scholarly journals Long-term effectiveness of the Midwifery Initiated Oral Health-Dental Service Program on maternal oral health knowledge, preventative dental behaviours and the oral health status of children in Australia

2021 ◽  
Author(s):  
Ajesh George ◽  
Ariana Kong ◽  
Mariana Sousa ◽  
Amy Villarosa ◽  
Shilpi Ajwani ◽  
...  
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Health Knowledge ◽  
Oral Health Status ◽  
Dental Service ◽  
Oral Health Knowledge ◽  
And Control ◽  
Childhood Caries

Abstract Background Early childhood caries remains a public health challenge and many interventions to manage this disease have focused on prevention during early infancy. Promoting oral health during pregnancy may also improve the oral health of children, however, there is limited evidence in Australia. The Midwifery Initiated Oral Health-Dental Service (MIOH-DS) was developed to train midwives to promote maternal oral health and a large trial showed the program substantially improved the oral health status, knowledge and behaviours of pregnant women. This study evaluated the long-term effectiveness of the program (post trial) on maternal oral health knowledge, preventative dental behaviours, and early childhood caries in offspring. Methods A prospective cohort study was conducted in three large metropolitan health services in Sydney, Australia. The study followed 204 women and their children three to four years after participating in the original MIOH-DS trial (intervention and control groups). The outcome measures included child dental decay (cariogenic bacteria), and a maternal oral health knowledge and behaviours questionnaire. Descriptive statistics were used to analyse the main outcomes and a regression model was constructed to explore predictors of dental decay among children. Results There were no significant differences across the outcome measures between the MIOH-DS participants (mother/child) and control groups except for a small difference in maternal oral health knowledge. Most mothers across both groups demonstrated high oral health knowledge and positive oral health practices, and the regression model found that these outcomes provided a protective effect (low levels of bacteria and dental caries) among children. Some aspects of oral health remained poorly understood by mothers across both groups―the oral health impact of sugary foods and drinks, at-risk feeding practices, and the recommended age for first dental visits. Conclusions The long-term impact of the program demonstrates the effectiveness of improving maternal oral health knowledge and preventative behaviours to reduce the risk of early childhood caries, although the specific effect of the MIOH-DS program was not found. Although oral health knowledge was high across participants the findings suggest the need for reinforced education around feeding, diet and dental visiting through postnatal early childhood services to show sustained improvements.

scholarly journals Long-Term Effectiveness of the Midwifery Initiated Oral Health-Dental Service Program on Maternal Oral Health Knowledge, Preventative Dental Behaviours and the Oral Health Status Of Children In Australia

2021 ◽  
Author(s):  
Ajesh George ◽  
Ariana Kong ◽  
Mariana Sousa ◽  
Amy Villarosa ◽  
Shilpi Ajwani ◽  
...  
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Health Knowledge ◽  
Oral Health Status ◽  
Dental Service ◽  
Oral Health Knowledge ◽  
And Control ◽  
Childhood Caries

Abstract Background: Early childhood caries remains a public health challenge and many interventions to manage this disease have focused on prevention during early infancy. Promoting oral health during pregnancy may also improve the oral health of children, however, there is limited evidence in Australia. The Midwifery Initiated Oral Health-Dental Service (MIOH-DS) was developed to train midwives to promote maternal oral health and a large trial showed the program substantially improved the oral health status, knowledge and behaviours of pregnant women. This study evaluated the long-term effectiveness of the program (post trial) on maternal oral health knowledge, preventative dental behaviours, and early childhood caries in offspring.Methods: A prospective cohort study was conducted in three large metropolitan health services in Sydney, Australia. The study followed 204 women and their children three to four years after participating in the original MIOH-DS trial (intervention and control groups). The outcome measures included child dental decay (cariogenic bacteria), and a maternal oral health knowledge and behaviours questionnaire. Descriptive statistics were used to analyse the main outcomes and a regression model was constructed to explore predictors of dental decay among children.Results: There were no significant differences across the outcome measures between the MIOH-DS participants (mother/child) and control groups except for a small difference in maternal oral health knowledge. Most mothers across both groups demonstrated high oral health knowledge and positive oral health practices, and the regression model found that these outcomes provided a protective effect (low levels of bacteria and dental caries) among children. Some aspects of oral health remained poorly understood by mothers across both groups―the oral health impact of sugary foods and drinks, at-risk feeding practices, and the recommended age for first dental visits.Conclusions: The long-term impact of the program demonstrates the effectiveness of improving maternal oral health knowledge and preventative behaviours to reduce the risk of early childhood caries, although the specific effect of the MIOH-DS program was not found. Although oral health knowledge was high across participants the findings suggest the need for reinforced education around feeding, diet and dental visiting through postnatal early childhood services to show sustained improvements.

scholarly journals The prevalence and risk factors of Early Childhood Caries among 3-year-old children in Wenzhou

2019 ◽  
Author(s):  
Liqin Mei ◽  
Zhiyuan Wei ◽  
Qiao Li ◽  
Xiping Wang
Keyword(s):  
Risk Factors ◽  
Early Childhood ◽  
Logistic Regression ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Health Knowledge ◽  
Knowledge Level ◽  
Oral Health Knowledge ◽  
The Mean ◽  
Childhood Caries

Abstract Background This study aimed to investigate the prevalence and risk factors of Early Childhood Caries (ECC) among 3-year-old children in Wenzhou China. Methods Kindergarten children aged 3 were recruited using a stratified cluster sampling method. Dental examinations were conducted by one trained dentist, and oral health-related data were collected. Examinations were surface-specific for dental caries, following World Health Organization (WHO) criteria. Bivariate tests and logistic regression models were used to assess the association between ECC and different risk factors. Results A total of 693 children were recruited for the study, and 445 completed the dental examination. Among the 445 children, the prevalence of ECC was 59.8%. The mean decayed, missing, and filled primary teeth (dmft) was 2.9, and of the total dmft, only 6.3% were filled. The mean decayed, missing, and filled primary surface (dmfs) was 4.9. Logistic regression analyses identified age and parents’ oral health knowledge level were associated with the experience of ECC (P<0.05). Conclusions A higher prevalence of ECC was observed and most of the carious teeth were untreated. The experience of ECC was related to age and parents’ oral health knowledge level.

scholarly journals Early childhood caries, primary caregiver oral health knowledge and behaviours and associated sociological factors in Australia: a systematic scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lesley Andrew ◽  
Ruth Wallace ◽  
Nicole Wickens ◽  
Jilen Patel
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Western Australia ◽  
Scoping Review ◽  
Early Childhood Caries ◽  
Health Knowledge ◽  
Primary Caregivers ◽  
Oral Health Knowledge ◽  
Western Australian ◽  
Childhood Caries

Abstract Background Early childhood caries disproportionately affects vulnerable groups and remains a leading cause of preventable hospital admissions for Western Australian children. The Western Australia State Oral Health Plan seeks to improve child oral health through universal and targeted health promotion initiatives with primary caregivers. These initiatives require evidence of primary caregiver oral health knowledge and behaviours and baseline data on early childhood caries. The objective of this systematic scoping review was to understand current oral health knowledge and practices of primary caregivers of children aged 0–4 years, identify influential socioecological determinants, and identify data on early childhood caries in the Western Australian context. Methods A systematic scoping review framework identified articles published between 2010 and 2021, using Scopus, PubMed, Medline, CINAHL, PsycINFO, selected article reference lists, and oral health websites. The lack of Western Australian specific literature prompted the inclusion of Australia-wide articles. Articles were screened via author consensus, with eight selected. Results Western Australia and nation-wide data on early childhood caries are limited and mostly dated. WA data from children aged 2–3 years, collected in 2006, suggests the prevalence is 2.9% in this state, with national data of children from 0 to 3 years, collected from 2006 and 2008, suggesting an early childhood caries prevalence of 3.4–8% of children aged 18 months, rising sharply by 36 months of age. Nationally, fewer than half the primary caregivers reported following evidence-based oral health recommendations for their young children. Perceptions of the role of dental services for young children tends to be focussed on treatment, rather than surveillance and prevention. Knowledge of dietary and oral hygiene practices is inconsistent and awareness of the Child Dental Benefit Schedule low. Young children’s oral health status is clearly associated with socioecological factors, including socioeconomic status. Conclusions Recent early childhood caries data and evidence of primary care-givers’ oral health knowledge and behaviours are unavailable in Western Australia, a similar situation exists nationwide. To realise the Western Australian and National Oral Health Plans, research is required to address this knowledge gap.

Oral Health Knowledge of Pregnant Women on Pregnancy Gingivitis and Children's Oral Health

2015 ◽  
Vol 39 (2) ◽  
pp. 105-108 ◽  
Author(s):  
C Zhong ◽  
KN Ma ◽  
YS Wong ◽  
Y So ◽  
PC Lee ◽  
...  
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Pregnant Women ◽  
Early Childhood Caries ◽  
Health Knowledge ◽  
Oral Health Care ◽  
Oral Disease ◽  
Children’S Oral Health ◽  
Childhood Caries

Objective: Pregnancy gingivitis and early childhood caries remain prevalent in Hong Kong. The aim of this study was to assess pregnant women's knowledge and beliefs related to pregnancy gingivitis and children's oral health. Study design: An outreach survey was carried out in a clinic that provided antenatal examination. A written oral health questionnaire related to pregnancy gingivitis and early childhood caries was administered to pregnant women. Of the 106 pregnant women who enrolled in the study, 100 completed the questionnaires. Results: Among the 100 subjects, only 39% correctly identified that hormonal changes contribute to pregnancy gingivitis. Only 36% identified red and swollen gums as signs of gingivitis. Furthermore, 53% of the surveyed pregnant women were not sure about the amount of toothpaste to administer to a child aged 18 months to 5 years. Almost 50% assumed that a replanted avulsed tooth would probably not survive within a short extra-alveolar period of less than 60 minutes. Conclusion: Prenatal women generally lack knowledge of a common oral disease that occurs during pregnancy and of what constitutes adequate oral health care for children. Oral health care education should be implemented as part of a prenatal care program.

Evaluation of Levels of Nitric Oxide in Saliva of Children with Rampant Caries and Early Childhood Caries : A Comparative Study

2008 ◽  
Vol 32 (4) ◽  
pp. 283-286 ◽  
Author(s):  
Amitha Hegde ◽  
Varun Neekhra ◽  
Suchetha Shetty
Keyword(s):  
Nitric Oxide ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
Age Groups ◽  
Study Groups ◽  
Salivary Flow ◽  
Oral Health Status ◽  
And Control ◽  
Rampant Caries ◽  
Childhood Caries

It is considered that caries incidence might be low in subjects with high salivary Nitric Oxide (NO) levels. Thus the objective of the present study was to determine the levels of nitric oxide in saliva of children with Rampant Caries (RC) and Early Childhood Caries (ECC). A total of 120 children were divided into 4 groups of 30 each belonging to two age groups of 6-12 yrs and 71 months or less respectively. Children between the age of 6-12 yrs were either with RC or their control and children between the age of 71months or less were either with ECC or their control respectively. The study and control subjects were divided equally. Oral health status was recorded followed by unstimulated salivary flow rate estimation. Estimation of salivary nitric oxide was measured by the concentration of its stable metabolite nitrite using Classical Griess Reaction. The mean nitrite levels of both the control groups were much higher when compared with the study groups, which was statistically very highly significant.

scholarly journals Dental Health Evaluation of Children in Kosovo

2011 ◽  
Vol 05 (01) ◽  
pp. 032-039 ◽  
Author(s):  
Agim Begzati ◽  
Kastriot Meqa ◽  
David Siegenthaler ◽  
Merita Berisha ◽  
Walter Mautsch
Keyword(s):  
Early Childhood ◽  
Preschool Children ◽  
Oral Health ◽  
School Children ◽  
Early Childhood Caries ◽  
Dental Health ◽  
Oral Health Status ◽  
Caries Prevalence ◽  
The Mean ◽  
Childhood Caries

ABSTRACTObjectives: The aim of this study was to assess caries prevalence of preschool and school children in Kosovo. Methods: The assessment, which was carried out between 2002 and 2005, included measurements of early childhood caries, deft and DMFT. Results: In total, 1,237 preschool and 2,556 school children were examined. The mean deft of preschool children was 5.9, and the mean DMFT of school children aged 12 was 5.8. The caries prevalence for 2- to 6-year-old preschool children was 91.2%, and the prevalence for 7- to 14-yearold school children was 94.4%. The prevalence of early childhood caries was 17.6%, with a mean deft of 10.6. Conclusions: All data assessed showed the very poor oral health status of children in Kosovo. Interviews with children and teachers indicated poor knowledge regarding oral health. Significant measures must be taken to improve this situation. (Eur J Dent 2011;5:32-39)

scholarly journals The prevalence and risk factors of Early Childhood Caries among 3-year-old children in Wenzhou

2019 ◽  
Author(s):  
Liqin Mei ◽  
Zhiyuan Wei ◽  
Qiao Li ◽  
Xiping Wang
Keyword(s):  
Risk Factors ◽  
Early Childhood ◽  
Logistic Regression ◽  
Oral Health ◽  
Dental Caries ◽  
Early Childhood Caries ◽  
Health Knowledge ◽  
Knowledge Level ◽  
Oral Health Knowledge ◽  
The Mean

Abstract Background: This study aimed to investigate the prevalence and risk factors of Early Childhood Caries (ECC) among 3-year-old children in Wenzhou China. Methods: Preschool children aged 3 were recruited using a stratified cluster sampling method. Dental examinations were carried out by one trained dentist, and oral health-related data were collected. Examinations were surface-specific for dental caries, following World Health Organization (WHO) criteria. Bivariate tests and logistic regression models were used to investigate the risk factors of dental caries. Results: A total of 693 children were recruited for the study, and 445 completed the dental examination. Among the 445 children, the prevalence of ECC was 59.8%. The mean decayed, missing, and filled primary teeth (dmft) was 2.9, and of the total dmft, only 6.3% were filled. The mean decayed, missing, and filled primary surface (dmfs) was 4.9. Logistic regression analyses identified age and parents’ oral health knowledge level were associated with the experience of ECC (P<0.05). Conclusions: A higher prevalence of ECC was observed and most of the carious teeth were not restored. The experience of ECC was related to age and parents’ oral health knowledge level.

scholarly journals Oral Health Status of 3- to 5 -Year-old Children Attending Early Childhood Care and Development Centers in Bhutan: A Pilot Study

2020 ◽  
Vol 6 (2) ◽  
pp. 19-26
Author(s):  
Dorji Phurpa ◽  
Sonam Ngedup ◽  
Deki Pem ◽  
Mary Alice Lee
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Dental Care ◽  
Early Childhood Caries ◽  
Oral Health Status ◽  
Caries Experience ◽  
Modifiable Risk Factors ◽  
Early Childhood Care ◽  
Childhood Care ◽  
Childhood Caries

Introduction: Early Childhood Caries (ECC) is a common childhood dental disease worldwide. To date, dental disease prevalence in children in Bhutan is unknown. Objectives: This study was conducted to estimate the prevalence of early childhood caries and its modifiable risk factors. Methods: We conducted a cross-sectional survey in 3-5-years old children attending Early Childhood Care and Development Centers in Bhutan. Mouth examination recorded teeth with decay (d), missing due to decay (m) and filled (f), to calculate caries experience (mean dmft and standard deviation=SD). Parents and caregivers were interviewed about their children’s oral health status, oral hygiene practices and diets among others. The prevalence of modifiable risk factors for disease was described based on parental responses. The association between decay and selected sociodemographic characteristics and oral health variables were investigated with bivariate analyses (X2). Results: Overall, 80.5% children had caries experience with mean dmft + or - SD (4.9 + 4.2). In fact, 79.9% had untreated decay. Only few had fillings as an evidence for availing dental care with mean filled 0.2 (SD=0.7). The percentage of decay increased significantly as maternal education increased and with low socioeconomic status (p=0.02). Conclusions: Early Childhood Caries are highly prevalent in Bhutan. Very few young children sought dental care. We recommend engaging relevant stakeholders in efforts to promote dental care and educate parents to use fluoridated toothpastes.

Promotion of Oral Health Care in Infants - A Preventive Strategy to Reduce the Burden of Early Childhood Caries

2020 ◽  
Vol 4 (5) ◽  
pp. 18-22
Author(s):  
Subhathira Rajasekaran ◽  
Sham S Bhat ◽  
Vidya Bhat ◽  
Sundeep Hegde K ◽  
Neha Thilak ◽  
...  
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Oral Health Care ◽  
Preventive Strategy ◽  
Childhood Caries
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