{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T18:25:09Z","timestamp":1769797509775,"version":"3.49.0"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The loss of the first primary tooth is a significant early biological milestone in a child\u2019s development. As a novel experience, it often triggers a complex mix of excitement, confusion, and apprehension. Parents should focus on providing support to ensure this transition is viewed as a positive and reassuring event.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To report children\u2019s different emotions upon losing their first primary tooth and possible factors that may influence these emotions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>An online cross\u2010sectional survey utilized social media and recruited 988 parents of children aged 5\u20108 years. Eligibility required that the child had experienced the exfoliation of at least one primary tooth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Besides parental demographics, the study used a questionnaire to evaluate child\u2010specific variables: sex, duration of tooth wiggle, and emotional state during exfoliation. History of traumatic dental injuries or caries\u2010related visits and witnesses of siblings\u2019 tooth exfoliation were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistics<\/jats:title>\n                    <jats:p>Descriptive statistics, chi\u2010square tests, and logistic regression tests were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of all parents, 54.6% reported positive emotions, and 30.4% reported negative emotions. Significantly higher positive emotions were found in children getting dental check\u2010up visits (OR\u2009=\u20091.49, 95% CI: 1.07\u20132.07), and when the child witnessed tooth exfoliation in older siblings (odd ratio (OR)\u2009=\u20091.73, 95% confidence interval (CI): 1.29\u20132.32). Significantly more negative emotions were found in children attending public schools (OR\u2009=\u20091.41, 95% CI: 1.02\u20131.95), speaking one language (OR\u2009=\u20091.92, 95% CI: 1.29\u20132.87), having two or more siblings (OR\u2009=\u20091.42, 95% CI: 1.02\u20132.98), and having a negative attitude to a dental visit (OR\u2009=\u20091.68, 95% CI: 1.23\u20132.30).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Conclusions<\/jats:title>\n                    <jats:p>The majority of children associate the loss of their first primary tooth with positive emotions. Conversely, approximately one\u2010third experience negative emotions. The emotional response is significantly influenced by child\u2010related factors and previous dental visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ijod\/5942652","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T05:38:20Z","timestamp":1769751500000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Children\u2019s Emotions Upon the Shedding of the First Primary Tooth From Parents\u2019 Perspective"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6940-4762","authenticated-orcid":false,"given":"Lamis D.","family":"Rajab","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8616-0459","authenticated-orcid":false,"given":"Lyn A. 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