Literature DB >> 22320061

Why has oral health promotion and prevention failed children requiring general anaesthesia for dental extractions?

A J Karki1, D R Thomas, I G Chestnutt.   

Abstract

OBJECTIVES: Many children in the UK still require dental treatment under general anaesthesia (DGA). Why oral health promotion and prevention, in this cohort of children, has failed is poorly understood. By questioning the parents/carers of children undergoing DGA this study aimed to establish: 1 previous exposure to oral health education and promotion activities; 2 beliefs and behaviours about dental caries and prevention; and 3 what parents perceive useful in preventing dental caries. BASIC RESEARCH
DESIGN: A cross-sectional questionnaire based study. CLINICAL
SETTING: Dental general anaesthetic centres in Wales, UK. PARTICIPANTS: 207 consecutively attending parents of children aged < 10 years requiring a DGA.
RESULTS: In total, 150 (76%) parents/carers claimed to have received previous oral health advice and 103 (52%) had received toothbrushing instruction from a dentist. Only 18 (9%) reported the application of topical fluoride. Sixty seven (34%) believed "tooth decay runs in families" and 53 (27%) it was simply bad luck that their child had dental decay. The majority (89%) believed that information leaflets on oral health would be useful and 133 (67%) would find information on a website helpful.
CONCLUSIONS: This study suggests that there is a significant scope for increasing the exposure of high risk children to fluoride. A sense of fatalism and erroneous beliefs were evident amongst some parents/carers of children needing DGA. These issues need to be addressed in the future design of oral health promotion/prevention activities.

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Year:  2011        PMID: 22320061

Source DB:  PubMed          Journal:  Community Dent Health        ISSN: 0265-539X            Impact factor:   1.349


  7 in total

1.  Oral health-related quality-of-life scores differ by socioeconomic status and caries experience.

Authors:  Benjamin W Chaffee; Priscila Humbert Rodrigues; Paulo Floriani Kramer; Márcia Regina Vítolo; Carlos Alberto Feldens
Journal:  Community Dent Oral Epidemiol       Date:  2017-01-12       Impact factor: 3.383

2.  Characteristics of children undergoing dental extractions under general anaesthesia in Wolverhampton: 2007-2012.

Authors:  A Raja; A Daly; R Harper; N Senghore; D White; V Ravaghi
Journal:  Br Dent J       Date:  2016-04-22       Impact factor: 1.626

3.  The influence of general health on the need for dental general anaesthesia in children.

Authors:  P Rajavaara; S Rankinen; M-L Laitala; H Vähänikkilä; H Yli-Urpo; S Koskinen; V Anttonen
Journal:  Eur Arch Paediatr Dent       Date:  2017-03-25

4.  Self-reported causes for referral to dental treatment under general anaesthesia (DGA): a cross-sectional survey.

Authors:  H Taskinen; T Kankaala; P Rajavaara; P Pesonen; M-L Laitala; V Anttonen
Journal:  Eur Arch Paediatr Dent       Date:  2013-08-06

5.  An oral health education video game for high caries risk children: study protocol for a randomized controlled trial.

Authors:  Ahmad Aljafari; Colm Rice; Jennifer Elizabeth Gallagher; Marie Therese Hosey
Journal:  Trials       Date:  2015-05-28       Impact factor: 2.279

6.  The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children.

Authors:  Romana Koberova Ivancakova; Jakub Suchanek; Flora Kovacsova; Eva Cermakova; Vlasta Merglova
Journal:  Int J Environ Res Public Health       Date:  2019-07-15       Impact factor: 3.390

7.  Childhood caries and hospital admissions in England: a reflection on preventive strategies.

Authors:  Ronnie S Levine
Journal:  Br Dent J       Date:  2021-05-14       Impact factor: 2.727

  7 in total

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