Preventive Oral Health Intervention for Pediatricians

Morrow, Jack W.; Keels, Martha Ann; Hale, Kevin; Thomas, Huw F.; Davis, Martin J.; Czerepak, Charles S.; Weiß, Paul; Crall, James J.; Krol, David; Lee, Jessica Y.; Ng, Man Wai; Quiñonez, Rocio B.; Stigers, Jenny; Stolic, Aleksandra

doi:10.1542/peds.2008-2577

Cited by 154 publications

(52 citation statements)

References 50 publications

(38 reference statements)

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“…The AAPD and AAP recommend an age 1 dental visit, but the AAP acknowledges this timing depends on dentist availability. 5, 6 Respondents reported the mean age that healthy children should have their first dental visit at 2.1 years, but estimated that the mean age of actual visits was 2.8 years based on the availability of current dental resources in their community. Lacking consistent recommendations, care coordination and young children’s access to dental care may suffer.…”

Section: Discussionmentioning

confidence: 99%

“…1 Since 2000, pediatricians have become more involved in early childhood oral health promotion due to: 1) a shortage of dentists who treat young children; 2 2) recognition that young children are more likely to visit medical than dental offices; 3 3) payment to pediatricians for fluoride varnish application from state Medicaid programs; 4 and 4) recommendations supporting pediatricians’ role in oral health promotion. 5,6,7 As detailed in Bright Futures , pediatricians should begin oral health screening by the 6 month well-child visit, conduct caries risk assessment, counsel caregivers on oral health, and apply fluoride varnish to high risk children. 8 Pediatricians are advised to refer children to a dentist by 1 year of age or, when faced with a limited dental workforce, continue providing preventive oral health services in the medical home until a referral is possible.…”

Section: Introductionmentioning

confidence: 99%

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Oral Health Opinions and Practices of Pediatricians: Updated Results From a National Survey

Quiñonez

Kranz

Lewis

et al. 2014

Academic Pediatrics

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Background Professional guidelines and state Medicaid policies encourage pediatricians to provide oral health screening, anticipatory guidance, and fluoride varnish application to young patients. Because oral health activities are becoming more common in medical offices, the objective of this paper was to assess pediatricians’ attitudes and practices related to oral health and examine changes since 2008. Methods As part of the 2012 Periodic Survey of Fellows, a random sample of 1638 members of the American Academy of Pediatrics was surveyed on their participation in oral health promotion activities. Univariate statistics were used to examine pediatricians’ attitudes, practices, and barriers related to screening, risk assessment, counseling, topical fluoride application among patients from birth to 3 years of age. Bivariate statistics were used to examine changes since 2008. Results Analyses were limited to 402 pediatricians providing preventive care (51% of all respondents). The majority of respondents supported providing oral health activities in medical offices, but fewer reported engaging in these activities with most patients. Significantly more respondents agree they should apply fluoride varnish (2008=19%; 2012=41%), but only 7% report doing so with >75% of patients. Although significantly more respondents reported receiving oral health training, limited time, lack of training and billing remain barriers to delivering these services. Conclusions Pediatricians continue to have widespread support for, but less direct involvement with oral health activities in clinical practice. Existing methods of training should be examined to identify methods effective at increasing pediatricians’ participation in oral health activities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Oral Health Opinions and Practices of Pediatricians: Updated Results From a National Survey

Quiñonez

Kranz

Lewis

et al. 2014

Academic Pediatrics

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“…Unlike dentists, pediatricians see the majority of children periodically during their first years of life and have the opportunity to sensitize parents to the oral health of their children. Primary care providers play an important role in healthy growth and can provide anticipatory guidance and preventive counseling about oral hygiene, diet and fluoride exposure [10,11]. …”

Section: Introductionmentioning

confidence: 99%

Pediatricians’ oral health recommendations for 0- to 3-year-old children: results of a survey in Thuringia, Germany

Wagner

Heinrich‐Weltzien

2014

BMC Oral Health

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BackgroundGerman societies of pediatricians and dentists disagree about oral health-related preventive recommendations (use of fluoride supplements, fluoride-containing toothpaste) for children aged 0–3 years. After failure to reach a consensus, there is no study that has evaluated the guidelines that pediatricians use in daily practice.MethodsA standardized questionnaire was sent to all 167 practicing pediatricians in the state of Thuringia, Germany, to assess the current oral health-related preventive recommendations. Data were analyzed using descriptive statistics.ResultsThe response rate was 52.0%. More than 9.0% of the pediatricians advise parents with regard to diet, use of baby bottles, oral hygiene and dental visits. The majority of pediatricians recommend to start tooth-brushing after the 1st birthday and recommend the use of toothpaste and a 1st dental visit after the 2nd birthday (78.0%). Additionally, 23.3% (n = 20) of pediatricians prescribe solely vitamin D, and 20.9% (n = 18) prescribe vitamin D combined with fluoride. Fluoride supplements are given as required by 37.2% (n = 32) of pediatricians, primarily between the 1st and 6th birthdays. The guidelines of the Pediatric Society were used by 1.2% of the pediatricians, the guidelines of the dentists were used by 5.8%, and a mix of both was used by 93.0%. The simultaneous use of fluoride supplements and fluoride toothpaste in the first three years was recommended by 45.9% of the pediatricians.ConclusionsPediatricians’ oral health recommendations are based on a mix of the guidelines from the German societies of pediatricians and dentists and led to no use or possible overdose of fluoride. Against the background of early childhood caries and dental fluorosis, there is a need for uniform guidelines.

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“…Many health workers are involved with child health care. As primary care providers, pediatricians have the opportunity to make a significant contribution to the general health of their patients by improving their knowledge of oral diseases and oral health and by adding good child care to their daily routine (6). In addition to pediatricians, family doctors treat their enrolled persons as a whole and provide first-step diagnosis, treatment, rehabilitation and counseling services for preventive health services (e.g., pregnancy, postpartum period, infant, child monitoring, and vaccination services).…”

Section: Introductionmentioning

confidence: 99%

Comparison of knowledge, attitude and practice toward oral health between pediatricians and family doctors

et al. 2018

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Aim: Pediatricians and family doctors are at the first step in the education of parents about oral health, as well as the prevention of oral diseases and the provision of oral health in children. The aim of this study is to evaluate the knowledge, attitudes, and practices of pediatricians and family doctors about oral health in children. Methodology: A questionnaire consisting of 50 items was sent to pediatrician and family doctors via mail. Descriptive analysis and ttests were done to analyze the data. Participation in the survey, with a total of 240 participants (58 pediatricians, 182 family doctors), was 100%. Results: It was found that pediatricians believe that they have more important role in the development of oral health and prevention of oral diseases and they are more interested in participating in the oral health program than are the family doctors. Conclusions: Pediatricians and family doctors should work with dentists to improve the quality of oral hygiene in all young children.

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Preventive Oral Health Intervention for Pediatricians

Cited by 154 publications

References 50 publications

Oral Health Opinions and Practices of Pediatricians: Updated Results From a National Survey

Oral Health Opinions and Practices of Pediatricians: Updated Results From a National Survey

Pediatricians’ oral health recommendations for 0- to 3-year-old children: results of a survey in Thuringia, Germany

Comparison of knowledge, attitude and practice toward oral health between pediatricians and family doctors

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