Pediatricians have an important role in early identification and prevention of oral health, but they reported lack of knowledge in this field.
Aim: the aim of the study is to evaluate the knowledge and attitudes of Lebanese pediatricians regarding children's oral health.
Materials and methods: A cross sectional study including 100 Lebanese pediatricians was performed. They answered 21 questions. Three variables were taken into consideration: The number of years in practice, the place and type of practice.
Results: 73.6% of pediatricians with more than 5 years in practice, 63.5% of pediatricians with an exclusive private practice and 74.7% of pediatricians working in cities/big villages believe that a child is able to brush properly his teeth before the age of 5 years. Only 27.6% of pediatricians with more than 5 years in practice, or working in cities/big villages and 12.7% of those having an exclusive private practice admit that white and black spots are signs of affected teeth.
Discussion: Majority of our pediatricians reported that bottle feeding is associated with early childhood caries. They do not believe that the maternal milk can harm the baby's teeth. Concerning the transmission from mother to child of the bacteria responsible for dental caries, the reported percentages were not statistically different in relation to pediatricians' years of experience, type and place of practice.
Pediatricians who are academically affiliated were more likely to report that fluoride is safe compared to those practicing in the private sector (P = 0,012). The majority believe that there is a relation between systematic manifestation such as fever and eruption of primary teeth.
Conclusion: The Lebanese pediatricians have an acceptable level of knowledge in children's oral health, but should be better informed and motivated toward dental and oral issues.
Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O'Connor KG, Quinonez RB. Oral health and pediatricians: results of a national survey. Acad Pediatr 2009 Nov;9(6): 457-461.
Silk H. Making oral health a priority in your preventive pediatric visits. Clin Pediatr 2010 Feb;49(2):103-109.
Sandalli N, Kuvvetli SS, Cildir SK, Ergeneli S. The pediatricians' role in the oral health of children. OHDMBSC 2007 Dec;VI(4):18-27.
Soares IMV, da Silva AMRB, Moura LdFAd, Lima, MdDMd, Nétto S, Moura MSd. Conduct of pediatricians in relation to the oral health of children. Rev Odontol UNESP 2013 Jul- Aug;42(4):266-272.
Balaban R, Aguiar CM, Da Silva Araújo AC, Dias Filho EBR. Knowledge of paediatricians regarding child oral health. Int J Paediatr Dent 2012 Jul;22(4):286-291.
Bhat PK, Aruna C, Badiyani BK, Alle R. Knowledge and attitude on infant oral health among graduating medical students in Bangalore City, India. JIMSA 2014 Jan-Mar;27(1):13-14.
Nammalwar RB, Rangeeth P. Knowledge and attitude of pediatricians and family physicians in Chennai on pediatric dentistry: a survey. Dent Res J 2012 Sep-Oct;9(5):561-566.
Probst J, Moore C, Baxley E, Lammie J. Rural-urban differences in visits to primary care physicians. Fam Med 2002 Sep;34(8):609-615.
American Academy of Pediatricians. Updates Schedule of Screening and Assessment for well-child visit. March 2014.
Cochrane N, Cai F, Huq N, Burrow M, Reynolds E. New approaches to enhanced remineralization of tooth enamel. J Dent Res 2010 Nov;89(11):1187-1197.
Prakash P, Lawrence HP, Harvey BJ, McIsaac WJ, Limeback H, Leake JL. Early childhood caries and infant oral health: paediatricians' and family physicians' knowledge, practices and training. Paediatr Child Health 2006 Mar;11(3):151.
Sánchez OM, Childers NK, Fox L, Bradley E. Physicians' views on pediatric preventive dental care. Pediatr Dent 1997 Sep-Oct;19(6):377.
Paglia L. Does breastfeeding increase risk of early childhood caries? Eur J Paediatr Dent 2015 Sep;16(3):173-173.
Bowen WH, Lawrence RA. Comparison of the cariogenicity of cola, honey, cow milk, human milk, and sucrose. Pediatrics 2005 Oct;116(4):921-926.
Marrs J, Trumbley S, Malik G. Early childhood caries: determining the risk factors and assessing the prevention strategies for nursing intervention. Pediatr Nurs 2011 Jan-Feb;37(1):9.
Bastos V, Freitas-Fernandes L, Fidalgo T, Martins C, Mattos C, de Souza I, Mala LC. Mother-to-child transmission of Streptococcus mutans: a systematic review and meta-analysis. J Dent 2015 Feb;43(2):181-191.
American Academy of Pediatric Dentistry. Guideline on Infant Oral Health Care. 2014;37(6):15-16. Available from: http:// www.aapd.org/media/policies_guidelines/g_infantoralhealthcare. pdf.
Azarpazhooh A, Main P. Pit and fissure sealants in the prevention of dental caries in children and adolescents: a systematic review. J Can Dent Assoc 2008 Mar;74(2):171-171.
Ahovuo-Saloranta A, Forss H, Hiiri A, Nordblad A, Mäkelä M. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev 2016 Jan;18(1):CD003067.
Jagan P, Fareed N, Battur H, Khanagar S, Bhat M, Basapathy R. Effectiveness of sodium fluoride mouthrinses on the prevention of dental caries: a systematic review. J Indian Assoc Public Health Dent 2015 Jun;13(2):110-115.
Takeshita E, Danelon M, Castro L, Sassaki K, Delbem A. Effectiveness of a toothpaste with low fluoride content combined with trimetaphosphate on dental biofilm and enamel demineralization in situ. Caries Res 2015 Aug;49(4): 394-400.
Shapira J, Berenstein-Ajzman G, Engelhard D, Cahan S, Kalickman I, Barak V. Cytokine levels in gingival crevicular fluid of erupting primary teeth correlated with systemic disturbances accompanying teething. Pediatr Dent 2003 Sep- Oct;25(5):441-448.
Ramos-Jorge J, Pordeus I, Ramos-Jorge M, Paiva S, Isabela A. Prospective longitudinal study of signs and symptoms associated with primary tooth eruption. Pediatrics 2011 Sep;128(3):471-476.
Memarpour M, Soltanimehr E, Eskandarian T. Signs and symptoms associated with primary tooth eruption: a clinical trial of nonpharmacological remedies. BMC Oral Health 2015 Jul;15:88.