Abstract
This paper explores the reasons for multiple caries in children from the viewpoint of clinical practice, namely General Dental Practitioners (GDPs) and their teams, to identify obstacles to reducing inequalities in caries experience. The context of the research is the distribution of dental caries in UK communities where disease prevalence correlates with deprivation and these sub-groups are not attending for dental care on a regular basis. A focus group of dentists, along with individual interviews with dentists and dental support staff were chosen to explore the perceptions of GDPs, Dental Therapists, and Dental Nurses. The content analysis of the data highlighted six main themes. These included sugar, in terms of the amount, availability and the marketing of it; socioeconomic associations with dental caries experience; the dentists’ role; the National Health Service (NHS) dental contract in terms of time-constraints in meeting targets and finally, the management of the child with multiple caries. This research suggests that there are possible barriers to the delivery of equitable care to populations. These include availability and access to GDPs along with the perceptions held by GDPs. Training aimed to develop a targeted behavioural approach towards deprived sub-groups is required in order to avoid unintended social exclusion.
Highlights
This paper aims to explore the views of General Dental Practitioners (GDPs) and dental support staff in regard to multiple caries in children in order to identify obstacles to reducing inequalities in caries experience
The content analysis of the data highlighted six main themes. These included sugar, in terms of the amount, availability and the marketing of it; socioeconomic associations with dental caries experience; the dentists’ role which revolved around hands on activity as well as disease activity being associated with patient behaviours; the National Health Service (NHS) Dental Contract in terms of time-constraints in meeting targets; patients’ behaviours which involved some stereotyping and a perceived lack of knowledge and the management of the child with multiple carious lesions
There was a perception that the amount and availability of sugar contributed to caries levels in children
Summary
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Oral diseases affect nearly 3.5 billion people worldwide with more than 530 million children suffering from tooth decay of primary teeth. This makes dental caries one of the most prevalent non-communicable (chronic) childhood diseases in the world [1].
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