Knowledge and Management of Pediatricians About Children’s Oral Health

Year 2021, Volume: 11 Issue: 3, 582 - 588, 27.09.2021

Pinar Demir Merve Bilmez Selen

https://doi.org/10.33808/clinexphealthsci.885580

Cited By: 2

Abstract

Objective : This study aims to analyze the knowledge level of pediatricians in Turkey regarding dentistry, oral-dental health, some common oral diseases and to evaluate their approach to their patients from a dental point of view.
Materials and Methods: The survey, which has been prepared with 18 questions on Google forms, was sent to 1830 pediatricians. Initially, pediatricians were requested to respond to questions about demographic information, which were followed by questions about dentist examination, oral hygiene, infant nutrition, primary tooth decay and prevention methods, dental anatomy, some malocclusions, and some common oral-dental diseases.
Resultsː The survey was answered by 261 pediatricians. The number of physicians who didn’t know that cariogenic microorganisms can be transmitted from mother to baby was 163(62.7%). It was determined that the pediatricians chose the option “I don’t know” about protective and preventive applications such as fissure sealants(65.1%), topical fluoride applications(30.2%), space maintainer/child prosthesis (62.8%) and hence they don’t have sufficient information.
Conclusionː Lack of information and training seems to limit the role of pediatricians in children's oral and dental health. It should be ensured that there are stronger cooperation and communication between pediatric dentists and pediatricians.
Key Words: Preventive Dentistry, Oral Health, Pediatricians, Dental Care for Children, Pediatric Dentistry.

Keywords

Pediatric Dentistry., Dental Care for Children, Pediatricians, Oral Health, Preventive Dentistry

Thanks

We would like to enounce our sincere thanks to Dear Dr Rıdvan Selen who provided a different perspective to our work and did not spare his efforts.

References

• 1. Health UDo, Committee HSOHC. US Department of Health and Human Services oral health strategic framework, 2014–2017. Public Health Reports. 2016;131(2):242-57.
• 2. Sezer RG, Paketci C, Bozaykut A. Paediatricians' awareness of children's oral health: Knowledge, training, attitudes and practices among Turkish paediatricians. Paediatrics & child health. 2013;18(4):e15-e9.
• 3. Dye BA, Arevalo O, Vargas CM. Trends in paediatric dental caries by poverty status in the United States, 1988–1994 and 1999–2004. International Journal of Paediatric Dentistry. 2010;20(2):132-43.
• 4. Adams PF, Hardy AM. Current estimates from the National Health Interview Survey, 1988. 1989.
• 5. Namal N, Vehit H, Can G. Risk factors for dental caries in Turkish preschool children. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2005;23(3):115.
• 6. Köksal E, Tekçiçek M, Yalçin SS, TugruI B, Yalçin S, Pekcan G. Association between anthropometric measurements and dental caries in Turkish school children. Central European journal of public health. 2011;19(3):147.
• 7. Dirican R, Sağlığı BNH. Bursa: 2. Baskı Uludağ Üniversitesi basımevi. 1993:270-348.
• 8. Zerfowski M, Koch MJ, Niekusch U, Staehle HJ. Caries prevalence and treatment needs of 7‐to 10‐year‐old schoolchildren in southwestern Germany. Community dentistry and oral epidemiology. 1997;25(5):348-51.
• 9. Calonge N. Prevention of dental caries in preschool children: recommendations and rationale. American journal of preventive medicine. 2004;26(4):326-9.
• 10. Pastor IMO, da Rocha MCBS. Integração da pediatria médica e odontológica: uma visão ampliada de promoção de saúde. Revista de Ciências Médicas e Biológicas. 2003;2(1):62-71.
• 11. Schafer TE, Adair SM. Prevention of dental disease: the role of the pediatrician. Pediatric Clinics of North America. 2000;47(5):1021-42.
• 12. Berkowitz R, Jones P. Mouth-to-mouth transmission of the bacterium Streptococcus mutans between mother and child. Archives of Oral Biology. 1985;30(4):377-9.
• 13. Casamassimo PS, Warren JJ. Bebek Ve Küçük Çocukta Muayene, Teşhis Ve Tedavi Planlaması. Ed: Pinkham JR, Casamassimo PS, McTigue DJ, Fields HW, Nowak AJ. Çeviri ed: Tortop T, Tulunoğlu Ö. In Çocuk Diş Hekimliği Bebeklikten Ergenliğe. 4. Baskı. Ankara; Atlas Kitapçılık, 2009: 206-220.
• 14. Berkowitz RJ. Mutans streptococci: acquisition and transmission. Pediatr Dent. 2006; 28(2): 106–109.
• 15. Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health 2004; 21(1 suppl): 71–85.
• 16. Kohler B, Bratthall D, Krasse B. Preventive measures in mothers influence the acquisition of Streptococcus mutans in their infants. Arch Oral Biol 1983; 28(3): 225–231.
• 17. Tümen EC, Toptancı İR. Erken Çocukluk Çağı Çürükleri (Biberon Çürükleri) ve Tedavi Yaklaşımları. Eds: Özdemir Özenen D. In Pedodonti Akıl Notları. 2. Baskı. Ankara; Güneş Tıp Kitapevleri; 2020: 57-71.
• 18. New York (NY): UNICEF. Improving Child Nutrition: The Achievable İmperative for Global Progress. 2013.
• 19. Nowak A, Crall JJ. Diş Hastalıklarının Önlenmesi. Ed: Pinkham JR, Casamassimo PS, Mc Tigue DJ, Fields HW, Nowak AJ. Çeviri ed: Tortop T, Tulunoğlu Ö. In Çocuk Diş Hekimliği Bebeklikten Ergenliğe. 4. Baskı. Ankara; Atlas Kitapçılık; 2009: 220-235.
• 20. Amerikan Academy of Pediatrics. Preventive Oral Health Intervention for Pediatricians. Pedıatrıcs Volume 122, Number 6, December 2008.
• 21. Indira M, Dhull KS, Nandlal B. Knowledge, Attitude and Practice toward Infant Oral Healthcare among the Pediatricians of Mysore: A Questionnaire Survey. International journal of clinical pediatric dentistry 2015; 8: 211.
• 22. Dimberg L, Lennartsson B, Soderfeldt B, Bondemark L. Malocclusions in children at 3 and 7 years of age: a longitudinal study. Eur J Orthod 2013; 35: 131–37.
• 23. Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. Pediatr Dent 2016; 38(6), 52-54.
• 24. Wagner Y, Heinrich-Weltzien R. Pediatricians’ oral health recommendations for 0-to 3-year-old children: results of a survey in Thuringia, Germany. BMC Oral Health 2014; 14: 44.
• 25. Prakash P, Lawrence HP, Harvey BJ, McIsaac WJ, Limeback H et al. Early childhood caries and infant oral health: paediatricians’ and family physicians’ knowledge, practices and training. Paediatr Child Health 2006; 11: 151-7.
• 26. Green M, ed. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. Arlington, VA: National Center for Education in Maternal and Child Health; 1994.
• 27. Murthy GA, Mohandas U. The knowledge, attitude and practice in prevention of dental caries amongst pediatricians in Bangalore: A cross-sectional study. J Indian Soc Pedod Prev Dent 2010; 28: 100-3.
• 28. Toumba KJ, Twetman S, Splieth C, Parnell C, Loveren C et al. Guidelines on the use of fuoride for caries prevention in children: an updated EAPD policy document. European Archives of Paediatric Dentistry 2019; 20: 507–516.
• 29. Tenuta LM, Cury JA. Fluoride: its role in dentistry. Braz Oral Res 2010; 24 Suppl 1: 9-17.
• 30. Heath K, Singh V, Logan R, McIntyre J. Analysis of fluoride levels retained intra orally oringested following routine clinical applications of topical fluoride products. Aust Dent J 2001; 46: 24-31.
• 31. Borysewicz-Lewicka M, Opydo-Szymaczek J, Opydo J. Fluoride ingestion after brushing with a gel containing a high concentration of fluoride. Biol Trace Elem Res 2007; 120: 114-120.
• 32. Wyne AH. Caries prevalence, severity, and pattern in preschool children. J Contemp Dent Pract 2008: 9: 24-31.
• 33. Feldens EG, Feldens CA, de Araujo FB, Souza MA. Invasive technique of pit and fissure sealants in primary molars: SEM study. J Clin Pediatr Dent 1994: 18: 187-90.
• 34. Akyıldız MB, Doğusal G, Sönmez I. Knowledge of Pediatricians in Aydın and İzmir Regarding Oral and Dental Health The Journal of Pediatric Research 2015; 2(1): 21-5 DOI: 10.4274/jpr.84755.
• 35. Sönmez I, Ulu Güzel G. Çocuklarda Sabit Ve Hareketli Yer Tutucu Uygulamaları. Ed: Özdemir Özenen D. In Pedodonti Akıl Notları. 2. Baskı. Ankara; Güneş Tıp Kitapevleri; 2020: 163-177.
• 36. Skeie MS, Wendt L, Poulse S. Çocuklarda Ve Gençlerde Diş Çürükleri. Ed: Koch G, Poulsen S. Çeviri ed: Aren G. In Çocuk Diş Hekimliğine Yaklaşım. 2. Baskı. İstanbul; Rotatif Yayınevi; 2012: 62-70.
• 37. Kates GA, Needleman HL, Holmes LB. Natal and neonatal teeth: a clinical study. J Am Dent Assoc 1984;109(3):441-443.
• 38. Saner G, Durmaz Ö. Ağız Boşluğu. Ed: Neyzi O, Ertuğrul TY. In Pediyatri,1.Cilt. 4. Baskı. İstanbul; Nobel Yayınları; 2010: 918.
• 39. Akyüz S, Kanyoncu IÖ. Süt ve Sürekli Dişlerde Sürme. Ed: Özdemir Özenen D. In Pedodonti Akıl Notları. 2. Baskı. Ankara: Güneş Tıp Kitapevleri; 2020: 35-40.
• 40. M.A Foncesca. Lokal ve Sistemik Hastalıklarda Ağız ve Diş Tedavileri. Ed: JR Pinkham, PS Casamassimo DJ McTigue et al. Çeviri Ed:T Tortop, Ö Tulunoğlu. In Çocuk Diş Hekimliği Bebeklikten Ergenliğe. 4. Baskı. Ankara: Atlas Kitapçılık; 2009: 74-88.