{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T16:42:27Z","timestamp":1792773747298,"version":"4.5.0"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Paediatr Dent"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To identify the factors associated with children\u2019s immediate satisfaction following invasive dental procedures (endodontic treatment and tooth extraction) and to compare satisfaction levels between treatment modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted with 111 children aged 5\u201310\u00a0years and their caregivers. Fifty-six children underwent endodontic treatment and 55 underwent extraction of primary molars. Children\u2019s immediate satisfaction was assessed using a Visual Analogue Scale (VAS). Sociodemographic, clinical, and behavioural variables were incorporated into a structural equation model (SEM) to investigate their direct and indirect effects on satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The SEM demonstrated an adequate fit to the data. Self-reported pain was significantly negatively associated with children\u2019s satisfaction [standardised coefficient (SC) = \u2212\u00a00.389]. Child age (SC = 0.229), caregiver anxiety (SC = \u2212 0.189), and self-reported pain (SC = \u2212 0.465) showed significant effects on children\u2019s behaviour during treatment. However, child behaviour was not significantly associated with satisfaction (SC = 0.098). The type of invasive procedure performed (endodontic treatment or extraction) did not influence satisfaction levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Children\u2019s immediate satisfaction with invasive dental procedures was primarily associated with their perception of pain. Although child behaviour was influenced by age, caregiver anxiety, and self-reported pain, it was not associated with satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40368-026-01303-x","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T16:05:52Z","timestamp":1792771552000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Immediate satisfaction of children undergoing endodontic treatment or extraction of primary molars: a structural equation modelling analysis"],"prefix":"10.1007","author":[{"given":"A. O.","family":"Rocha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9310-5642","authenticated-orcid":false,"given":"P. 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