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Parental Views on Antibiotics in Dentistry

NCT07112079 — Completed, 1610 participants, Recep Tayyip Erdogan University Training and Research Hospital
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Parental Perceptions of Antibiotic Use in Pediatric Dentistry: a Cross-sectional Study Using the PAPA Scale

RegistryNCT07112079
StatusCompleted
Study typeObservational
Enrollment1610 (Actual)
SponsorRecep Tayyip Erdogan University Training and Research Hospital (Other)
ConditionsAntibiotic, Oral Health Care, Parents, Pediatric Dentistry
Datesstart 2025-01-01, primary completion 2025-04-20, completion 2025-05-20, first posted 2025-08-08, last updated 2025-08-08
Locations1 site in Turkey (Türkiye)

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-Summary

This study aims to assess parents' knowledge of antibiotic use and its relationship with their children's oral health.

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+Detailed description

This 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.

+Arms and interventions

ArmTypeInterventionsDescription
Group 1: Children (n=805)This cross-sectional study included a group of 805 children aged 3 to 14 years. Children's oral health was clinically evaluated using the DMFT (Decayed, Missing, and Filled Teeth) and PUFA (Pulpal involvement, Ulceration, Fistula, and Abscess) indices to provide an objective measure of dental health.
Group 2: Parents (n=805)This cross-sectional study involved a cohort of 805 parents of children aged 3 to 14 years. The primary objective was to assess parental knowledge and attitudes towards antibiotic use. No interventions were implemented; instead, data were collected using a 45-item questionnaire based on the Parental Perceptions on Antibiotics (PAPA) scale. The PAPA scale evaluates various factors influencing parental decisions regarding antibiotic use, including knowledge, beliefs, behaviors, sources of information, adherence, and awareness of antibiotic resistance . The questionnaire was administered face-to-face to ensure accurate data collection and to facilitate clarification of any questions.

+Outcome measures

Primary outcomes

  • Parental Knowledge and Beliefs on Antibiotic Use (Knowledge and Beliefs Subscale of the PAPA Scale) [1 month]: Evaluation of parents' knowledge level and misbeliefs regarding antibiotic use: This score is obtained from the Knowledge and Beliefs subscale of the PAPA scale and measures the level of knowledge of parents on issues such as the necessity and appropriateness of antibiotics.
  • DMFT Index (Decayed, Missing, and Filled Teeth) Score [1 month]: The DMFT index assesses the dental caries experience by counting the number of decayed, missing, and filled permanent teeth. Scores range from 0 to 28 (or 32 depending on dentition), where higher scores indicate worse dental health (more caries experience).
  • PUFA Index (Pulpal involvement, Ulceration, Fistula, and Abscess) Score [1 month]: The PUFA index measures the clinical consequences of untreated dental caries, including pulpal involvement, ulceration, fistula, and abscess formation. Scores range from 0 to 4, where higher scores indicate more severe clinical complications due to untreated caries.

+Eligibility

Sex: All, ages: 3 Years to 14 Years

Inclusion Criteria:

* Children whose parents were literate in Turkish, enabling reliable communication.
* Children whose parents had no communication impairments, ensuring accurate data collection.

Exclusion Criteria:

* Children who attended the clinic with a legal guardian or relative other than their parents.
* Children whose parents had inadequate health status preventing successful completion of the questionnaire.
* Children with any diagnosed mental illness.
* Children whose parents had any diagnosed mental illness.

+Locations (1)

FacilityCityCountryStatus
Recep Tayyip Erdoğan University Faculty of DentistryRizeTurkey (Türkiye)

+Publications

  • Results publication: Caglan SL, Aydinoglu S, Gunacar DN. Parental perceptions of antibiotic use in pediatric dentistry: a cross-sectional study using the PAPA scale. BMC Oral Health. 2026 Apr 6;26(1):888. doi: 10.1186/s12903-026-08273-y. PMID 41942987

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