Review Article

Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral

Volume: 4 Number: 1 September 2, 2026
EN

Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral

Abstract

Oral and dental health is an intrinsic component of children’s overall health and well-being. Dental caries remains the most common chronic disease affecting children globally and, despite being preventable, continues to significantly impact pediatric health and psychosocial development.
This review aims to define the fundamental preventive approaches pediatricians are expected to follow in light of global guidelines, the critical links between oral health and systemic diseases, and the clinical practice gaps in Türkiye and internationally.
Pediatricians serve as a strategic “first point of contact” as they are visited more frequently than dentists, particularly during the first three years of life. Global authorities, such as the AAP and USPSTF, recommend performing oral health risk assessments starting at six months of age, initiating the first dental visit by age one or upon the eruption of the first tooth, and utilizing evidence-based interventions, such as Fluoride Varnish (FV). Contemporary dietary habits—frequent free-sugar intake, ultra-processed foods and acidic or sugar-sweetened beverages—are now the leading modifiable drivers of caries and erosive tooth wear, and brief dietary counselling is an integral part of pediatric preventive care. While the review details the reciprocal relationship between oral pathologies and systemic conditions—such as Chronic Kidney Disease, Type 1 Diabetes, and congenital heart disease—it highlights a significant “clinical practice gap” resulting from insufficient training and knowledge despite physicians’ generally positive attitudes.
It is essential to adopt oral health as an absolute “pediatric necessity”, incorporate interprofessional rotations into medical curricula, integrate dietary counselling and public awareness programmes starting in early childhood, and develop a single, standardized interdisciplinary guideline for all healthcare professionals to enhance the overall quality of life for children.

Keywords

Oral Health, dental caries, pediatrics, preventive dentistry, diet, cariogenic

References

  1. Krol DM, Whelan K; Section on Oral Health. Maintaining and improving the oral health of young children. Pediatrics. 2023;151(1):e2022060417. doi:10.1542/peds.2022-060417
  2. Orhan AI, Alkan A, Orhan K, Tezel A, Karaoglanoglu S, Oztas D. Dental caries and associated factors among Turkish children and adults: findings from the 3rd National Oral Health Survey. Community Dent Oral Epidemiol. 2024;52(4):499-508. doi:10.1111/cdoe.12943
  3. Çakmakoğlu EE, Günay A. Nationwide prevalence of dental caries in Turkish children: a meta-analysis. Children (Basel). 2025;12(6):777. doi:10.3390/children12060777
  4. T.C. Sağlık Bakanlığı. Sağlık İstatistikleri Yıllığı 2024 [Health Statistics Yearbook 2024]. Ankara: Sağlık Bakanlığı; 2025. Available from: https://dosyamerkez.saglik.gov.tr/Eklenti/52859/0/siy2024tr31122025pdf.pdf Accessed 2026 Aug 30.
  5. Han SY, Chang CL, Wang YL, Wang CS, Lee WJ, Vo TTT, et al. A narrative review on advancing pediatric oral health: comprehensive strategies for the prevention and management of dental challenges in children. Children (Basel). 2025;12(3):286. doi:10.3390/children12030286
  6. US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Chelmow D, Coker TR, et al. Screening and preventive interventions for oral health in children and adolescents aged 5 to 17 years: US Preventive Services Task Force recommendation statement. JAMA. 2023;330(17):1666-73. doi:10.1001/jama.2023.21408
  7. Clark MB, Keels MA, Slayton RL; Section on Oral Health. Fluoride use in caries prevention in the primary care setting. Pediatrics. 2020;146(6):e2020034637. doi:10.1542/peds.2020-034637
  8. Rai K, Supriya S, Hegde AM. Oral health status of children with congenital heart disease and the awareness, attitude and knowledge of their parents. J Clin Pediatr Dent. 2009;33(4):315-8. doi:10.17796/jcpd.33.4.2j108w0225241867
  9. Çelik E. Bebeğim 12-14 aylık. In: Yakıncı C, Almış H, editors. Bebeğimin İlk 24 Ayı. İstanbul: Nobel Tıp Kitabevleri; 2023. p. 151-73.
  10. T.C. Sağlık Bakanlığı, Halk Sağlığı Genel Müdürlüğü. Florürlü Vernik Uygulama Rehberi [Fluoride Varnish Application Guide]. Available from: https://hsgm.saglik.gov.tr/depo/Yayinlarimiz/Rehberler/Florurlu_Vernik_Uygulama_Rehberi.pdf Accessed 2025 Dec 10.
APA
Çelik, E. (2026). Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral. Journal of Bursa Faculty of Medicine, 4(1), 7-13. https://doi.org/10.61678/bursamed.1846629
AMA
1.Çelik E. Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral. J Bursa Med. 2026;4(1):7-13. doi:10.61678/bursamed.1846629
Chicago
Çelik, Emre. 2026. “Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral”. Journal of Bursa Faculty of Medicine 4 (1): 7-13. https://doi.org/10.61678/bursamed.1846629.
EndNote
Çelik E (September 1, 2026) Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral. Journal of Bursa Faculty of Medicine 4 1 7–13.
IEEE
[1]E. Çelik, “Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral”, J Bursa Med, vol. 4, no. 1, pp. 7–13, Sept. 2026, doi: 10.61678/bursamed.1846629.
ISNAD
Çelik, Emre. “Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral”. Journal of Bursa Faculty of Medicine 4/1 (September 1, 2026): 7-13. https://doi.org/10.61678/bursamed.1846629.
JAMA
1.Çelik E. Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral. J Bursa Med. 2026;4:7–13.
MLA
Çelik, Emre. “Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral”. Journal of Bursa Faculty of Medicine, vol. 4, no. 1, Sept. 2026, pp. 7-13, doi:10.61678/bursamed.1846629.
Vancouver
1.Emre Çelik. Management of Oral and Dental Health in Paediatric Practice: A Comprehensive Review from Diagnosis to Referral. J Bursa Med. 2026 Sep. 1;4(1):7-13. doi:10.61678/bursamed.1846629