The relationship between parenting, family interaction and childhood dental caries: A case-control study

Jong-Lenters, Maddelon de; Duijster, Denise; Bruist, M.A.; Thijssen, Jill; Ruiter, Corine de

doi:10.1016/j.socscimed.2014.06.031

Cited by 46 publications

(55 citation statements)

References 31 publications

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“…Children of restrictive parents had significantly greater dental caries experience, in line with findings of previous studies . The finding of strict parenting being a risk factor for dental caries is counterintuitive because strictness may be expected to further the establishment of routines, daily structures, and living in accordance with rules.…”

Section: Discussionsupporting

confidence: 88%

“…Family functioning is a broader concept that describes how the interactions between all family members affect the way in which both children and parents manage daily life . Greater dental caries experience was found in children of families with ineffective parenting, characterized by high levels of demand, along with low levels of positive involvement and encouragement , and in children of poor functioning families in terms of inadequate communication, low levels of responsiveness, and poor organization . Similar aspects of parenting and family functioning have also been associated with an increased risk of externalizing behaviour problems, in addition to aspects such as high levels of conflict and harsh discipline practices .…”

mentioning

confidence: 99%

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Dental caries and externalizing behaviour problems in a high‐risk child population

Jong-Lenters

Duijster

Schuller

et al. 2018

European J Oral Sciences

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The aim of this study was to assess the association between externalizing behaviour problems and dental caries in children. A further objective was to explore direct and indirect pathways between sociodemographic factors, family functioning and parenting factors, oral health behaviours, externalizing behaviour problems, and dental caries using structural equation modelling. Cross‐sectional data were collected on 251, 5‐ to 8‐yr‐old children from a paediatric dental practice in the Netherlands. Children's decayed, missing, and filled primary teeth (dmft) scores were obtained from their dental records. Validated self‐report questionnaires were used to collect sociodemographic, behavioural, and family‐related data. Externalizing problem behaviour was significantly associated with a higher dmft score [incidence risk ratio (IRR) = 1.19; 95% CI: 1.06–1.34], but this association did not remain significant after adjustment for sociodemographic factors (IRR = 1.11; 95% CI: 0.99–1.26). A valid path model was presented after applying some modifications. Findings from the model suggest that it is plausible that child behaviour problems are directly associated with dental caries via toothbrushing behaviour. The model also provided support that maternal education level, the restrictiveness and warmth of parenting, and the communication of the family, play an indirect role in the association between children's externalizing behavioural problems and dental caries experience.

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Section: Discussionsupporting

confidence: 88%

mentioning

confidence: 99%

Dental caries and externalizing behaviour problems in a high‐risk child population

Jong-Lenters

Duijster

Schuller

et al. 2018

European J Oral Sciences

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“…found an association between oral care, family income, and level of education. Some authors have described that a low level of parent education was correlated with poor dental care among children . In the present study, as expected, we found statistical significance in the association of parents who had low income and had never been instructed about how to perform ME ( P < 0.003).…”

Section: Discussionsupporting

confidence: 87%

Mouth examination performance by children's parents and by adolescents in Fanconi anemia

Pivovar

Furquim

Bonfim

et al. 2017

Pediatric Blood & Cancer

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“…Further, these findings and those of de Jong-Lenters et al 8 suggest a potential mechanism linking family factors to child oral health. Specifically, family adversity in the form of parent distress and poor mental health may strain parent–child interactions during oral health routines with both short and long-term implications for child health.…”

Section: Discussionsupporting

confidence: 66%

“…A recent study by de Jong-Lenters and colleagues 8 offers preliminary support for a social learning theory model of oral health. Using a case–control design to study children with and without caries, the authors observed parent–child dyads during play, teaching, and planning/problem solving tasks.…”

Section: Introductionmentioning

confidence: 95%

Observed child and parent toothbrushing behaviors and child oral health

Collett

Huebner

Seminario

et al. 2015

Int J Paed Dentistry

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Background Parent-led toothbrushing effectively reduces early childhood caries. Research on the strategies that parents use to promote this behavior is, however, lacking. Aim To examine associations between parent–child toothbrushing interactions and child oral health using a newly developed measure, the Toothbrushing Observation System (TBOS). Design One hundred children ages 18–60 months and their parents were video-recorded during toothbrushing interactions. Using these recordings, six raters coded parent and child behaviors and the duration of toothbrushing. We examined the reliability of the coding system and associations between observed parent and child behaviors and three indices of oral health: caries, gingival health, and history of dental procedures requiring general anesthesia. Results Reliabilities were moderate to strong for TBOS child and parent scores. Parent TBOS scores and longer duration of parent-led toothbrushing were associated with fewer decayed, missing or filled tooth surfaces and lower incidence of gingivitis and procedures requiring general anesthesia. Associations between child TBOS scores and dental outcomes were modest, suggesting the relative importance of parent versus child behaviors at this early age. Conclusions Parents’ child behavior management skills and the duration of parent-led toothbrushing were associated with better child oral health. These findings suggest that parenting skills are an important target for future behavioral oral health interventions.

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The relationship between parenting, family interaction and childhood dental caries: A case-control study

Cited by 46 publications

References 31 publications

Dental caries and externalizing behaviour problems in a high‐risk child population

Dental caries and externalizing behaviour problems in a high‐risk child population

Mouth examination performance by children's parents and by adolescents in Fanconi anemia

Observed child and parent toothbrushing behaviors and child oral health

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