Knowledge, attitudes and behaviour towards preventive oral care in early childhood among paediatricians in Trinidad and Tobago: findings of a national survey

Ramroop, Visha; Kowlessar, Annie; Ramcharitar-Maharaj, Vidya; Morris, Lerissa; Naidu, Rahul

doi:10.1111/idj.12408

Cited by 10 publications

(13 citation statements)

References 27 publications

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“…This result correlates with those of a number of previous studies whereby the oral-medical connection was not very clear to participants. 23,34 It was reported that barriers to successful referral were mentioned by more than 50% of the respondents in a previous study, a slightly higher percentage (57%)…”

Section: Discussionmentioning

confidence: 91%

“…In a study conducted by Ditto et al (2009), reporting only 7% of physicians believing the application of uoride to be part of a su cient childcare visit 23 . Lack of knowledge on preventive dentistry, interest, and time-as well as the cost of the dental materials-may additionally act as a contributing factor to such ndings, those ndings suggesting a lack of awareness on the uoride positive effects 34 .…”

Section: Discussionmentioning

confidence: 99%

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Referral Patterns of Paediatricians and General Medical Practitioners to Paediatric Dental Clinics and Oral Health Knowledge in Riyadh, Saudi Arabia: A cross-sectional survey

Alhowaish¹,

Aljohar²,

Arafa³

et al. 2020

Preprint

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Background: The single most chronic disease impacting children on an international scale is dental caries; there are alerts to deaths of children as a result of the complications caused by dental caries, despite the fact that this disease is completely preventable. This study aims to evaluate physicians’ dental knowledge, preventive measures they would provide and their referral patterns to paediatric dentists.Methods: A cross-sectional survey was conducted in Riyadh, Saudi Arabia. Certified paediatricians and general practitioners (GPs) from different sectors were invited to participate. The survey comprised 24 questions, distributed into 5 sections; demographic data, dental knowledge, participation in oral preventive measures, case scenarios and one question about participants’ opinion in implementing oral health rotations in the paediatric residency program. Results: 406 physicians participated in the study. Only 4.4 % of the participants answered all the knowledge questions correctly, the mean correct knowledge score was 2.95 ± 0.9937 out of 5. No significant difference was detected in the total knowledge score according to gender (P= 0.315), specialty and years of experience (P= 0.463 and 0.985 respectively). Common causes for referral were dental pain or swelling (67%) followed by a child with dental caries (43.6%). Less than 60% of the respondents would refer children to any dentist in the same hospital, while only 28 % only advise parents to consult a dentist. Most physicians suggested the addition of an oral health rotation in the medical residency program.Conclusions: The current level of oral health knowledge is not satisfactory to provide effective paediatric patients referrals to dentists, although their attitude towards providing oral preventive measures is good. Oral health knowledge and engagement should be emphasized in medical schools. Early and correct referral can be effective in preventing oral disease. The integration of oral health in undergraduate and specialty training curricula is vital to achieve disease prevention goals.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Referral Patterns of Paediatricians and General Medical Practitioners to Paediatric Dental Clinics and Oral Health Knowledge in Riyadh, Saudi Arabia: A cross-sectional survey

Alhowaish¹,

Aljohar²,

Arafa³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…In this study, though some health professional had examined the children's mouth (also a mandatory activity for care of neonates and children), the confidence in the outcomes of professionals not fully trained in recognizing oral lesions could lead to under‐diagnosis and potential future harm that could be prevented or minimized by early professional oral‐dental assessment. There is evidence to suggest that oral health knowledge and practices of non‐dental professionals can improve with appropriate educational interventions have been well established in the literature . Therefore, the overall neonatal healthcare system might improve substantially by involving oral health professionals in oral health care very early n childrens' lives as well as by providing training to other health caregivers on oral health promotion and early childhood disease detection.…”

Section: Discussionmentioning

confidence: 99%

“…There is evidence to suggest that oral health knowledge and practices of non‐dental professionals can improve with appropriate educational interventions have been well established in the literature. 21 , 23 , 24 Therefore, the overall neonatal healthcare system might improve substantially by involving oral health professionals in oral health care very early n childrens' lives as well as by providing training to other health caregivers on oral health promotion and early childhood disease detection.…”

Section: Discussionmentioning

confidence: 99%

Natural history of dental caries: Baseline characteristics of the VicGen birth cohort study

Chattopadhyay

Christian

Masood

et al. 2020

Int J Paed Dentistry

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This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. AbstractBackground: Early-life dental caries is a major global health problem. Children's first dental visit is recommended at 2 years age. The VicGeneration (VicGen) oral health birth cohort study aims to understand the multifactorial nature of early childhood caries. This report describes the baseline characteristics of children in the VicGen study. Methods: We merged data between the first (at birth) and fourth waves (18 month age) to assess dental caries among children (primary outcome) and other oral diseases (secondary outcomes) employing t tests, chi-square tests, Fisher's exact tests, and Cochran-Mantel-Haenszel tests using IBM-SPSS(v25). Results: Most children lived in metros with two-parent families. Most guardians were women graduated from high school. Twenty-seven of 389 (6.94%) 18-monthold children experienced dental caries. More children living in rural areas (vs. urban) experienced caries. Females were more likely to experience caries (OR: 2.16). Several children had other oral health problems. In early life, children's oral examination was conducted by midwives, breastfeeding/lactation consultants, hospital nurses, speech pathologists, and breastfeeding clinic staff. Conclusion: VicGen baseline characteristics show that almost 7% of the 18-monthold children experienced caries. There is a need to advance children's recommended first dental visit date and to train early-life healthcare professionals about oral diseases.

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“…To the best of our knowledge, only 1 study has investigated the conceptualization of dental caries 1 . Frequently, questionnaires inquire about oral health knowledge, 27,28 beliefs, 29 attitudes, 27,28 and behavior, 27‐29 but not about the understanding of dental caries as a process or a disease. Those studies generally used a fluctuating number of specific closed questions, while the study published by Ferreira‐Nobilo et al 1 .…”

Section: Introductionmentioning

confidence: 99%

Conceptualization of dental caries by dental students is related to their preventive oral care routine

Fernández

Chanin

Appice

et al. 2020

Journal of Dental Education

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Objective Whether the understanding of dental caries influences how future dentists manage the disease themselves has not been previously studied. Thus, this study evaluated whether the conceptualization (understanding) of dental caries by dental students is related to their own preventive oral care routine. Methods Dental students at a U.S. dental school (n = 517) were invited to voluntarily respond to an anonymous electronic survey in spring 2018. Demographic characteristics, caries conceptualization (CC), dental care habits, and self‐caries risk determination were asked. Discursive responses to CC were analyzed by content analysis technique, and categories [c] were created. Chi‐square and Fisher's exact tests were used for analysis. Results Overall response rate was 54.5% (n = 282, 48.2% female). Three researchers independently analyzed discursive answers and classified them into 1 of 6 caries concept categories [c]: [c1] only signs of the disease (10.3%), [c2] bacterial disease‐not specifying bacterial metabolism (38.3%), [c3] bacterial byproducts‐not specifying substrate (13.8%), [c4] biological or multifactorial concept (24.8%), [c5] comprehensive multifactorial disease (8.2%), or [c6] other (4.6%). Only 33% completely defined dental caries according to the modern understanding of the disease (c4−c5). Statistical differences were found between: CC and diet modification, CC and rinsing after brushing, year of school (YS) and self‐determined caries‐risk, YS and brushing at school, and YS and rinsing after brushing (P < 0.05). Conclusion Our data suggest that the students’ understanding of the disease can influence how they will manage the disease in terms of diet modification and behavior after brushing. Moreover, self‐caries risk determination influenced students’ brushing behavior.

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Knowledge, attitudes and behaviour towards preventive oral care in early childhood among paediatricians in Trinidad and Tobago: findings of a national survey

Cited by 10 publications

References 27 publications

Referral Patterns of Paediatricians and General Medical Practitioners to Paediatric Dental Clinics and Oral Health Knowledge in Riyadh, Saudi Arabia: A cross-sectional survey

Referral Patterns of Paediatricians and General Medical Practitioners to Paediatric Dental Clinics and Oral Health Knowledge in Riyadh, Saudi Arabia: A cross-sectional survey

Natural history of dental caries: Baseline characteristics of the VicGen birth cohort study

Conceptualization of dental caries by dental students is related to their preventive oral care routine

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