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Marquillier T, Azogui-Levy S, Tenenbaum A. A proposal for an oral health educational programme for the first 1000 days of life: from pregnancy to childhood. Eur Arch Paediatr Dent 2023; 24:803-806. [PMID: 37741951 DOI: 10.1007/s40368-023-00846-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 09/05/2023] [Indexed: 09/25/2023]
Abstract
AIM The aim of this paper is to highlight the need to consider oral health during the first 1000 days of a child's life with a view to developing appropriate educational programmes. CONTEXT The first 1000 days of life represent a window of opportunity for prevention in children. This concept is built on a consideration of the overall health of mother and child, taking into account social inequalities in health. It is now established that the oral health of the mother determines the oral health of her child. Furthermore, parents' knowledge and behaviour have a direct influence on their child's health. CONCLUSION The majority of the population does not have the necessary skills to adopt behaviours that promote oral health. The need for oral health education begins in the first 1000 days of life. Following the model of family health education, these programmes would involve providing pregnant women and, therefore, families with the skills they need to manage their own oral health and that of their future child as early as possible.
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Affiliation(s)
- T Marquillier
- Université Lille, CHU Lille, UFR Odontologie, Odontologie Pédiatrique, 59000, Lille, France.
- Université Sorbonne Paris Nord, Laboratoire Éducations et Promotion de La Santé, LEPS, UR 3412, 93017, Bobigny, France.
| | - S Azogui-Levy
- Université Sorbonne Paris Nord, Laboratoire Éducations et Promotion de La Santé, LEPS, UR 3412, 93017, Bobigny, France
- Université Paris Cité, UFR d'Odontologie, Santé Publique, GH Pitié-Salpêtrière APHP-SU, Paris, France
| | - A Tenenbaum
- Université Sorbonne Paris Nord, Laboratoire Éducations et Promotion de La Santé, LEPS, UR 3412, 93017, Bobigny, France
- Université Paris Cité, UFR d'Odontologie, Santé Publique, GH Pitié-Salpêtrière APHP-SU, Paris, France
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Tenenbaum A, Borsa L, Lupi L, Germa A. Child oral health: A plea for interdisciplinarity. SANTE PUBLIQUE (VANDOEUVRE-LES-NANCY, FRANCE) 2023; 35:83-91. [PMID: 38040649 DOI: 10.3917/spub.hs1.2023.0083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/03/2023]
Abstract
A child’s oral health has major implications both for their general health and for their quality of life. Even before birth, the mother’s oral health can affect the development of the baby and pregnancy outcomes. From the very first months of life, feeding habits together with non-nutritive sucking ones, early transmission of pathogenic bacteria, and oral hygiene practices prefigure the child’s future health. The aim of this article is to provide a comprehensive overview of our current knowledge regarding the main oral health issues affecting children, namely dental caries, erosive tooth wear, developmental defects of enamel, maxillofacial growth anomalies, and traumatic dental injuries. Additionally, it aims to examine the oral health prevention and promotion programs that have been implemented in France over several decades. These prevention and promotion initiatives are not only part of a national program but are also being organized at a territorial level, although, unfortunately, they often remain limited to regional, departmental, or municipal scopes. It is essential for all those involved with children, whether they are health care professionals or not, to collaborate effectively to enhance both oral health and overall well-being. This requires fostering an interdisciplinary approach that involves various contributors working together in a complementary way.
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Affiliation(s)
- Annabelle Tenenbaum
- UFR d’Odontologie, Université Paris Cité
- Laboratoire Éducations et Promotion de la santé UR 3412, UFR Santé, Médecine, Biologie Humaine, Université Paris Sorbonne Paris Nord
- AP-HP, Groupe Hospitalier Pitié Salpêtrière, Service d’Odontologie, Département de santé publique orale, F-75651, Paris, France
| | - Leslie Borsa
- Université Côte d’Azur, Faculté de Chirurgie Dentaire-Odontologie Nice, France Département de Santé Publique
- Laboratoire Microbiologie orale, Immunothérapie et Santé (Micoralis), Université Côte d’Azur, Nice, France
- Pôle Odontologie, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, Nice, France
| | - Laurence Lupi
- Université Côte d’Azur, Faculté de Chirurgie Dentaire-Odontologie Nice, France Département de Santé Publique
- Laboratoire Microbiologie orale, Immunothérapie et Santé (Micoralis), Université Côte d’Azur, Nice, France
- Pôle Odontologie, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, Nice, France
| | - Alice Germa
- UFR d’Odontologie, Université Paris Cité
- Université Paris Cité Centre de Recherche en Épidémiologie et Statistiques/CRESS, INSERM, INRA, Paris, France
- Service de médecine bucco-dentaire, APHP, hôpital Charles Foix, Ivry-sur-Seine, France
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Veiga NJ, Couto P, Correia P, Mello-Moura ACV, Lopes PC, Correia MJ. Oral Health Strategies: Surveying the Present to Plan the Future of Community-Based Learning. Healthcare (Basel) 2023; 11:2646. [PMID: 37830683 PMCID: PMC10572574 DOI: 10.3390/healthcare11192646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/26/2023] [Accepted: 09/26/2023] [Indexed: 10/14/2023] Open
Abstract
Introduction: Oral health literacy relates to the capacity of individuals to acquire, understand and to act upon oral health information to make appropriate health decisions. This scientific review's main goal is to analyze the strategies that improve oral health literacy within the community, specifically oriented to a community-based learning model focused on the most vulnerable risk groups in society. Materials and Methods: The current review is based on the literature on oral health literacy within community-based learning strategies. The present review selected scientific studies by searching MEDLINE and related databases, such as Web of Science and PUBMED, and by consulting existing bibliographies. Results: Based on the application of the inclusion criteria to the abstracts, 45 publications were retrieved which explicitly dealt with the definitions of oral health literacy, community-based learning, and service learning. Several studies have demonstrated that health consumers with low health literacy fail to understand the available health information. Therefore, innovative oral health literacy strategies should be undertaken. Service learning is an example of an educational approach where the student learns specific soft skills in the classroom and collaborates directly with an agency or institution and engages in reflection activities to deepen their understanding of what is being taught. Conclusions: One of the main strategies used to incorporate the oral health professional in social responsibility and direct contact in the community is through experiencing community-based learning projects. The future graduate must be an educator capable of educating patients in order to themselves acquire high-level skills in oral health literacy.
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Affiliation(s)
- Nélio Jorge Veiga
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Patrícia Couto
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Patrícia Correia
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Anna Carolina Volpi Mello-Moura
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Pedro Campos Lopes
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Maria José Correia
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
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Fernandes JDKB, de Sousa FS, Alves CMC, Ribeiro CCC, Simões VMF, Saraiva MDCP, Thomaz EBAF. Small for gestational age and early childhood caries: the BRISA cohort study. Sci Rep 2023; 13:14343. [PMID: 37658113 PMCID: PMC10474029 DOI: 10.1038/s41598-023-41411-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 08/25/2023] [Indexed: 09/03/2023] Open
Abstract
This study tests the hypothesis that children 12-30 months born small for gestational age (SGA) aged are more susceptible to severe early childhood caries (S-ECC). We used data on 865 children aged 12-30 months from a prospective cohort study conducted in a city in the northeast of Brazil. The study outcome was S-ECC, defined based on the proportion of decayed tooth surfaces (cavitated or not). The main exposure variable was SGA, defined according to the Kramer criterion and the INTERGROWTH-21st standard. Direct (SGA → S-ECC) and indirect effects were estimated using structural equation modeling, calculating standardized factor loadings (SFL) and P-values (alpha = 5%). The final models showed a good fit. SGA influenced S-ECC in the direct and indirect paths. In the group of SGA children with 12 or more erupted teeth defined according to the Kramer criterion, the direct effect was positive (SFL = 0.163; P = 0.019); while among all SGA children defined according to the INTERGROWTH-21st standard, the direct effect was negative (SFL = - 0.711; P < 0.001). Age and number of erupted teeth may influence the occurrence of S-ECC in SGA children, as the number of teeth affects the time of exposure to disease risk factors.
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Affiliation(s)
- Juliana de Kássia Braga Fernandes
- Programa de Pós-graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brazil
- Departamento de Odontologia, Universidade CEUMA, São Luís, MA, Brazil
| | - Francenilde Silva de Sousa
- Programa de Pós-graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brazil.
- Departamento de Saúde Pública, Universidade Federal do Maranhão (UFMA), Rua Barão de Itapari, 155 - Centro, São Luís, Maranhão, 65020-070, Brazil.
| | - Cláudia Maria Coelho Alves
- Programa de Pós-graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brazil
- Programa de Pós-graduação em Odontologia, Universidade Federal do Maranhão, São Luís, MA, Brazil
| | - Cecília Cláudia Costa Ribeiro
- Programa de Pós-graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brazil
- Programa de Pós-graduação em Odontologia, Universidade Federal do Maranhão, São Luís, MA, Brazil
| | | | | | - Erika Barbara Abreu Fonseca Thomaz
- Programa de Pós-graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brazil
- Programa de Pós-graduação em Odontologia, Universidade Federal do Maranhão, São Luís, MA, Brazil
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Prieto-Regueiro B, Gómez-Santos G, Grini D, Burgueño-Torres L, Diéguez-Pérez M. Relevance of Sociocultural Inequalities and Parents' Origins in Relation to the Oral Health of Preschoolers in Lanzarote, Spain. Healthcare (Basel) 2023; 11:2344. [PMID: 37628541 PMCID: PMC10454806 DOI: 10.3390/healthcare11162344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 08/13/2023] [Accepted: 08/17/2023] [Indexed: 08/27/2023] Open
Abstract
Approaching inequalities to achieve health equity requires joint action. Early childhood caries affects disadvantaged population groups. The objective of this study was to determine the relevance of sociocultural inequalities and parental origin with respect to oral health in preschool children in Lanzarote. A transversal epidemiological study was carried out. Sociocultural data and information about parental origin were collected via a questionnaire. The decayed and filled teeth (dft), decayed teeth (dt), filled teeth (ft), restorative index (RI), plaque index (PI) and gingival index (GI) were obtained via an investigator's examination. Statistical analysis of the data indicated that children of semi-skilled manual workers (28.15%) had the highest prevalence of caries (46.9%). Additionally 43.7 of the mothers had second grade and first cycle studies. When relating the medium and high level of education, there were statistically significant differences in relation to the cod index (p = 0.046). When the origin was foreign (48.4%), preschoolers presented 10.7% more active or untreated caries than Spaniards (p = 0.038). Low socioeconomic cultural level and foreign origin is associated with a more deficient state of oral health in preschoolers. Oral health programs are needed to minimize social inequalities.
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Affiliation(s)
- Beatriz Prieto-Regueiro
- Primary Care Odontoestomatologist, Health Services Management of Lanzarote’s Health Area, 35500 Arrecife, Spain;
| | - Gladys Gómez-Santos
- Health Promotion Service, General Directorate of Public Health of the Canary Islands Health Service, 38005 Santa Cruz de Tenerife, Spain;
| | - Daniele Grini
- Department of Preclinical Dentistry, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain;
| | - Laura Burgueño-Torres
- Dental Clinical Specialties Department, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain;
| | - Montserrat Diéguez-Pérez
- Department of Preclinical Dentistry, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain;
- Dental Clinical Specialties Department, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain;
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Monsalves MJ, Espinoza I, Moya P, Aubert J, Durán D, Arteaga O, Kaufman JS, Bangdiwala SI. Structural determinants explain caries differences among preschool children in Chile's Metropolitan Region. BMC Oral Health 2023; 23:136. [PMID: 36894931 PMCID: PMC9996898 DOI: 10.1186/s12903-023-02778-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 01/30/2023] [Indexed: 03/11/2023] Open
Abstract
OBJECTIVE To estimate the association between Social Determinants of Health (structural and intermediate) and caries indicators in Chile's Metropolitan Region preschool children. METHODS A multilevel cross-sectional study of Social Determinants of Health (SDH) and caries in children aged 1 to 6 years in Chile's Metropolitan Region was conducted in 2014-2015, with three levels: district, school and child. Caries were assessed by the dmft-index and the prevalence of untreated caries. The structural determinants analyzed were Community Human Development Index (CHDI), urban/rural location, school type, caregiver's education and family income. Poisson multilevel regression models were fit. RESULTS The sample size was 2,275 children from 40 schools in 13 districts. While the highest CHDI district had an untreated caries prevalence of 17.1% (12.3-22.7%), in the most disadvantaged district it was 53.9% (95% CI 46.0-61.6%). As family income increased, the probability of untreated caries prevalence decreased (PR = 0.9 95% CI 0.8-1.0). Rural districts had an average dmft-index of 7.3 (95% CI 7.2-7.4), while in urban districts, it was 4.4 (95% CI 4.3-4.5). Higher probabilities of untreated caries prevalence (PR = 3.0 95% CI 2.3-3.9) were observed in rural children. Greater probabilities of untreated caries prevalence (PR = 1.3 95% CI 1.1-1.6) and prevalence of caries experience (PR = 1.3 95% CI 1.1-1.5) were observed in children whose caregivers had a secondary educational level. CONCLUSIONS A strong association was observed between the social determinants of health, specifically the structural ones, and the caries indicators studied in children of the Metropolitan Region of Chile. There were notable differences in caries between districts according to social advantage. Rurality and caregiver's education were the most consistent predictors.
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Affiliation(s)
- María José Monsalves
- Facultad de Medicina y Ciencia, Universidad San Sebastián, Lota 2465, 7510157, Santiago, Chile.
| | - Iris Espinoza
- Departamento de Patología y Medicina Oral y Centro de Epidemiología y Vigilancia de Enfermedades Orales (CEVEO), Facultad de Odontología, Universidad de Chile, 380544, Santiago, Chile
| | - Patricia Moya
- Facultad de Odontología, Universidad Finis Terrae, 7501015, Santiago, Chile
| | - Josefina Aubert
- Facultad de Medicina y Ciencia, Universidad San Sebastián, Lota 2465, 7510157, Santiago, Chile
| | - Doris Durán
- Instituto de Investigación en Ciencias Odontológicas (ICOD), Facultad de Odontología, Universidad de Chile, 380544, Santiago, Chile.,Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, H3A1G1, Canada
| | - Oscar Arteaga
- Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, 8380453, Santiago, Chile
| | - Jay S Kaufman
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, H3A1G1, Canada
| | - Shrikant I Bangdiwala
- Population Health Research Institute, McMaster University, Hamilton, ON, L8L2X2, Canada.,Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, L8N 3Z5, Canada
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Maida CA, Xiong D, Marcus M, Zhou L, Huang Y, Lyu Y, Shen J, Osuna-Garcia A, Liu H. Quantitative data collection approaches in subject-reported oral health research: a scoping review. BMC Oral Health 2022; 22:435. [PMID: 36192721 PMCID: PMC9528129 DOI: 10.1186/s12903-022-02399-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 08/17/2022] [Indexed: 12/05/2022] Open
Abstract
Background This scoping review reports on studies that collect survey data using quantitative research to measure self-reported oral health status outcome measures. The objective of this review is to categorize measures used to evaluate self-reported oral health status and oral health quality of life used in surveys of general populations. Methods The review is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) with the search on four online bibliographic databases. The criteria include (1) peer-reviewed articles, (2) papers published between 2011 and 2021, (3) only studies using quantitative methods, and (4) containing outcome measures of self-assessed oral health status, and/or oral health-related quality of life. All survey data collection methods are assessed and papers whose methods employ newer technological approaches are also identified. Results Of the 2981 unduplicated papers, 239 meet the eligibility criteria. Half of the papers use impact scores such as the OHIP-14; 10% use functional measures, such as the GOHAI, and 26% use two or more measures while 8% use rating scales of oral health status. The review identifies four data collection methods: in-person, mail-in, Internet-based, and telephone surveys. Most (86%) employ in-person surveys, and 39% are conducted in Asia-Pacific and Middle East countries with 8% in North America. Sixty-six percent of the studies recruit participants directly from clinics and schools, where the surveys were carried out. The top three sampling methods are convenience sampling (52%), simple random sampling (12%), and stratified sampling (12%). Among the four data collection methods, in-person surveys have the highest response rate (91%), while the lowest response rate occurs in Internet-based surveys (37%). Telephone surveys are used to cover a wider population compared to other data collection methods. There are two noteworthy approaches: 1) sample selection where researchers employ different platforms to access subjects, and 2) mode of interaction with subjects, with the use of computers to collect self-reported data. Conclusion The study provides an assessment of oral health outcome measures, including subject-reported oral health status and notes newly emerging computer technological approaches recently used in surveys conducted on general populations. These newer applications, though rarely used, hold promise for both researchers and the various populations that use or need oral health care. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-022-02399-5.
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Affiliation(s)
- Carl A Maida
- Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA
| | - Di Xiong
- Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA.,Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, 650 Charles E Young Drive South, Los Angeles, CA, USA
| | - Marvin Marcus
- Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA
| | - Linyu Zhou
- Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA.,Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, 650 Charles E Young Drive South, Los Angeles, CA, USA
| | - Yilan Huang
- Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA.,Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, 650 Charles E Young Drive South, Los Angeles, CA, USA
| | - Yuetong Lyu
- Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA.,Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, 650 Charles E Young Drive South, Los Angeles, CA, USA
| | - Jie Shen
- Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA
| | - Antonia Osuna-Garcia
- Louise M. Darling Biomedical Library, University of California, Los Angeles, 12-077 Center for Health Sciences, Los Angeles, CA, USA
| | - Honghu Liu
- Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA. .,Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, 650 Charles E Young Drive South, Los Angeles, CA, USA. .,Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, USA.
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Marquillier T, Delfosse C, Idoux J, Trentesaux T. [Therapeutic education and oral health, an opportunity for the child]. SOINS. PEDIATRIE, PUERICULTURE 2022; 43:40-44. [PMID: 35164925 DOI: 10.1016/j.spp.2021.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Early childhood caries is an infectious disease of bacterial origin. It is mainly associated with social inequalities in oral health and affects children from the least privileged backgrounds. Because of its recurrent nature, it is the most common chronic disease in preschool children. Since it shares common risk factors with a number of other chronic conditions (diabetes, obesity), promoting global oral health is essential to achieving a favorable general health status.
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Affiliation(s)
- Thomas Marquillier
- Odontologie pédiatrique, UFR 35 - Odontologie, Université de Lille, CHU de Lille, place de Verdun, 59000 Lille, France; Laboratoire Éducations et promotion de la santé (UR 3412), Université Paris 13-Sorbonne Paris Nord, 74 rue Marcel-Cachin, 93017 Bobigny, France.
| | - Caroline Delfosse
- Odontologie pédiatrique, UFR 35 - Odontologie, Université de Lille, CHU de Lille, place de Verdun, 59000 Lille, France
| | - Joséphine Idoux
- Odontologie pédiatrique, UFR 35 - Odontologie, Université de Lille, CHU de Lille, place de Verdun, 59000 Lille, France
| | - Thomas Trentesaux
- Odontologie pédiatrique, UFR 35 - Odontologie, Université de Lille, CHU de Lille, place de Verdun, 59000 Lille, France
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Which determinants should be considered to reduce social inequalities in paediatric dental care access? A cross-sectional study in France. PLoS One 2021; 16:e0255360. [PMID: 34347827 PMCID: PMC8336796 DOI: 10.1371/journal.pone.0255360] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 07/14/2021] [Indexed: 12/03/2022] Open
Abstract
Better access to dental care through systemic and educational strategies is needed to lessen the burden of disease due to severe early caries. Our study aims to describe family characteristics associated with severe early caries: parental knowledge, attitudes, practices in oral health and socio-demographic factors. For this cross-sectional study, 102 parents of children aged under 6 years with severe early caries and attending paediatric dentistry service in France completed a questionnaire during face-to-face interviews. Caries were diagnosed clinically by calibrated investigators, using the American Academy of Paediatric Dentistry criteria, and dental status was recorded using the decayed, missing, and filled teeth index. The majority of children were from underprivileged backgrounds and had poor oral health status, with a median dmft index of 10. Parents highlighted the difficulty of finding suitable dental care in private practices. Parents appeared to have good oral health knowledge and engaged in adapted behaviours but showed a low sense of self-efficacy. They perceived the severity of early caries as important but the susceptibility of their child as moderate. The study affirmed the importance of improving the accessibility of paediatric dental care and developing educational strategies to enhance the knowledge, skills, and oral health practices of families.
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