Factors associated with parental awareness of dental caries in preschool children in Shiraz, Iran, in 2014

Soheila Shaghaghian, Maryam Zeraatkar, Aira Sabokseir, Maryam Amin

Abstract


BACKGROUND AND AIM: Parents have an important role in making decisions about their children's oral health problems and their awareness of children’s oral health status may affect their care-seeking behaviors. The aims of this study were to determine parental awareness about the presence and absence of dental caries in preschool children and factors associated with their awareness.

METHODS: The participants of this cross-sectional study were 3 to 6-year-old children and their parents who were recruited from 10 randomly selected kindergartens in Shiraz, Iran. Normative and perceived caries status of the children was assessed through a dental examination and parental assessment, respectively. Parents' awareness was determined by comparing their perception of presence and absence of caries (perceived status) and the actual caries status of their child (normative status). Factors associated with parental awareness were determined using univariate and multiple logistic regression analyses.

RESULTS: Among the 396 parents, who completed the questionnaire, 56% were aware of presence and 76% were aware of absence of caries. Awareness of presence was associated with children’s previous dental visit (P < 0.001) and experience of caries (P = 0.007). Parents who considered their child’s teeth unclean (P = 0.005) and their overall oral health status not good (P < 0.001) were more likely to be aware of presence of caries. Parents who perceived their child’s teeth clean (P = 0.030) and overall oral health status good (P < 0.001) were more likely to be aware of absence of caries.

CONCLUSION: Many parents were not aware of the presence of dental caries, which may result in them deferring the seeking of care for their children. Having a dental visit increased parental awareness. Regular dental visits, therefore, should be promoted for young children for early detection of dental caries and to enhance parental awareness of children’s oral health condition.


Keywords


Parents; Awareness; Dental Caries; Children

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References


Colak H, Dulgergil CT, Dalli M, Hamidi MM. Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med 2013; 4(1): 29-38.

Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006; 201(10): 625-6.

Berkowitz RJ. Causes, treatment and prevention of early childhood caries: A microbiologic perspective. J Can Dent Assoc 2003; 69(5): 304-7.

Bayat-Movahed S, Samadzadeh H, Ziyarati L, Memary N, Khosravi R, Sadr-Eshkevari PS. Oral health of Iranian children in 2004: A national pathfinder survey of dental caries and treatment needs. East Mediterr Health J 2011; 17(3): 243-9.

Mohebbi SZ, Virtanen JI, Vahid-Golpayegani M, Vehkalahti MM. Early childhood caries and dental plaque among 1-3-year-olds in Tehran, Iran. J Indian Soc Pedod Prev Dent 2006; 24(4): 177-81.

Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: A systematic review of the literature. Community Dent Health 2004; 21(1 Suppl): 71-85.

Duijster D, de Jong-Lenters M, de RuiterC, Thijssen J, van Loveren C, Verrips E. Parental and family-related influences on dental caries in children of Dutch, Moroccan and Turkish origin. Community Dent Oral Epidemiol 2015; 43(2): 152-62.

Ramos-Jorge ML, Ramos-Jorge J, Mota-Veloso I, Oliva KJ, Zarzar PM, Marques LS. Parents' recognition of dental trauma in their children. Dent Traumatol 2013; 29(4): 266-71.

Amin MS, Perez A, Nyachhyon P. Parental awareness and dental attendance of children among African immigrants. J Immigr Minor Health 2015; 17(1): 132-8.

Goodman HS, Macek MD, Wagner ML, Manz MC, Marrazzo ID. Self-reported awareness of unrestored dental caries. Survey of the Oral Health Status of Maryland Schoolchildren, 2000--2001. Pediatr Dent 2004; 26(4): 369-75.

Statistical Center of Iran. Selected Findings of the 2011 National Population and Housing Census [Online]. [cited 2011]; Available from: URL: https://www.amar.org.ir/Portals/1/Iran/census-2.pdf

World Health Organization. Oral health surveys: Basic methods. Geneva, Switzerland: WHO; 2013.

Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc 1964; 68: 7-13.

Sowole A, Sote E, Folayan M. Dental caries pattern and predisposing oral hygiene related factors in Nigerian preschool children. Eur Arch Paediatr Dent 2007; 8(4): 206-10.

de Almeida CM, Petersen PE, Andre SJ, Toscano A. Changing oral health status of 6- and 12-year-old schoolchildren in Portugal. Community Dent Health 2003; 20(4): 211-6.

Amin M, Perez A. Is the wait-for-patient-to-come approach suitable for African newcomers to Alberta, Canada? Community Dent Oral Epidemiol 2012; 40(6): 523-31.

Beal JF, Dickson S. Parental awareness of the dental needs of 5-year-old children in the West Midlands, England. Community Dent Oral Epidemiol 1974; 2(3): 91-4.

Vargas CM, Monajemy N, Khurana P, Tinanoff N. Oral health status of preschool children attending Head Start in Maryland, 2000. Pediatr Dent 2002; 24(3): 257-63.

Wyne A., Al-Rowily F, Shehri B. Oral health knowledge, attitude and practices by parents of the children attending KSUCD clinics. Pakistan Oral Dental J 2004; 24: 145-8.

Petersen PE, Esheng Z. Dental caries and oral health behaviour situation of children, mothers and schoolteachers in Wuhan, People's Republic of China. Int Dent J 1998; 48(3): 210-6.

Skrivele S, Care R, Berzina S, Kneist S, de Moura-Sieber V, de MR, et al. Caries and its risk factors in young children in five different countries. Stomatologija 2013; 15(2): 39-46.

Vanagas G, Milasauskiene Z, Grabauskas V, Mickeviciene A. Associations between parental skills and their attitudes toward importance to develop good oral hygiene skills in their children. Medicina (Kaunas) 2009; 45(9): 718-23.

Mandal M, Edelstein BL, Ma S, Minkovitz CS. Changes in children's oral health status and receipt of preventive dental visits, United States, 2003-2011/2012. Tex Dent J 2015; 132(12): 976-85.

Talekar BS, Rozier RG, Slade GD, Ennett ST. Parental perceptions of their preschool-aged children's oral health. J Am Dent Assoc 2005; 136(3): 364-72.

Sohn W, Taichman LS, Ismail AI, Reisine S. Caregiver's perception of child's oral health status among low-income African Americans. Pediatr Dent 2008; 30(6): 480-7.

Gatou T, Koletsi Kounari H, Mamai-Homata E. Dental caries prevalence and treatment needs of 5- to 12-year-old children in relation to area-based income and immigrant background in Greece. Int Dent J 2011; 61(3): 144-51.

Millar WJ, Locker D. Dental insurance and use of dental services. Health Rep 1999; 11(1): 55-67.

Birch S, Anderson R. Financing and delivering oral health care: What can we learn from other countries? J Can Dent Assoc 2005; 71(4): 243, 243a-243, 243d.

Parisotto TM, Steiner-Oliveira C, De Souza-E-Silva CM, Peres RC, Rodrigues LK, Nobre-Dos-Santos M. Assessment of cavitated and active non-cavitated caries lesions in 3- to 4-year-old preschool children: a field study. Int J Paediatr Dent 2012; 22(2): 92-9.

Saied-Moallemi Z, Virtanen JI, Ghofranipour F, Murtomaa H. Influence of mothers' oral health knowledge and attitudes on their children's dental health. Eur Arch Paediatr Dent 2008; 9(2): 79-83.

Al Agili DE, Bronstein JM, Greene-McIntyre M. Access and utilization of dental services by Alabama Medicaid-enrolled children: A parent perspective. Pediatr Dent 2005; 27(5): 414-21.


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