Immediate satisfaction of children undergoing endodontic treatment or extraction of primary molars: a structural equation modelling analysis.

PURPOSE: To identify the factors associated with children's immediate satisfaction following invasive dental procedures (endodontic treatment and tooth extraction) and to compare satisfaction levels between treatment modalities.

METHODS

A cross-sectional study was conducted with 111 children aged 5-10 years and their caregivers. Fifty-six children underwent endodontic treatment and 55 underwent extraction of primary molars. Children's immediate satisfaction was assessed using a Visual Analogue Scale (VAS). Sociodemographic, clinical, and behavioural variables were incorporated into a structural equation model (SEM) to investigate their direct and indirect effects on satisfaction.

RESULTS

The SEM demonstrated an adequate fit to the data. Self-reported pain was significantly negatively associated with children's satisfaction [standardised coefficient (SC) = - 0.389]. Child age (SC = 0.229), caregiver anxiety (SC = - 0.189), and self-reported pain (SC = - 0.465) showed significant effects on children's behaviour during treatment. However, child behaviour was not significantly associated with satisfaction (SC = 0.098). The type of invasive procedure performed (endodontic treatment or extraction) did not influence satisfaction levels.

CONCLUSIONS

Children's immediate satisfaction with invasive dental procedures was primarily associated with their perception of pain. Although child behaviour was influenced by age, caregiver anxiety, and self-reported pain, it was not associated with satisfaction.