Document Type : Original Article
Authors
1 Student Research Committee, Ardabil University of Medical Sciences, Ardabil, Iran
2 Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
3 Department of Pediatric Dentistry, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract
Background: Children’s first referral to the dental clinic offers preventive care and parent education about the child’s oral health. Considering the importance of dental health in children, this study aimed to examine the reasons and time for children’s first dental visit.
Methods: This cross-sectional study comprised 598 children (314 girls and 284 boys) from birth to age 10 who first referred to Ardabil’s dental clinics in 2022. Information about the child’s dental visit, the age and education level of the parents, and the number of children in the family were collected. Chi-square and Fisher’s exact test were utilized to analyze the associations between the variables. The level of statistical significance was set at P<0.05.
Results: The mean age of children at their first visit to the dentist was 6.268±1.07 years. It was revealed that pain (51.3%) and caries (22.2%) were the first two reasons for the first dental visit. No significant relationship was found between gender and the reasons for the first dental visit (P=0.05). The child’s referral age decreased with increasing parental education (P=-0.240 for the mother, P=-0.186 for the father). A significant and positive correlation was found between parents and the child’s age at the time of referral (P=0.00).
Conclusion: Children commonly had a late first dental visit, as opposed to medical recommendations. The predominant reasons for the child’s first dental visit were pain and dental caries. More awareness among parents/caregivers is necessary in this regard.
Keywords
Main Subjects
- Vittoba Setty J, Srinivasan I. Knowledge and awareness of primary teeth and their importance among parents in Bengaluru city, India. Int J Clin Pediatr Dent. 2016;9(1):56-61. doi: 10.5005/jp-journals-10005-1334.
- Kasemkhun P, Jirarattanasopha V, Lertsooksawat W. Characteristics and influencing factors of the first dental visit among children in Bangkok, Thailand: a cross-sectional study. BMC Oral Health. 024;24(1):11. doi: 10.1186/s12903-023- 03811-4.
- Kazeminia M, Abdi A, Shohaimi S, Jalali R, Vaisi-Raygani A, Salari N, et al. Dental caries in primary and permanent teeth in children’s worldwide, 1995 to 2019: a systematic review and meta-analysis. Head Face Med. 2020;16(1):22. doi: 10.1186/ s13005-020-00237-z.
- Uribe SE, Innes N, Maldupa I. The global prevalence of early childhood caries: a systematic review with meta-analysis using the WHO diagnostic criteria. Int J Paediatr Dent. 2021;31(6):817-30. doi: 10.1111/ipd.12783.
- Innes NP, Clarkson JE, Douglas GV, Ryan V, Wilson N, Homer T, et al. Child caries management: a randomized controlled trial in dental practice. J Dent Res. 2020;99(1):36-43. doi: 10.1177/0022034519888882.
- BaniHani A, Deery C, Toumba J, Munyombwe T, Duggal M. The impact of dental caries and its treatment by conventional or biological approaches on the oral health-related quality of life of children and carers. Int J Paediatr Dent. 2018;28(2):266- 76. doi: 10.1111/ipd.12350.
- Frebel H, Mugayar L, Tomar SL. Hospital inpatient admissions of children and adolescents for nontraumatic dental conditions in Florida. Pediatr Dent. 2020;42(3):212-6.
- Mika A, Mitus-Kenig M, Zeglen A, Drapella-Gasior D, Rutkowska K, Josko-Ochojska J. The child’s first dental visit. Age, reasons, oral health status and dental treatment needs among children in Southern Poland. Eur J Paediatr Dent. 2018;19(4):265-70. doi: 10.23804/ejpd.2018.19.04.3.
- Padung N, Singh S, Awasthi N. First dental visit: age reasons oral health status and dental treatment needs among children aged 1 month to 14 years. Int J Clin Pediatr Dent. 2022;15(4):394-7. doi: 10.5005/jp-journals-10005-2406.
- Olatosi OO, Onyejaka NK, Oyapero A, Ashaolu JF, Abe A. Age and reasons for first dental visit among children in Lagos, Nigeria. Niger Postgrad Med J. 2019;26(3):158-63. doi: 10.4103/npmj.npmj_60_19.
- Kaczmarek U. Behavioural methods that shape child’s demeanour in the dental office–review of literature. J Stoma. 2009;62(6):456-66.
- Rani TS, Reddy ER, Merum K, Srujana MP, Raju SS, Seth MP. General dentists’ knowledge, attitude, and practice guidelines toward pediatric dentistry. Chrismed J Health Res. 2020;7(1):24-9. doi: 10.4103/cjhr.cjhr_12_19.
- 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;6:21-7. doi: 10.2147/ccide.S41499.
- Adamowicz-Klepalska B. Caries prevention at children. Pediatr Pol. 2009;84(6):511-6.
- Mohammadi S, Mohammadi MA, Dadkhah B. Dental caries prevalence among elementary school students and its relationship with body mass index and oral hygiene in Ardabil in 2019. J Indian Soc Pedod Prev Dent. 2021;39(2):147-53. doi: 10.4103/jisppd.Jisppd_293_20.
- Hussein AS, Abu-Hassan MI, Schroth RJ, Ghanim AM. Parent’s perception on the importance of their children’s first dental visit (a cross-sectional pilot study in Malaysia). J Oral Res. 2013;1(1):17-25.
- Thompson CL, McCann AL, Schneiderman ED. Does the Texas first dental home program improve parental oral care knowledge and practices? Pediatr Dent. 2017;39(2):124-9.
- Murshid EZ. Children’s ages and reasons for receiving their first dental visit in a Saudi community. Saudi Dent J. 2016;28(3):142-7. doi: 10.1016/j.sdentj.2015.12.003.
- Nainar SM, Straffon LH. Targeting of the year one dental visit for United States children. Int J Paediatr Dent. 2003;13(4):258- 63. doi: 10.1046/j.1365-263x.2003.04602.x.
- Sanguida A, Vinothini V, Prathima GS, Santhadevy A, Premlal K, Kavitha M. Age and reasons for first dental visit and knowledge and attitude of parents toward dental procedures for Puducherry children aged 0-9 years. J Pharm Bioallied Sci. 2019;11(Suppl 2):S413-9. doi: 10.4103/jpbs.Jpbs_54_19.
- Winnier JJ, Mehta S, Parmar A, Bhatia R. Pediatric dental procedures: a survey of knowledge and attitudes of parents. Int J Dent Health Sci. 2015;2(5):1171-82.
- Bulut G, Bulut H. Zero to five years: first dental visit. Eur J Paediatr Dent. 2020;21(4):326-30. doi: 10.23804/ ejpd.2020.21.04.13.
- Hartwig AD, Azevedo MS, Romano AR, Cenci MS. Prevalence and disparities in the first dental visit of preschool children aged 12-18 months in southern Brazil. Rev Fac Odontol (Univ Passo Fundo). 2018;23(1):31-6. doi: 10.5335/rfo.v23i1.7847.
- Moses J, Rangeeth BN, Gurunathan D. Prevalence of dental caries, socio-economic status and treatment needs among 5 to 15-year-old school going children of Chidambaram. J Clin Diagn Res. 2011;5(1):146-51.
- Savale P, Lanjewar R. Epidemiological study of oral hygiene and prevalence of dental caries in secondary school going children. Natl J Community Med. 2019;10(03):155-8.
- Nagaveni NB, Radhika NB, Umashankar KV. Knowledge, attitude and practices of parents regarding primary teeth care of their children in Davangere city, India. Pesqui Bras Odontopediatria Clin Integr. 2011;11(1):129-32.
- Atulkar M, Mittal R, Kumar S, Shewale A, Jadhav H. Age of the first dental visit of children in rural schools of Vidharba region, Maharashtra, India: a cross sectional study. Int J Oral HealthMed Res. 2015;2(2):19-21.
- Bodhale P, Karkare S, Khedkar S. Knowledge and attitude of parents toward oral health maintenance and treatment modalities for their children. J Dent Res Rev. 2014;1(1):24-7. doi: 10.4103/2348-3172.126161.
- Alhareky M, Nazir MA. Dental visits and predictors of regular attendance among female schoolchildren in Dammam, Saudi Arabia. Clin Cosmet Investig Dent. 2021;13:97-104. doi: 10.2147/ccide.S300108.
- Volpato LE, Palti DG, Lima JE, Machado MA, Aranha AM, Bandeca MC, et al. When and why parents seek dental care for children under 36 months. J Int Oral Health. 2013;5(4):21- 5.
- Kato H, Tanaka K, Shimizu K, Nagata C, Furukawa S, Arakawa M, et al. Parental occupations, educational levels, and income and prevalence of dental caries in 3-year-old Japanese children. Environ Health Prev Med. 2017;22(1):80. doi: 10.1186/s12199-017-0688-6.
- Bernabé E, MacRitchie H, Longbottom C, Pitts NB, Sabbah W. Birth weight, breastfeeding, maternal smoking and caries trajectories. J Dent Res. 2017;96(2):171-8. doi: 10.1177/0022034516678181.
- Baggio S, Abarca M, Bodenmann P, Gehri M, Madrid C. Early childhood caries in Switzerland: a marker of social inequalities. BMC Oral Health. 2015;15:82. doi: 10.1186/ s12903-015-0066-y.
- Hartwig AD, Cademartori MG, Demarco FF, Bertoldi AD, Corrêa MB, Azevedo MS. Are maternal factors predictors of a child’s first dental visit? A birth cohort study in Brazil. Braz Oral Res. 2022;36:e092. doi: 10.1590/1807-3107bor-2022. vol36.0092.
- Joseph A, Joseph AM, James JP, Sreepriya G, Alammari RB, Mustafa MZ. Evaluation of age, chief complaint, diagnosis, and treatment done during the first dental visit among children in an academic dental institution in southern Kerala, India. J Pharm Bioallied Sci. 2023;15(Suppl 1):S641-5. doi: 10.4103/ jpbs.jpbs_21_23.