Carlos Alberto Feldens1, Mixianni Justo Fortuna2, Paulo Floriani Kramer1, Thiago Machado Ardenghi3, Márcia Regina Vítolo4, Benjamin W Chaffee5. 1. Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil. 2. Post-Graduate Program in Dentistry, Universidade Luterana do Brasil, Canoas, Brazil. 3. Department of Stomatology, Universidade Federal de Santa Maria, Santa Maria, Brazil. 4. Department of Nutrition, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil. 5. Department of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, California.
Abstract
BACKGROUND: Early-life dental service utilization could improve child dental health. AIM: Identify contextual, socioeconomic, and child characteristics associated with dental visitation by age 3 years. DESIGN: Within a Brazilian birth cohort (N = 435), multivariable regression models were fitted to identify independent predictors of having made a dental visit at age 3 years. Contextual variables considered included health center type (Traditional vs. Family Health Strategy, which perform home visits) and composition of oral health teams at the heath center where mothers accessed prenatal care. RESULTS: Dental visitation was positively associated with Family Health Strategy health centers (36% vs. 23%) and with higher maternal education and family social class. Visitation was lowest among families served by a health center without a dentist, but number of dentists and oral health team composition were not associated with visitation among facilities with ≥1 dentists. Dental visitation was not statistically significantly associated with caries experience but was higher if parents reported worse oral health-related quality of life. The vast majority of dental decay remained untreated. CONCLUSIONS: Dental visits were underutilized, and socioeconomic inequalities were evident. Dental visitation was more common when mothers received prenatal care at Family Health Strategy health centers, suggesting a possible oral health benefit.
BACKGROUND: Early-life dental service utilization could improve child dental health. AIM: Identify contextual, socioeconomic, and child characteristics associated with dental visitation by age 3 years. DESIGN: Within a Brazilian birth cohort (N = 435), multivariable regression models were fitted to identify independent predictors of having made a dental visit at age 3 years. Contextual variables considered included health center type (Traditional vs. Family Health Strategy, which perform home visits) and composition of oral health teams at the heath center where mothers accessed prenatal care. RESULTS: Dental visitation was positively associated with Family Health Strategy health centers (36% vs. 23%) and with higher maternal education and family social class. Visitation was lowest among families served by a health center without a dentist, but number of dentists and oral health team composition were not associated with visitation among facilities with ≥1 dentists. Dental visitation was not statistically significantly associated with caries experience but was higher if parents reported worse oral health-related quality of life. The vast majority of dental decay remained untreated. CONCLUSIONS: Dental visits were underutilized, and socioeconomic inequalities were evident. Dental visitation was more common when mothers received prenatal care at Family Health Strategy health centers, suggesting a possible oral health benefit.
Authors: Karen Glazer Peres; Marco Aurélio Peres; Antonio Fernando Boing; Andréa Dâmaso Bertoldi; João Luiz Bastos; Aluisio J D Barros Journal: Rev Saude Publica Date: 2012-04 Impact factor: 2.106
Authors: Ana Carolina Scarpelli; Branca Heloísa Oliveira; Flávia C Tesch; Anna Thereza Leão; Isabela A Pordeus; Saul M Paiva Journal: BMC Oral Health Date: 2011-06-13 Impact factor: 2.757
Authors: Ariel K Snell; Jacqueline M Burgette; Robert J Weyant; Richard J Crout; Daniel W McNeil; Betsy Foxman; Mary L Marazita Journal: J Am Dent Assoc Date: 2019-06 Impact factor: 3.634
Authors: Morenike Oluwatoyin Folayan; Maha El Tantawi; Jorma I Virtanen; Carlos Alberto Feldens; Maher Rashwan; Arthur M Kemoli; Rita Villena; Ola B Al-Batayneh; Rosa Amalia; Balgis Gaffar; Simin Z Mohebbi; Arheiam Arheiam; Hamideh Daryanavard; Ana Vukovic; Robert J Schroth Journal: BMC Oral Health Date: 2021-03-17 Impact factor: 2.757