{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T05:05:36Z","timestamp":1779253536381,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Dental Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    Objectives: Space maintainers are frequently used to prevent malocclusion problems in early primary tooth loss. Parents\u2019 oral health literacy and awareness of space maintainers may influence children\u2019s oral health outcomes. This study aimed to examine the direct and indirect roles of parents\u2019 space maintainer awareness on their children\u2019s untreated dental caries with a conceptual model. Methods: This cross-sectional study included 600 children and their parents. Sociodemographic data and space maintainer awareness survey was administered to parents face to face. Parents\u2019 oral health literacy levels were measured with TREALD-30 and TREALD-30A scales. Children\u2019s oral health status was evaluated using DMFT and PUFA indexes. Path analysis was performed to test the conceptual model (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.05). Results: The conceptual model revealed significant effects of TREALD-30A scores on space maintainer awareness (\u00df = 0.384,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.001), DMFT scores on space maintainer awareness (\u00df = 0.081,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.023) and space maintainer awareness on PUFA scores (\u00df = 0.106,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.017). Additionally, TREALD-30A (\u00df = \u22120.032,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.002) and DMFT (\u00df = \u22120.008,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.014) scores had significant indirect effects on PUFA through space maintainer awareness. The space maintainer awareness score has a mediating role. Conclusions: The path analysis has shown that the parents\u2019 space maintainer awareness has a direct and indirect effect on the clinical outcomes of untreated dental caries in their children. Although oral health literacy alone was not effective, it reduced clinical consequences of untreated dental caries in children through space maintainer awareness. The model suggests that interventions to increase parents\u2019 oral health literacy and space maintainers awareness will help parents pay more attention to their children\u2019s oral health.\n                  <\/jats:p>","DOI":"10.1177\/0265539x251400593","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T08:14:16Z","timestamp":1763540056000},"page":"167-177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The role of parents\u2019 space maintainer awareness on their children\u2019s untreated dental caries: Testing a conceptual model"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4086-1502","authenticated-orcid":false,"given":"Sena","family":"Sak\u0131n Ulubay","sequence":"first","affiliation":[{"name":"Recep Tayyip Erdo\u011fan University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1490-8645","authenticated-orcid":false,"given":"Sema","family":"Ayd\u0131no\u011flu","sequence":"additional","affiliation":[{"name":"Recep Tayyip Erdo\u011fan University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8648-3554","authenticated-orcid":false,"given":"\u0130pek","family":"Arslan","sequence":"additional","affiliation":[{"name":"Private Clinic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-237X.94542"},{"key":"e_1_3_7_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2014.939709"},{"issue":"106","key":"e_1_3_7_4_1","first-page":"4059","article-title":"Knowledge and awareness of adults towards space maintainers and willingness of space maintainer therapy in Riyadh city, Saudi Arabia","volume":"24","author":"Alduhaymi AA","year":"2020","unstructured":"Alduhaymi AA, Al Zahrani AS, Qarnayn AMA, et al. 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