Impact of Pediatric Dentistry Residents Posted in Pediatrics Department: A Retrospective Assessment of 6 Years
Anusha Mohan, MS Muthu, Padmanabhan Ramachandran, Padmasani V Ramanan, Selvakumaar Haridoss, Kavitha Swaminathan, Subbalekshmi Natesh
Children, Early childhood caries, Pediatrician, Prevention, Tooth decay
Citation Information :
Mohan A, Muthu M, Ramachandran P, Ramanan PV, Haridoss S, Swaminathan K, Natesh S. Impact of Pediatric Dentistry Residents Posted in Pediatrics Department: A Retrospective Assessment of 6 Years. Int J Clin Pediatr Dent 2021; 14 (1):84-87.
Aim: To measure the influence of rotatory pediatrics postings for dental residents on the outpatient census of the pediatric dentistry department. The secondary aims were to assess the change in trend toward the number of preschool children visiting the department before and after the initiation of pediatrics posting and also to find the percentage of children affected with caries among children visiting the pediatricians.
Materials and methods: Retrospectively, the census of the pediatric dentistry department was calculated from 2010 to 2016. The number of preschool children who visited the pediatric dentistry department during this period was determined. From the pediatrics posting records, the dental status of the children, the number screened, the number referred, and the number reported to dentistry following referral were tabulated. Descriptive statistics and Chi-square tests were performed.
Results: After the initiation of pediatrics postings for residents, the outpatient census has increased by 26%. There was a significant increase in the number of preschool children visiting the pediatric dentist. About 57.09% of children screened in the pediatrics department had dental disease.
Conclusion: There is an increase in the patient flow of the pediatric dentistry department with a greater number of preschool children visiting the pediatric dentist after initiation of the pediatrics postings for residents. More than half the children visiting pediatricians had dental disease requiring professional care.
Clinical significance: Pediatrics postings for residents can be used in teaching centers as an opportunity to spread awareness and increase the number of preschool children visiting pediatric dentists, thereby increasing prevention and early intervention of early childhood caries.
Subramaniam P, Babu KLG, Babu PS, et al. Oral health care of children: gynecologists and pediatricians’ perspective. J Clin Pediatr Dent 2008;32(3):253–258. DOI: 10.17796/jcpd.32.3.8543017407g46h53.
Chung MH, Kaste LM, Koerber A, et al. Dental and medical students’ knowledge and opinions of infant oral health. J Dent Educ 2006;70(5):511–517. DOI: 10.1002/j.0022-0337.2006.70.5.tb04105.x.
Camargo MBJ, Barros AJD, Frazão P, et al. Predictors of dental visits for routine check-ups and for the resolution of problems among preschool children. Rev Saude Publica 2012;46(1):87–97. DOI: 10.1590/s0034-89102012005000004.
Zink AG, Molina EC, Diniz MB, et al. Communication application for use during the first dental visit for children and adolescents with autism spectrum disorders. Pediatr Dent 2018;40(1):18–22.
Divaris K, Vann WF, Baker AD, et al. Examining the accuracy of caregivers’ assessments of young children's oral health status. J Am Dent Assoc 2012;143(11):1237–1247. DOI: 10.14219/jada.archive.2012.0071.
Bhaskar V, McGraw KA, Divaris K. The importance of preventive dental visits from a young age: systematic review and current perspectives. Clin Cosmet Investig Dent 2014;6:21–27. DOI: 10.2147/CCIDE. S41499.
Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century—the approach of the WHO global oral health programme. Community Dent Oral Epidemiol 2003;3(1):3–23. DOI: 10.1046/j.2003.com122.x.
Edelstein BL. The dental caries pandemic and disparities problem. BMC Oral Health 2006;6(1):S2. DOI: 10.1186/1472-6831-6-S1-S2.
Mouradian WE, Wehr E, Crall JJ. Disparities in children's oral health and access to dental care. JAMA 2000;284(20):2625–2631. DOI: 10.1001/jama.284.20.2625.
Lewis CW, Johnston BD, Linsenmeyar KA, et al. Preventive dental care for children in the United States: a national perspective. Pediatrics 2007;119(3):e544–e553. DOI: 10.1542/peds.2006-1958.
Pierce KM, Rozier RG, Vann WF. Accuracy of pediatric primary care providers’ screening and referral for early childhood caries. Pediatrics 2002;109(5):E82–E82. DOI: 10.1542/peds.109.5.e82.
Lewis CW, Grossman DC, Domoto PK, et al. The role of the pediatrician in the oral health of children: a national survey. Pediatrics 2000;106(6):E84. DOI: 10.1542/peds.106.6.e84.
Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes 2011;35(7):891–898. DOI: 10.1038/ijo.2010.222.
Mobley C, Marshall TA, Milgrom P, et al. The contribution of dietary factors to dental caries and disparities in caries. Acad Pediatr 2009;9(6):410–414. DOI: 10.1016/j.acap.2009.09.008.
Edelstein BL, Manski RJ, Moeller JF. Pediatric dental visits during 1996: an analysis of the federal medical expenditure panel survey. Pediatr Dent 2000;22(1):17–20.
Slayton RL, Warren JJ, Levy SM, et al. Frequency of reported dental visits and professional fluoride applications in a cohort of children followed from birth to age 3 years. Pediatr Dent 2002;24(1):64–68.
McLoyd VC, Jayaratne TE, Ceballo R, et al. Unemployment and work interruption among African American single mothers: effects on parenting and adolescent socioemotional functioning. Child Dev 1994;65(2):562–589. DOI: 10.2307/1131402.
Van Allen MI, Fraser FC, Dallaire L, et al. Recommendations on the use of folic acid supplementation to prevent the recurrence of neural tube defects. Clinical Teratology Committee, Canadian College of Medical Geneticists. CMAJ 1993;149(9):1239–1243.
Pham CT, Karnon JD, Middleton PF, et al. Randomised clinical trials in perinatal health care: a cost-effective investment. Med J Aust 2017;207(7):289–293. DOI: 10.5694/mja16.01178.
Svefors P, Selling KE, Shaheen R, et al. Cost-effectiveness of prenatal food and micronutrient interventions on under-five mortality and stunting: analysis of data from the MINIMat randomized trial, Bangladesh. PLoS ONE 2018;13(2):e0191260. DOI: 10.1371/journal.pone.0191260.
Malcheff S, Pink TC, Sohn W, et al. Infant oral health examinations: pediatric dentists’ professional behavior and attitudes. Pediatr Dent 2009;31(3):202–209. DOI: 10.1308/135576109789389388.
Seale NS, Casamassimo PS. Access to dental care for children in the United States: a survey of general practitioners. J Am Dent Assoc 2003;134(12):1630–1640. DOI: 10.14219/jada.archive.2003.0110.
Hale KJ. American Academy of Pediatrics Section on pediatric dentistry. Oral health risk assessment timing and establishment of the dental home. Pediatrics 2003;111(5):1113–1116. DOI: 10.1542/peds.111.5.1113.