Age For First Dental Visit Research Articles

Age of first dental visits: A benefit of the pediatric medical home.

This retrospective cohort study compared differences in age one dental visit use and age at first dental visit according to fluoride varnish receipt at the pediatric medical home. Enrollment and claims data were used from Partners For Kids, a pediatric accountable care organization covering Medicaid-enrolled children living in 47 of 88 counties in Ohio. The main outcomes were having an age one dental visit and the mean age at first dental visit. Descriptive statistics and bivariate comparisons were applied. Among 17,675 children, 2.8% had an age one dental visit. The mean age at first dental visit was 4.8 years. Children who received fluoride varnish from their medical home (12% of study population) were significantly younger at their first dental visit (4.1 vs. 4.9 years, p < 0.001). Despite longstanding recommendations for the age one dental visit, very few Medicaid-enrolled children in Ohio had one. The pediatric medical home lowered the age of first dental visit.

Age and Reason of First Dental Visit among 0-14 years Old Children visiting Tertiary Care Center in Koshi Province

Introduction: The first dental visit should occur within 1 year of child’s age. Majority of parents bring their children for first dental visit only when there is a dental problem. Objective: This study was conducted to determine age and reason of first dental visit and to assess parents’ knowledge and attitude towards the first dental visit of the child. Methods: A cross sectional questionnaire-based study was conducted among 425 parents of children aged 0-14 years visiting the dental outpatient department. Each parent was interviewed by a single examiner. Descriptive statistics and Chi square test were used to report the data. The level of significance was set at p&lt;0.05. Results: The mean age of the children at their first dental visit was 7.75±3.01 years, majority of them (37.4%) being at 7 to 9 years of age. Only few children (0.9%) reported for their first dental visit within 1 year of their age. Most common reasons of first dental visit were dental caries (43.1%) followed by pain (19.5%). Very few parents (18.6%) had knowledge on ideal age of the first dental visit. A statistically significant association was found between age and reason of the first dental visit (p&lt;0.01). Conclusion: The findings of this study concluded that majority of the parents sought first dental visit of their children at older age especially when they had pain and dental caries. It reflects a need to improve parents’ knowledge on ideal age of the first dental visit for their children.

Periodontal Status and Dental Fear: A Sectional Investigation of the Effect of Sociodemographic Status and Age of First Dental Visit

Periodontal Status and Dental Fear: A Sectional Investigation of the Effect of Sociodemographic Status and Age of First Dental Visit

Pediatricians’ knowledge in children’s oral health: A systematic review

Background and Objective: There have been requests for physicians to address children's oral health for more than a decade; yet oral health screening, referral, and oral healthcare are still underdeveloped in pediatric practice. Therefore a systematic review was required to understand the pediatricians' existing knowledge and practice for developing action to strengthen their role in children's oral health. Study Design: The electronic MEDLINE, Embase, Cochrane, and PubMed databases were searched. Additionally, the bibliography of all relevant articles and textbooks were manually searched. The terms included ("Knowledge" [MeSH] AND (“Attitude" [MeSH]) AND ("Pediatricians" [MeSH] AND ("Children" [MeSH] AND ("Oral Health" [MeSH]. The expanding international interest in pediatricians' role in children's oral health is highlighted in this review. Results: The findings show that doctors have insufficient knowledge and awareness in key areas such as early clinical symptoms of dental caries, suggested age for first dental visit, etiology of dental caries, and fluoride use recommendations. Inadequate education and training, time restrictions in practice, and a lack of referral mechanisms are all obstacles for pediatricians.

Age and Reasons for First Dental Visit in a Tertiary Care Hospital in South India

Abstract Background: Early visit to the dentist with an aim of prevention has been advocated universally, but the timing for seeking dental treatment differs among different countries. Aim: This study aimed to determine the timing and reasons for the first dental visit among children attending the dental clinic in a tertiary care hospital in Tamil Nadu, South India. Methods: This hospital-based study reviewed the dental records of children who had visited the dental clinic from January 1, 2019 to December 31, 2019. All those between 0 and 10 years of age and visiting a dentist for the first time were included in the study. The continuous variables were analyzed using mean and standard deviation. The categorical variables were calculated using Chi-square, Fisher's exact test, and two-proportion test. Results: We reviewed the dental records of 1005 children (60% boys and 40% girls). The most frequent age for the first dental visit was between 5 and 6 years. The most common reasons for visits to the dental clinic were pain (23.8%) and dental caries (16.6%). Only 3.8% of children had their first dental visit by 1 year of age and primarily for therapeutic purposes. Dental caries and traumatic injuries were more frequent in children below the age of 3 years. Conclusion: The present study found pain as the most frequent reason for the visit, but there was a delay in first dental visits among children. This study suggests effective oral health policies for children and a need to change the perception and practices among the dental professionals in the region. Timing of the first dental visit of a child can help us to determine the quality of dental care a child receives. Delayed dental visit among children in this study indicates the ineffective oral health policies and the gap that exists between the pediatric health-care providers in India.

The age of first dental visit -A retrospective study

The age of first dental visit -A retrospective study

Zero to five years: First dental visit.

The aim of this study is to determine the age and most common reasons of the first dental visit among preschool children, taking into account family income and parental education in Turkey. This cross-sectional study was conducted in a state dental hospital on 519 children aged 0-5 years who had their first dental visit with no previous dental experience. Data on age and reasons for the first dental visit of the children and parent relevant data on family income, educational level, dental visit frequency, and satisfaction about the oral health care information was collected by means of a questionnaire. Of the 519 children of the study, 47.4% were males and 52.6% were females. The mean age of first dental visit was 3.62±1.32 and 2.9% of the children had been visited under the age of 1 year. Pain (36.4%) was the main reason for the visit followed mostly by check-up (23.1%), other reasons (21.4%), and decay noted by parents (15.6%). There was no referral from paediatricians. Parental educational level was not found as an impact factor for the reasons and the age of the visit (p=0.394; p=0.245). Children of low-income-family were more likely to have dental visit due to pain (p=0.002). The frequency of parents' dental visits was not a determinant factor for the reason and the age of the child's visit (p>0.05; p>0.05). All the parents were satisfied with the oral health information. It is necessary to raise awareness about early dental visits and oral health care among parents and paediatricians.

The knowledge and practice of pediatricians in children\u2019s oral health: a scoping review

BackgroundDental caries is a significant public health problem and one of the most common chronic conditions affecting children. The potential for the non-dental workforce to improve children’s oral health is well documented. For well over a decade, there have been calls for pediatricians to address children’s oral health, but the incorporation of oral health screening, referral, and oral healthcare in pediatric practice remains underdeveloped. Developing action to strengthen the role of pediatricians’ in children’s oral health requires an understanding of their current knowledge and practice. In this scoping review, we aimed to comprehensively map what is known about the knowledge and practice of pediatricians regarding children’s oral health.MethodsArksey & O’Malley’s five-stage review process was used to comprehensively map studies undertaken on pediatrician’s knowledge and practice regarding children’s oral health. Key search terms were developed and a total of 42 eligible articles are included in the review.ResultsThe studies were conducted in 19 countries. The majority (41/42) were quantitative, with over 90% using self-reported surveys. Only four studies used previously validated survey tools, with most adapting questions from previous studies. Observational designs were used in two studies and one used qualitative methods. Sample size ranged from 15 to 862. Oral health knowledge amongst pediatricians was reported to be mostly poor, with many gaps in key areas including age for first dental visit, dental caries and oral health risk assessments. Studies on the translation of oral health knowledge to practice were limited, with wide variation in rates of assessment. Few studies assessed actual practice.ConclusionsThis scoping review highlights growing international interest in the role of pediatricians in children’s oral health. Findings demonstrate that pediatricians have limited knowledge and understanding in critical areas, including; initial clinical signs of dental caries, recommended age for first dental visit, etiology of dental caries and recommended use of fluorides. Barriers for pediatricians include inadequate education and training, time constraints in practice and lack of referral pathways. Development of a validated tool to assess knowledge and practice is needed. This review provides a starting point to guide future research and areas for systematic reviews.

Age and Reasons for First Dental Visit and Knowledge and Attitude of Parents Toward Dental Procedures for Puducherry Children Aged 0-9 years.

Background:The first dental visit provides the dentist an opportunity to advise parents on prevention of oral diseases and also allows for early detection of caries and arrest of its progression. The first dental visit should occur no later than 12 months of age. However, parents fail to give importance to primary dentition as they feel that they are temporary.Aim:The aim of this study was to determine the age of first dental visit and most common reasons for the visit among children aged 0–9 years and to examine the knowledge and attitude of their parents toward treatment procedures for children, taking into account their socioeconomic and educational status.Materials and Methods:After obtaining informed consent from parents, sociodemographic data that included age and gender of the child, educational status, occupation of parents, and annual family income were collected. A validated questionnaire was given to the parents.Statistical Analysis Used:Descriptive statistics (proportion) was used to report the data. To examine differences in knowledge and attitudes among different socioeconomic and educational groups, chi-square test was used with P value <0.05.Results:A total of 300 completed questionnaires were analyzed. Age of first dental visit was 6–9 years (57%) and the most common reason for the visit was decayed teeth (33%). The overall attitude of parents toward treatment procedures for children was good in spite of low levels of knowledge about primary teeth and role of the pedodontist.Conclusions:It is necessary to promote early dental visits by providing education on perinatal and infant oral healthcare to the healthcare professionals dealing with children. It is also important to promote awareness regarding the maintenance of primary dentition.

Assessment of the Age of First Dental Visit among Dental Students in Nagpur, Maharashtra, India: A Cross-sectional Study

Assessment of the Age of First Dental Visit among Dental Students in Nagpur, Maharashtra, India: A Cross-sectional Study

Dental Procedures, Oral Practices, and Associated Anxiety: A Study on Late-teenagers

ObjectivesThe study aims to determine the degree of anxiety pertaining to dental procedures and various oral hygiene practices among college teenagers. MethodsCorah's Modified Dental Anxiety Scale was administered on a randomly chosen sample of 100 Indian college students (50 males and 50 females) of Delhi University, belonging to the age group of 17–20 years. ResultsDescriptive statistical computations revealed 12.14 years as the mean age of first dental visit, with moderately high levels of anxiety (60.75%) for various dental procedures among the Indian teenagers and 5% lying in the “phobic or extremely anxious” category. With merely 4.16% people going for regular consultations, general check-ups evoked 78.3% anxiety and having an injection or a tooth removed was perceived as the most threatening. The sample subgroup not using mouthwash and mouthspray, smokers, and alcohol drinkers with improper oral hygiene practices experienced much higher anxiety towards routine dental procedures. ConclusionThe majority of the Indian youngsters had an evasive attitude of delaying dental treatment. The core problems lay in deficient health care knowledge, lack of patient-sensitive pedagogy to train dental professionals, inaccessibility of services, and a dismissive attitude towards medical help. The feelings of fear and anxiety prevalent among the Indian youth offer significant insights into causes and preventive measures for future research and practice. Methods of education and motivation could be developed to dissipate the anxiety amongst Indian teenagers that prevent routine dental visits and maintenance of adequate oral hygiene.

Dental and Medical Students’ Knowledge and Opinions of Infant Oral Health

Primary care providers' involvement with and perceptions of the epidemic of early childhood caries could be related to attitudes and knowledge of the disease as well as to differences in discipline-based recommendations. A cross-sectional survey of demographics, opinions on infant oral health care visits and importance of infant oral health care, knowledge of tooth eruption, and knowledge of health care guidelines of the American Academy of Pediatrics (AAP) and American Academy of Pediatric Dentistry (AAPD) was administered by several methods to first- and fourth-year dental and medical students at two University of Illinois campuses. Some expected variations were found among dental and medical students pertaining to perceptions and knowledge of infant oral health. Higher proportions of dental students responded correctly or considered the issues very important. However, Rockford medicine students were more likely to know when children should be weaned, yet less likely to agree with recommendations for time of first dental visit. Furthermore, fourth-year dental students were less likely than first-year dental students to give the recommended answer for age of first dental visit. Variances of opinions and basic knowledge of infant oral health of dental and medical students showed inconsistencies with desired outcomes of educational and clinical experiences. Further research is needed to understand the role of experience and other factors to effectively educate primary care providers in this area.

Estimated Impact of Competing Policy Recommendations for Age of First Dental Visit

Estimated Impact of Competing Policy Recommendations for Age of First Dental Visit

Estimated Impact of Competing Policy Recommendations for Age of First Dental Visit

To compare levels of dental utilization and untreated dental decay among children aged 1 to 3 years that are likely to occur under 2 potential guidance policies: (1) pediatricians refer all toddlers to dentists for screening (consistent with American Academy of Pediatric Dentistry and the American Dental Association recommendations; DENT), and (2) pediatricians receive training in caries risk assessment, screen toddlers, and refer at-risk children to dentists (consistent with American Academy of Pediatrics recommendations; PED). Using decision analysis, we estimated the impact of PED and DENT assuming alternately unlimited dental capacity for Medicaid-insured patients and fixed Medicaid dental capacity. Results With unlimited capacity, if DENT were implemented, then dental utilization is estimated to increase from 27% under the status quo to 65% and untreated decay to decrease from a mean of 0.60 surfaces to 0.52 surfaces per child. If PED were implemented, then dental utilization and untreated decay would decrease from status quo levels to an estimated 11% and 0.47 surfaces, respectively, assuming that diagnostic sensitivity and specificity both equaled 1; they would decrease to 13% and 0.53 surfaces, respectively, if sensitivity equaled 0.76 and specificity equaled 0.95. With fixed capacity, under DENT, untreated decay is estimated to increase to 0.63 surfaces because low-risk private-pay patients would crowd out at-risk Medicaid-insured children, whereas under PED, untreated decay would still be less than under the status quo. Implementing PED will decrease untreated decay under most plausible scenarios, whereas switching to DENT will increase the burden of disease if Medicaid dental capacity is limited.