ArticleBMC oral health2026
Parental perceptions of antibiotic use in pediatric dentistry: a cross-sectional study using the PAPA scale.
Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07112079 (Parental Perceptions of Antibiotic Use in Pediatric Dentistry), which is not on this map. Not yet cited in PubMed.
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Parental Perceptions of Antibiotic Use in Pediatric Dentistry: a Cross-sectional Study Using the PAPA Scale
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3 authors.
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Abstract
backgroundParental awareness regarding antibiotics might influence pediatric oral health. This study aimed to assess parents’ knowledge of antibiotic use and its relationship with their children’s oral health.
methodsThis study included 805 children (ages 3–14 years) and their parents. A face-to-face questionnaire with 45 items was used to assess parental knowledge and attitudes using the PAPA (Parental Perceptions on Antibiotics) scale. Children’s oral health was clinically evaluated using DMFT (decayed, missing, and filled teeth) and PUFA (pulpal involvement, ulceration, fistula, and abscess) indices. Statistical analyses included the Mann–Whitney U test, Kruskal–Wallis test, independent samples T-test, Spearman’s rank correlation, and negative binomial regression.
resultsThere were significant negative correlations between parents’ PAPA scores and their children’s decayed teeth, DMFT, pulpal involvement, fistula formation, abscess, and PUFA scores (p < 0.05). Children with previous antibiotic use for dental pain had significantly higher missing teeth, DMFT, pulpal involvement, fistula formation, abscess, and PUFA scores (p < 0.05). Parents who sought professional care after symptoms in their children had subsided following antibiotic use had higher PAPA scores and better oral health outcomes in their children (p < 0.05).
conclusionsIncreased parental knowledge and positive attitudes toward antibiotic use were associated with improved oral health outcomes in their children.
trial registrationThe trial protocol was registered under ClinicalTrials.gov (ID: NCT07112079) on August 7, 2025. Retrospectively registered.
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