ArticleActa stomatologica Croatica2026
Acceptance of Non-Aesthetic Caries Treatment Approaches in Children: a Systematic Review.
Article in Acta stomatologica Croatica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate the acceptance of non-aesthetic treatment approaches for dental caries in children as perceived by parents, children, and dental professionals. Materials and Methods: A systematic search was conducted across four databases: PubMed, Scopus, Web of Science, and Embase. The included studies comprised cross-sectional or cohort studies, and randomized controlled trials assessing the acceptance of non-aesthetic treatments for dental caries in children, as reported by parents, children, and dental professionals. The risk of bias was assessed using the ROB-2, ROBINS-I, and JBI tools, depending on the study design. Results: A total of 126 studies were included in this systematic review. The acceptance rate of Silver Diamine Fluoride (SDF) treatment for posterior primary molars in children ranged from 71.4% to 100% (median 93.2%). Among parents, it ranged from 3.2% to 91% (median 69.9%), and for dental professionals it ranged from 13.2% to 95% (median 61.6%). The acceptance rate for Stainless-Steel crowns (SSC) or Hall technique (HT) treatment in posterior primary molars for children, ranged from 32% to 100% (median 90%), for parents, it ranged from 14.5% to 100% (median 81.9%), and for dental professionals it ranged from 1% to 96% (median 44%). Parents had higher acceptance of SDF treatment for posterior teeth compared to anterior teeth. Conclusion: Non-aesthetic treatment options are generally accepted by children, parents, and, to a lesser extent, dental professionals, particularly for posterior teeth. However, most of the included studies presented a high risk of bias. The systematic review protocol was registered in OSF platform (doi: 10.17605/OSF.IO/P7CNY).
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