.1017\/S1368980022000891","volume":"25","author":"P Flores-Barrantes","year":"2022","unstructured":"Flores-Barrantes P, Mavrogianni C, Iglesia I, et al. Can food parenting practices explain the association between parental education and children\u2019s food intake? The Feel4Diabetes-study. Public Health Nutr. 2022;25:2758\u201371. https:\/\/doi.org\/10.1017\/S1368980022000891.","journal-title":"Public Health Nutr"},{"key":"1002_CR20","doi-asserted-by":"publisher","first-page":"45","DOI":"10.21088\/ijde.0974.6099.13220.1","volume":"13","author":"S Gibi","year":"2020","unstructured":"Gibi S, Anupam K, Jeeva P, Maneesha R, Josey M, Sunu AC. Knowledge, attitude and practices of parents towards oral health maintenance and pulp therapy of deciduous teeth. Indian J Dent Educ. 2020;13:45\u201352.","journal-title":"Indian J Dent Educ"},{"key":"1002_CR21","doi-asserted-by":"publisher","first-page":"17","DOI":"10.12816\/0012189","volume":"1","author":"AS Hussein","year":"2013","unstructured":"Hussein AS, Abu-Hassan MI, Schroth RJ, Ghanim AM. Parent\u2019s perception on the importance of their children\u2019s first dental visit (A cross-sectional Pilot Study in Malaysia). J Oral Res. 2013;1:17\u201325. https:\/\/doi.org\/10.12816\/0012189.","journal-title":"J Oral Res"},{"key":"1002_CR22","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1055\/s-0039-1698981","volume":"6","author":"K Kavvadia","year":"2012","unstructured":"Kavvadia K, Agouropoulos A, Gizani S, Papagiannouli L, Twetman S. Caries risk profiles in 2- to 6-year-old Greek children using the Cariogram. Eur J Dent. 2012;6:415\u201321.","journal-title":"Eur J Dent"},{"key":"1002_CR23","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1186\/s12903-019-0915-1","volume":"19","author":"A Kumar","year":"2019","unstructured":"Kumar A, Cernigliaro D, Northridge ME, Wu Y, Troxel AB, Cunha-Cruz J, Balzer J, Okuji DM. A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries. BMC Oral Health. 2019;19:228. https:\/\/doi.org\/10.1186\/s12903-019-0915-1.","journal-title":"BMC Oral Health"},{"key":"1002_CR24","doi-asserted-by":"publisher","first-page":"1076","DOI":"10.3390\/diagnostics13061076","volume":"13","author":"AIK Murdoch","year":"2023","unstructured":"Murdoch AIK, Blum J, Chen J, Baziotis-Kalfas D, Dao A, Bai K, Bekheet M, Atwal N, Cho SSH, Ganhewa M, Cirillo N. Determinants of clinical decision making under uncertainty in dentistry: a scoping review. Diagnostics (Basel). 2023;13:1076. https:\/\/doi.org\/10.3390\/diagnostics13061076.","journal-title":"Diagnostics (Basel)"},{"key":"1002_CR25","doi-asserted-by":"publisher","first-page":"129","DOI":"10.4034\/PBOCI.2011.111.20","volume":"11","author":"NB Nagaveni","year":"2011","unstructured":"Nagaveni NB, Radhika NB, Umashankar KV. Knowledge attitude and practices of parents regarding primary teeth care of their children in Davangere city, India. Pesq Bras Odontoped Clin Integr, Joa Pessoa. 2011;11:129\u201332. https:\/\/doi.org\/10.4034\/PBOCI.2011.111.20.","journal-title":"Pesq Bras Odontoped Clin Integr, Joa Pessoa"},{"key":"1002_CR26","first-page":"65","volume":"42","author":"BO Popoola","year":"2013","unstructured":"Popoola BO, Kolude B, Denloye OO. Parental attitudes to the care of the carious primary dentition experience from a Nigeriant tertiary hospital. Afr J Med Med Sci. 2013;42:65\u201371.","journal-title":"Afr J Med Med Sci"},{"key":"1002_CR27","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1034\/j.1600-0528.2003.00017.x","volume":"31","author":"BC Schouten","year":"2003","unstructured":"Schouten BC, Hoogstraten J, Eijkman MA. Patient participation during dental consultations: the influence of patients\u2019 characteristics and dentists\u2019 behavior. Community Dent Oral Epidemiol. 2003;31:368\u201377. https:\/\/doi.org\/10.1034\/j.1600-0528.2003.00017.x.","journal-title":"Community Dent Oral Epidemiol"},{"key":"1002_CR28","doi-asserted-by":"publisher","first-page":"153","DOI":"10.3402\/ijch.v66i2.18247","volume":"66","author":"RJ Schroth","year":"2007","unstructured":"Schroth RJ, Brothwell DJ, Moffatt ME. Caregiver knowledge and attitudes of preschool oral health and early childhood caries (ECC). Int J Circumpolar Health. 2007;66:153\u201367. https:\/\/doi.org\/10.3402\/ijch.v66i2.18247.","journal-title":"Int J Circumpolar Health"},{"key":"1002_CR29","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1186\/s13012-016-0505-4","volume":"11","author":"F Schwendicke","year":"2016","unstructured":"Schwendicke F, G\u00f6stemeyer G. Understanding dentists\u2019 management of deep carious lesions in permanent teeth: a systematic review and meta-analysis. Implement Sci. 2016;11:142. https:\/\/doi.org\/10.1186\/s13012-016-0505-4.","journal-title":"Implement Sci"},{"key":"1002_CR30","doi-asserted-by":"publisher","unstructured":"Sheetal A, Aditi R, Yamini Ch, Sharikaa, Satyanarayana Nada MA. Parental Perception of Importance of Primary Dentition and Their Attitude To The Care of Carious Primary Teeth- A crossectional Study. Int J Recent Sci Res. 2022;07:1846\u20131850. https:\/\/doi.org\/10.34257\/GJMRJVOL22IS1PG9.","DOI":"10.34257\/GJMRJVOL22IS1PG9"},{"key":"1002_CR31","doi-asserted-by":"publisher","first-page":"44","DOI":"10.4103\/2278-9626.101359","volume":"1","author":"VG Thakare","year":"2012","unstructured":"Thakare VG, Ajith Krishnan CG, Chaware S. Parents\u2019 perceptions of factors influencing the oral health of their preschool children in Vadodara city, Gujarat: a descriptive study. Eur J Gen Dent. 2012;1:44\u20139. https:\/\/doi.org\/10.4103\/2278-9626.101359.","journal-title":"Eur J Gen Dent"},{"key":"1002_CR32","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1038\/sj.bdj.4810600","volume":"195","author":"M Tickle","year":"2003","unstructured":"Tickle M, Milsom KM, Humphris GM, Blinkhorn AS. Parental attitudes to the care of the carious primary dentition. Br Dent J. 2003;195:451\u20135. https:\/\/doi.org\/10.1038\/sj.bdj.4810600.","journal-title":"Br Dent J"},{"key":"1002_CR33","doi-asserted-by":"publisher","first-page":"56","DOI":"10.5005\/jp-journals-10005-1334","volume":"9","author":"J VittobaSetty","year":"2016","unstructured":"VittobaSetty J, Srinivasan I. Knowledge and Awareness of Primary Teeth and Their Importance among Parents in Bengaluru City. India Int J Clin Pediatr Dent. 2016;9:56\u201361. https:\/\/doi.org\/10.5005\/jp-journals-10005-1334.","journal-title":"India Int J Clin Pediatr Dent"},{"key":"1002_CR34","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1016\/j.jtumed.2021.11.010","volume":"17","author":"M Wajahat","year":"2022","unstructured":"Wajahat M, Abbas B, Tariq K, Imran E, Aslam S, Khurshid Z. Parental perception of silver diamine fluoride for the management of dental caries. J Taibah Univ Med Sci. 2022;17:408\u201314. https:\/\/doi.org\/10.1016\/j.jtumed.2021.11.010.","journal-title":"J Taibah Univ Med Sci"}],"container-title":["European Archives of Paediatric Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40368-025-01002-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40368-025-01002-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40368-025-01002-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T14:44:17Z","timestamp":1749825857000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s40368-025-01002-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,31]]},"references-count":34,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["1002"],"URL":"https:\/\/doi.org\/10.1007\/s40368-025-01002-z","relation":{},"ISSN":["1818-6300","1996-9805"],"issn-type":[{"value":"1818-6300","type":"print"},{"value":"1996-9805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,31]]},"assertion":[{"value":"25 July 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}},{"value":"The study was performed in accordance with the Declaration of Helsinki (WMA 2013) ethical standards and the research protocol was submitted and approved by the Ethics Committee of the 'School of Dentistry, National and Kapodistrian University of Athens (NKUA)\u2019 (N556, approved on 01\/03\/2023).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent to participate was obtained from all participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}