Parental Attitudes on Restorative Materials as Factors Influencing Current Use in Pediatric Dentistry

Authors: Zimmerman, J.A.; Feigal, R.J.; Till, M.J.; Hodges, J.S.

Source: Pediatric Dentistry, Volume 31, Number 1, January/February 2009 , pp. 63-70(8)

Publisher: American Academy of Pediatric Dentistry

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Abstract:

Purpose: The purpose of this study was to determine pediatric dentists' current practices and the perceptions about parents' opinions and how those parental preferences regarding dental materials influence dentists' practices. Methods: A questionnaire was sent to 500 randomly selected active members of the American Academy of Pediatric Dentistry. Twenty-five items queried demographics, use of restorative materials, perceptions of parents' attitudes towards materials, and dentists' reactions to parents' concerns. Results: The survey response rate was 61%. Parental concerns about materials in decreasing order were: (1) esthetics; (2) cost; (3) toxicity; and (4) durability. Parents' greatest concerns about stainless steel crowns were: (1) esthetics; and (2) cost. Among respondents, 43% followed parental preferences when challenged, and 28% currently never use amalgam. Amalgam use and the dentists' perception of parental challenge were each related to the socioeconomic status of the practice population, with lower socioeconomic practices feeling less parental challenge than higher socioeconomic practices and being more likely to use amalgam than “white” filling materials (P=.001). Conclusions: Mercury concerns occur more frequently with higher than lower socioeconomic status parents (P=.002). Stainless steel crowns are challenged based on esthetics and cost. When confronted, many pediatric dentists (43%) follow parental preferences, even when that action is contrary to their initial clinical judgment.

Keywords: DENTAL RESTORATIONS; PARENTS; ATTITUDES; DENTAL EDUCATION

Document Type: Research article

Publication date: 2009-01-01

More about this publication?
  • Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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