General dental practitioners’ approach to caries prevention in high-caries-risk children

Aljafari, Ahmad; ElKarmi, Rawan; Kussad, J; Hosey, Marie Therese

doi:10.1007/s40368-020-00548-4

Cited by 7 publications

(5 citation statements)

References 30 publications

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“…In a previous study, dentists cited parental motivation as a key barrier to preventive care delivery [28]. This underlines the importance of involving parents 'directly' in future oral health promotion efforts.…”

Section: Discussionmentioning

confidence: 90%

A Video-Game-Based Oral Health Intervention in Primary Schools—A Randomised Controlled Trial

et al. 2022

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Background: Poor oral health practices and high levels of dental caries have been reported among children in the developing world. Video games have been successful in promoting oral health in children. The aim of this study was to assess the impact of an oral-health-education video game on children’s dietary knowledge and dietary and toothbrushing practices; Methods: Two Schools in Amman, Jordan were randomly selected and assigned to either intervention or control. Six- to eight-year old children took part. The intervention group played the oral-health-education video game; the control group received no intervention. The groups were compared in terms of changes in: child dietary knowledge, dietary and toothbrushing practices, plaque scores, and parental familiarity with preventive treatments. Data were submitted to statistical analysis with the significance level set at p ≤ 0.05. Results: Two hundred and seventy-eight children took part. Most (92%) had carious teeth. At baseline, children reported having more than one sugary snack a day and only 33% were brushing twice a day. Most parents were unaware of fluoride varnish (66%) or fissure sealants (81%). At follow-up, children in the intervention group had significantly better dietary knowledge, and parents in both groups became more familiar with fluoride varnish. There were no significant changes in children’s plaque scores, toothbrushing and dietary practices, or parental familiarity with fissure sealants in either group. Conclusions: Using an oral-health-education video game improved children’s dietary knowledge. However, future efforts should target children together with parents, and need to be supplemented by wider oral-health-promotion.

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Section: Discussionmentioning

confidence: 90%

A Video-Game-Based Oral Health Intervention in Primary Schools—A Randomised Controlled Trial

et al. 2022

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“…Moreover, all children aged six or younger can receive dental care for free at public centres and hospitals. Dentists in Jordan previously indicated that they feel that parental motivation is the most important factor in providing dental care for children [ 33 ]. It is important that future oral health promotion encourages regular attendance every three to six months, as recommended for children in this age group, and that we continue to explore barriers to access of dental care and how those can be addressed.…”

Section: Discussionmentioning

confidence: 99%

“…Those preventive treatments are recommended by various organisations and have proven their effectiveness in caries prevention [ 34 , 35 ]. In a previous study, dentists in Jordan indicated that these treatments are available but highlighted parental motivation as a crucial factor in patient selection [ 33 ]. Raising public awareness about the benefits of these treatments is necessary.…”

Section: Discussionmentioning

confidence: 99%

Oral health status and practices of 6- to 7-year-old children in Amman, Jordan: a cross-sectional study

et al. 2022

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Background Dental caries affects the majority of children in Jordan, with some evidence of its prevalence steadily increasing. Previous studies have shown that families struggle to establish good oral health practices. The aim of this study was to evaluate the current oral health status and practices of 6- to7-year-old children in Amman, Jordan.r Methods A cross-sectional cohort study. The sample consisted of 6- to 7-year-old children attending six randomly selected schools in Amman, Jordan. Measures collected were: I) Caries experience (d3mft/D3MFT), II) Oral hygiene, measured using the Simplified Oral Hygiene Index, III) Dietary, toothbrushing, and dental attendance practices, measured using diaries and parental questionnaires, IV) Participants’ basic characteristics: age, education and employment. Data were analysed using SPSS20. Results In total, 942 children were recruited. Four hundred and fifty-seven were boys, 485 were girls. Their average age was 6.5 years. Eighty-nine percent had decay in their primary teeth. Mean d3mft was 5.1(1 (range = 0–12, SD = 2.9). Only 8% of carious teeth were restored. Mean DMFT score was 0.3 (range = 0–4, SD = 0.8). Mean debris score was 1.07 (range = 0–3, SD = 0.37). Children indicated that they brush their teeth 1.6 times a day (range = 0–3, SD = 0.6). The majority (81%) were unsupervised. Sixty-seven percent of parents did not know the appropriate fluoride toothpaste concentration. Children were having 1.5 sugary snacks in-between their meals (Range = 1–6, SD = 1.1). They scored a mean of 2.5 (Range = 0–5.87, SD = 1.7) in sweetened drinks intake (recommended ≤ 1) and 2.8 (Range = 0–18.57, SD = 1.5) in non-core food intake (recommended ≤ 2) on a dietary questionnaire. Most parents (84%) indicated that their child attends the dentist only when in pain, and 18% indicated that their child is extremely afraid of dentists. Only 32% and 18% were familiar with fluoride varnish and fissure sealants, respectively. Regression analysis revealed that debris score and dental attendance were reliable predictors of caries experience. Conclusions Six- to seven-year-old children in Amman, Jordan have a high caries experience. Most show signs of poor oral hygiene, excessive intake of cariogenic foods, and symptomatic dental attendance. Their parents lack knowledge on fluoride varnish and fissure sealants. There is a need for oral health promotion tailored to this cohort's need.

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“…Considering dentists, studies also indicate that their daily practices do not strongly emphasize prevention. Practitioners report spending little time on patient education, which usually consists of brief generalist advice [ 29 – 31 ].…”

Section: Introductionmentioning

confidence: 99%

Factors perceived by health professionals to be barriers or facilitators to caries prevention in children: a systematic review

Lienhart,

Elsa,

Farge

et al. 2023

BMC Oral Health

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Background Considered the most prevalent noncommunicable disease in childhood, dental caries is both an individual and a collective burden. While international guidelines highlight prevention as a major strategy for caries management in children, health professionals still struggle to implement prevention into their clinical practice. Further research is needed to understand the gap between the theoretical significance of dental prevention and its lack of implementation in the clinical setting. This systematic review aims to identify and classify factors perceived by health professionals to be barriers or facilitators to caries prevention in children. Method A systematic literature search was conducted in three electronic databases (Medline, Web of Science and Cairn). Two researchers independently screened titles, abstracts and texts. To be selected, studies had to focus on barriers or facilitators to caries prevention in children and include health professionals as study participants. Qualitative and quantitative studies were selected. The factors influencing caries prevention in children were sorted into 3 main categories (clinician-related factors, patient-related factors, and organizational-related factors) and then classified according to the 14 domains of the theoretical domains framework (TDF). Results A total of 1771 references were found by combining manual and database searches. Among them, 26 studies met the inclusion criteria, of which half were qualitative and half were quantitative studies. Dentists (n = 12), pediatricians (n = 11), nurses (n = 9), and physicians (n = 5) were the most frequently interviewed health professionals in our analysis. Barriers and facilitators to caries prevention in children were categorized into 12 TDF domains. The most frequently reported domains were Environmental Context and Resources, Knowledge and Professional Role and Identity. Conclusion This systematic review found that a wide range of factors influence caries prevention in children. Our analysis showed that barriers to pediatric oral health promotion affect all stages of the health care system. By highlighting the incompatibility between the health care system’s organization and the implementation of caries prevention, this study aims to help researchers and policy-makers design new interventions to improve children’s access to caries prevention. Trial registration PROSPERO CRD42022304545.

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General dental practitioners’ approach to caries prevention in high-caries-risk children

Cited by 7 publications

References 30 publications

A Video-Game-Based Oral Health Intervention in Primary Schools—A Randomised Controlled Trial

A Video-Game-Based Oral Health Intervention in Primary Schools—A Randomised Controlled Trial

Oral health status and practices of 6- to 7-year-old children in Amman, Jordan: a cross-sectional study

Factors perceived by health professionals to be barriers or facilitators to caries prevention in children: a systematic review

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