The role of the pediatrician in the formation of the dentition and in the preservation of children's dental health
DOI:
https://doi.org/10.15574/SP.2023.129.59Keywords:
pediatrician, dentist, caries, childrenAbstract
Purpose - to analyze the role of the pediatrician in the formation of the dentition and the preservation of dental health in children, reviewing world research on this topic. The data of scientific literature on the awareness of pediatricians in the prevention of children's oral health diseases and timely referral to a pediatric dentist are analyzed.
Untreated tooth decay is known to negatively affect a child's overall health and well-being, causing pain, impairing the ability to bite and chew, and thus affecting weight gain and growth, self-esteem, and communication skills. Chronic pain and discomfort caused by dental caries also negatively affects cognitive development and is associated with school absenteeism and lack of concentration. Since the youngest children visit pediatricians much more often than dentists, it is very important that pediatricians have the appropriate knowledge of the development and progression of caries, the principles of its prevention, and ways to maintain and improve the child's oral health. The cooperation of a pediatric dentist, parents and pediatrician is a three-way process for the sake of a child's oral health.
Most studies have shown that pediatricians have insufficient knowledge of caries and its transmission, and that pediatricians have limited knowledge and understanding of the initial clinical signs of caries, the recommended age for the first visit to the dentist, the etiology of caries, and recommendations for the use of fluoride toothpastes.
No conflict of interests was declared by the authors.
References
Apresov D, Rainchuso L, Dominick C, Boyd L. (2016). Attitudes and practices among medical providers regarding oral health assessments in young children. J Calif Dent Assoc. 44 (11): 689-697. https://doi.org/10.1080/19424396.2016.12221081; PMid:29039885
Bottenberg P, Van Melckebeke L, Louckx F, Vandenplas Y. (2008). Knowledge of Flemish paediatricians about children's oral health results of a survey. Acta Paediatr. 97 (7): 959-963. https://doi.org/10.1111/j.1651-2227.2008.00827.x; PMid:18474066
Di Giuseppe G, Nobile CG, Marinelli A, Angelillo IF. (2006). Knowledge, attitude and practices of pediatricians regarding the prevention of oral diseases in Italy. BMC Public Health. 6: 176. https://doi.org/10.1186/1471-2458-6-176; PMid:16822318 PMCid:PMC1543635
Dickson-Swift V, Kenny A, Gussy M et al. (2020). The knowledge and practice of pediatricians in children's oral health: a scoping review. BMC Oral Health: 211. https://doi.org/10.1186/s12903-020-01198-0; PMid:32711481 PMCid:PMC7382799
Dima S, Chang WJ, Chen JW, Teng NC. (2018). Early childhood caries-related knowledge, attitude, and practice: discordance between pediatricians and dentists toward medical office-based prevention in Taiwan. Int J Environ Res Public Health. 15 (6): 1067. https://doi.org/10.3390/ijerph15061067; PMid:29795024 PMCid:PMC6024957
Drury TF, Horowitz AM, Ismail AI, Maertens MP, Rozier RG, Selwitz RH. (1999). Diagnosing and reporting early childhood caries for research purposes. A report of a workshop sponsored by the National Institute of Dental and Craniofacial Research, the Health Resources and Services Administration, and the Health Care Financing Administration. J Public Health Dent. 59 (3): 192-197. https://doi.org/10.1111/j.1752-7325.1999.tb03268.x; PMid:10649591
Dumas SA, Weaver KE, Park SY, Polk DE, Weyant RJ, Bogen DL. (2013, Jul). Accuracy of visible plaque identification by pediatric clinicians during well-child care. Clin Pediatr (Phila). 52 (7): 645-651. Epub 2013 Apr 9. https://doi.org/10.1177/0009922813483876; PMid:23572449 PMCid:PMC4079698
GBD. (2016). Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 390 (10100): 1211-1259. doi: 10.1016/S0140-6736(17)32154-2. Erratum in: Lancet. 2017 Oct 28. 390 (10106): e38. PMID: 28919117; PMCID: PMC5605509.
Hadjipanayis A, Grossman Z, del Torso S, Michailidou K, Van Esso D, Cauwels R. (2018). Oral health training, knowledge, attitudes and practices of primary care paediatricians: a European survey. Eur J Pediatr. 177 (5): 675-681. https://doi.org/10.1007/s00431-018-3108-z; PMid:29404716
Hinze ES, Casamassimo PS, Seale NS, McIlroy M, Kerins CA, McWhorter AG. (2014). Relative value of oral health in well-child care: a survey of pediatricians in Texas and Ohio. J Dent Child. 81 (2): 84-90.
Indira MD, Dhull KS, Nandlal B. (2015). Knowledge, attitude and practice toward infant Oral healthcare among the pediatricians of Mysore: a questionnaire survey. Int J Clin Pediatr Dent. 8 (3): 211-214. https://doi.org/10.5005/jp-journals-10005-1315; PMid:26604540 PMCid:PMC4647042
Jullien S. (2021, Sep 8). Prophylaxis of caries with fluoride for children under five years. BMC Pediatr. 21 (1): 351. https://doi.org/10.1186/s12887-021-02702-3; PMid:34496756 PMCid:PMC8424787
Karasz A, Patel V, Ranasinghe S, Chaudhuri K, McKee D. (2014). Preventing caries in young children of immigrant Bangladeshi families in New York: perspectives of mothers and paediatricians. Community Dent Health. 31 (2): 80-84.
Koirala A, O'Connor E, Widmer R, Kilpatrick N, Goldfeld S. (2019). Oral health care: the experience of Australian paediatricians. J Paediatr Child Health. 55 (11): 1374-1380. https://doi.org/10.1111/jpc.14426; PMid:30868700
Kumar P, Kumar P, Dixit A, Gupta V, Singh H, Sargaiyan V. (2014). Cross-sectional evaluation of awareness of prevention of dental caries among general pediatricians in Ghaziabad district, India. Ann Med Health Sci Res. 4 (3): S302-S306. https://doi.org/10.4103/2141-9248.141976; PMid:25364606 PMCid:PMC4212394
Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O'Connor KG, Quinonez RB. (2009, Nov-Dec). Oral health and pediatricians: results of a national survey. Acad Pediatr. 9 (6): 457-461. https://doi.org/10.1016/j.acap.2009.09.016; PMid:19945080
Murthy GA, Mohandas U. (2010). The knowledge, attitude and practice in prevention of dental caries amongst pediatricians in Bangalore: a cross - sectional study. J Indian Soc Pedod Prev Dent. 28: 100-103. https://doi.org/10.4103/0970-4388.66747; PMid:20660976
Petersen PE. (2009, Feb). Global policy for improvement of oral health in the 21st century - implications to oral health research of World Health Assembly 2007, World Health Organization. Community Dent Oral Epidemiol. 37(1): 1-8. Epub 2008 Nov 12. https://doi.org/10.1111/j.1600-0528.2008.00448.x; PMid:19046331
Section On Oral Health. (2014, Dec). Maintaining and improving the oral health of young children. Pediatrics. 134 (6): 1224-1229. https://doi.org/10.1542/peds.2014-2984; PMid:25422016
Virdi M, Kaur M, Mittal S. (2010). Pediatricians take on oral health care of children. Int J Pediatr Neonatol. 13: 1. https://doi.org/10.5580/2969; PMid:21760757 PMCid:PMC3133733
Voronenko YuV, Mazur IP, Pavlenko OV. (2019). Stomatolohichna dopomoha v Ukraini: analiz osnovnykh pokaznykiv diialnosti za 2018 rik. Dovidnyk. Kropyvnytskyi: Polium: 176.
Weatherspoon DJ, Horowitz AM, Kleinman DV. (2016). Maryland physicians' knowledge, opinions, and practices related to dental caries etiology and prevention in children. Pediatr Dent. 38 (1): 61-67.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Modern pediatrics. Ukraine
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The policy of the Journal “MODERN PEDIATRICS. UKRAINE” is compatible with the vast majority of funders' of open access and self-archiving policies. The journal provides immediate open access route being convinced that everyone – not only scientists - can benefit from research results, and publishes articles exclusively under open access distribution, with a Creative Commons Attribution-Noncommercial 4.0 international license (СС BY-NC).
Authors transfer the copyright to the Journal “MODERN PEDIATRICS. UKRAINE” when the manuscript is accepted for publication. Authors declare that this manuscript has not been published nor is under simultaneous consideration for publication elsewhere. After publication, the articles become freely available on-line to the public.
Readers have the right to use, distribute, and reproduce articles in any medium, provided the articles and the journal are properly cited.
The use of published materials for commercial purposes is strongly prohibited.