An Assessment of Pediatric Primary Care Providers’ and Parents’ Dental Health Knowledge and Practices

Published:October 26, 2022DOI:


      One in five children aged < 5 years has experienced caries, making it the most prevalent chronic disease in childhood. The failure to address a child's dental health can lead to short-term and long-term complications and problems with permanent dentition. Primary care pediatric providers are in the position to participate in the prevention of caries because of the frequency they see young children before establishing a dental home.


      A retrospective chart review and two surveys were developed to collect data from health care providers and parents of children aged < 6 years about their dental health knowledge and practices.


      While providers report being comfortable discussing dental health with patients, review of medical records shows inconsistent discussion and documentation of dental health.


      There appears to be a lack of education regarding dental health among parents and health care providers. Primary care providers are not effectively communicating the importance of childhood dental health and are not routinely documenting dental health information.


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        • Anil S.
        • Anand P.S.
        Early childhood caries: Prevalence, risk factors, and prevention.
        Frontiers in Pediatrics. 2017; 5: 157
        • Atchison K.A.
        • Weintraub J.A.
        Integrating oral health and primary care in the changing health care landscape.
        North Carolina medical journal. 2017; 78: 406-409
        • Atchison K.V.
        • Weintraub J.A.
        • Rozier R.G.
        Bridging the dental-medical divide: Case studies integrating oral health care and primary health care.
        The Journal of the American Dental Association. 2018; 149: 850-858
        • Chung M.H.
        • Kaste L.M.
        • Koerber A.
        • Fadavi S.
        • Punwani I.
        Dental and medical students' knowledge and opinions of infant oral health.
        Journal of dental education. 2006; 70: 511-517
        • Clark M.B.
        • Slayton R.L.
        • Section on Oral Health
        Fluoride use in caries prevention in the primary care setting.
        Pediatrics. 2014; 134: 626-633
        • Dahlberg D.
        • Hiott D.B.
        • Wilson C.C.
        Implementing pediatric fluoride varnish application in a rural primary care medical office: A feasibility study.
        Journal of Pediatric Health Care. 2019; 33: 702-710
        • Dickson-Swift V.
        • Kenny A.
        • Gussy M.
        • McCarthy C.
        • Bracksley-O'Grady S.
        The knowledge and practice of pediatricians in children's oral health: A scoping review.
        BMC Oral Health. 2020; 20: 1-10
        • Douglass A.B.
        • Douglass J.M.
        • Krol D.M.
        Educating pediatricians and family physicians in children's oral health.
        Academic Pediatrics. 2009; 9: 452-456
        • Folayan M.O.
        • Tantawi M.E.
        • Virtanen J.I.
        • Feldens C.A.
        • Rashwan M.
        • Kemoli A.M.
        • Villena R.
        • Al-Batayneh O.B.
        • Amalia R.
        • Gaffar B.
        • Mohebbi S.Z.
        • Arheiam A.
        • Daryanavard H.
        • Vukovic A.
        • Schroth R.J.
        • Early Childhood Caries Advocacy Group
        An ecological study on the association between universal health service coverage index, health expenditures, and early childhood caries.
        BMC Oral Health. 2021; 21: 126
        • Gill S.A.
        • Steiner B.
        Oral health integration: A call to action.
        Family Medicine. 2018; 50: 637-639
        • Katsagani I.
        • Zagkos N.
        • Sinopidis X.
        • Dimitriou G.
        • Karatza A.A.
        • Gkentzi D.
        Knowledge of Primary Care Paediatricians on Children's Oral Health Care.
        Journal of Paediatrics and Child Health. 2022; 58: 737
        • Laniado N.
        • Cloidt M.
        • Altonen B.
        • Badner V.
        Interprofessional oral health collaboration: A survey of knowledge and practice behaviors of hospital-based primary care medical providers in New York City.
        Advances in Medical Education and Practice. 2021; 12: 1211-1218
        • Leong P.M.
        • Gussy M.G.
        • Barrow S.Y.
        • de Silva-Sanigorski A.
        • Waters E.
        A systematic review of risk factors during first year of life for early childhood caries.
        International Journal of Paediatric Dentistry. 2013; 23: 235-250
        • Mariam S.
        • Ahmed Liyakat N.
        • Kanamkote Narayanan V.
        • Kalyanasundaram S.
        • Krishnamurthy K.
        Early childhood caries-Essential information for primary healthcare providers.
        Oral Health and Dental Studies. 2021; 2: 4
        • Maybury C.
        • Horowitz A.M.
        • La Touche-Howard S.
        • Child W.
        • Battanni K.
        • Qi Wang M.
        Oral health literacy and dental care among low-income pregnant women.
        American Journal of Health Behavior. 2019; 43: 556-568
        • Mertz E.A.
        The dental–medical divide.
        Health Affairs. 2016; 35: 2168-2175
        • Norwood K.W.
        • Slayton R.L.
        • Council on Children With Disabilities., & Section on Oral Health
        Oral health care for children with developmental disabilities.
        Pediatrics. 2013; 131: 614-619
        • Richman J.A.
        • Huebner C.E.
        • Leggott P.J.
        • Mouradian W.E.
        • Mancl L.A.
        Beyond word recognition: understanding pediatric oral health literacy.
        Pediatric dentistry. 2011; 33: 420-425
        • Section On Oral Health
        Maintaining and improving the oral health of young children.
        Pediatrics. 2014; 134: 1224-1229
        • Silk H.
        • Savageau J.A.
        • Sullivan K.
        • Sawosik G.
        • Wang M.
        An update of oral health curricula in US family medicine residency programs.
        Family Medicine. 2018; 50: 437-443
        • Sohn W.
        • Ismail A.
        • Amaya A.
        • Lepkowski J.
        Determinants of dental care visits among low-income African-American children.
        Journal of the American Dental Association. 2007; 138: 309-318
        • Uribe S.E.
        • Innes N.
        • Maldupa I.
        The global prevalence of early childhood caries: A systematic review with meta-analysis using the WHO diagnostic criteria.
        International Journal of Paediatric Dentistry. 2021; 31: 817-830
        • Zaror C.
        • Matamala-Santander A.
        • Ferrer M.
        • Rivera-Mendoza F.
        • Espinoza-Espinoza G.
        • Martínez-Zapata M.J.
        Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis.
        International Journal of Dental Hygiene. 2022; 20: 120-135