Oral Health Knowledge and Experience of Pediatricians and Pediatric Residents in Kuwait: A Nationwide Cross-Sectional Survey Study

Affiliations

06 June 2022

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doi: 10.1155/2022/2339540


Abstract

Objective: To evaluate the knowledge level and practice of pediatricians and pediatric residents regarding children's oral health in Kuwait. Subjects and Methods. A nationwide cross-sectional survey was distributed to pediatricians and pediatric residents practicing in Kuwait. Data concerning demographic variables, knowledge on dental caries preventive measures, current anticipatory guidance, and experience with dental problems and oral care were collected using online and paper-based surveys.

Results: A total of 230 completed the survey with a response rate of 50.1%. Most respondents (81%) had noticed dental caries in children more frequently. Two-thirds of respondents felt confident in detecting dental caries. However, more than two-thirds were unfamiliar with preventive dental practices and the management of dental trauma. Only 16.5% of the respondents got satisfactory knowledge score on the preventive measures questions, and nearly 51% got satisfactory knowledge on the recent anticipatory guidance questions. No significant correlations were found between gender or years of practice and knowledge scores. Respondents' confidence in detecting caries was significantly associated with the knowledge score of the anticipatory guidance (p=0.003).

Conclusion: Dental caries is an oral problem commonly encountered by many pediatricians and pediatric residents in Kuwait. The majority has adequate knowledge of the current anticipatory guidance of oral health issues, but they have insufficient knowledge levels on oral preventative measures. Adequate education and training in oral health are highly recommended.

Conflict of interest statement

The authors have no conflicts of interest to declare.


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KMEL References


References

  1.  
    1. nil S., Anand P. S. Early childhood caries: prevalence, risk factors, and prevention. Frontiers in Pediatrics . 2017;5(5):p. 157. doi: 10.3389/fped.2017.00157. - DOI - PMC - PubMed
  2.  
    1. American Academy of Pediatric Dentistry. The Reference Manual of Pediatric Dentistry . Chicago, Ill, USA: American Academy of Pediatric Dentistry; 2020. Periodicity of examination, preventive dental services, anticipatory guidance/counseling, and oral treatment for infants, children, and adolescents; pp. 232–242.
  3.  
    1. Seow W. K. Early childhood caries. Pediatric Clinics of North America . 2018;65(5):941–954. doi: 10.1016/j.pcl.2018.05.004. - DOI - PubMed
  4.  
    1. Agostini F. G., Flaitz C. M., Hicks M. J. Dental emergencies in a university-based pediatric dentistry postgraduate outpatient clinic: a retrospective study. American Society of Dentistry for Children . 2001;68(5-6):316–321. - PubMed
  5.  
    1. Petersen P. E., Bourgeois D., Ogawa H., Estupinan-Day S., Ndiaye C. The global burden of oral diseases and risks to oral health. Bulletin of the World Health Organization . 2005;83(9):661–669. - PMC - PubMed
  6.  
    1. Congiu G., Campus G., Lugliè P. F. Early childhood caries (ECC) prevalence and background factors: a review. Oral Health & Preventive Dentistry . 2014;12(1):71–76. doi: 10.3290/j.ohpd.a31216. - DOI - PubMed
  7.  
    1. Al-Mutawa S. A., Shyama M., Al-Duwairi Y., Soparkar P. Dental caries experience of Kuwaiti school children. Community Dental Health . 2006;23(1):31–36. - PubMed
  8.  
    1. Azizi Z. The prevalence of dental caries in primary dentition in 4- to 5-year-old preschool children in northern Palestine. International Journal of Dentistry . 2014;2014:5. doi: 10.1155/2014/839419.839419 - DOI - PMC - PubMed
  9.  
    1. El-Nadeef M. A., Hassab H., Al-Hosani E. National survey of the oral health of 5-year-old children in the United Arab Emirates. Eastern Mediterranean Health Journal . 2010;16(1):51–55. doi: 10.26719/2010.16.1.51. - DOI - PubMed
  10.  
    1. Krol D. M. Dental caries, oral health, and pediatricians. Current Problems in Pediatric and Adolescent Health Care . 2003;33(8):253–270. doi: 10.1016/s1538-5442(03)00093-2. - DOI - PubMed
  11.  
    1. Sheiham A. Dental caries affects body weight, growth and quality of life in preschool children. British Dental Journal . 2006;201(10):625–626. doi: 10.1038/sj.bdj.4814259. - DOI - PubMed
  12.  
    1. Ladrillo T. E., Hobdell M. H., Caviness A. C. Increasing prevalence of emergency department visits for pediatric dental care, 1997–2001. Journal of the American Dental Association . 2006;137(3):379–385. doi: 10.14219/jada.archive.2006.0188. - DOI - PubMed
  13.  
    1. Griffin S. O., Gooch B. F., Beltrán E., Sutherland J. N., Barsley R. Dental services, costs, and factors associated with hospitalization for medicaid-eligible children, Louisiana 1996-97. Journal of Public Health Dentistry . 2000;60(1):21–27. doi: 10.1111/j.1752-7325.2000.tb03287.x. - DOI - PubMed
  14.  
    1. Edelstein B. L., Reisine S. Fifty-one million: a mythical number that matters. Journal of The American Dental Association . 2015;146(8):565–566. doi: 10.1016/j.adaj.2015.06.003. - DOI - PubMed
  15.  
    1. Blumenshine S. L., Vann W. F., Jr., Gizlice Z., Lee J. Y. Children’s school performance: impact of general and oral health. Journal of Public Health Dentistry . 2008;68(2):82–87. doi: 10.1111/j.1752-7325.2007.00062.x. - DOI - PubMed
  16.  
    1. Singh N., Dubey N., Rathore M., Pandey P. Impact of early childhood caries on quality of life: child and parent perspectives. Journal of Oral Biology and Craniofacial Research . 2020;10(2):83–86. doi: 10.1016/j.jobcr.2020.02.006. - DOI - PMC - PubMed
  17.  
    1. Krol D. M. Children’s oral health and the role of the pediatrician. Current Opinion in Pediatrics . 2010;22(6):804–808. doi: 10.1097/mop.0b013e3283402e3b. - DOI - PubMed
  18.  
    1. Gupta S. K., Gupta S., Gojanur S., Kour G., Singh K., Rani P. Pediatricians’ view on early childhood caries and oral health in a north region of India: a cross-sectional study. Journal of Family Medicine and Primary Care . 2019;8(1):220–224. doi: 10.4103/jfmpc.jfmpc_201_18. - DOI - PMC - PubMed
  19.  
    1. Weatherspoon D. J., Horowitz A. M., Kleinman D. V. Maryland physicians’ knowledge, opinions, and practices related to dental caries etiology and prevention in children. Pediatric Dentistry . 2016;38(1):61–67. - PubMed
  20.  
    1. Lewis C. W., Grossman D. C., Domoto P. K., Deyo R. A. The role of the pediatrician in the oral health of children: a national survey. Pediatrics . 2000;106(6):p. E84. doi: 10.1542/peds.106.6.e84. - DOI - PubMed
  21.  
    1. Lewis C. W., Boulter S., Keels M. A., et al. Oral health and pediatricians: results of a national survey. Academic Pediatrics . 2009;9(6):457–461. doi: 10.1016/j.acap.2009.09.016. - DOI - PubMed
  22.  
    1. Sezer R. G., Paketci C., Bozaykut A. Paediatricians’ awareness of children’s oral health: knowledge, training, attitudes and practices among Turkish paediatricians. Paediatrics and Child Health . 2013;18(4):e15–9. doi: 10.1093/pch/18.4.e15. - DOI - PMC - PubMed
  23.  
    1. Prakash P., Lawrence H. P., Harvey B. J., McIsaac W. J., Limeback H., Leake J. L. Early childhood caries and infant oral health: paediatricians’ and family physicians’ knowledge, practices and training. Paediatrics and Child Health . 2006;11(3):151–157. doi: 10.1093/pch/11.3.151. - DOI - PMC - PubMed
  24.  
    1. Herndon J. B., Tomar S. L., Lossius M. N., Catalanotto F. A. Preventive oral health care in early childhood: knowledge, confidence, and practices of pediatricians and family physicians in Florida. The Journal of Pediatrics . 2010;157(6):1018–1024.e2. e1-2. - PubMed
  25.  
    1. American Academy of Pediatric Dentistry. The Reference Manual of Pediatric Dentistry . Chicago, Ill, USA: American Academy of Pediatric Dentistry; 2020. Policy on oral health care programs for infants, children, adolescents, and individuals with special health care needs; pp. 39–42.
  26.  
    1. Steve H., Braun P., James D. I., Kristen N., Robert J. S., American Academy of Pediatrics Committee on Native American Child Health and Section on Oral Health Canadian Paediatric Society First Nations Inuit and Metis Health Committee Early childhood caries in indigenous communities. Pediatrics . 2021;147(6)e2021051481
  27.  
    1. American Academy of Pediatric Dentistry. The Reference Manual of Pediatric Dentistry . Chicago, Ill, USA: American Academy of Pediatric Dentistry; 2020. Fluoride therapy; pp. 288–291.
  28.  
    1. Dickson-Swift V., Kenny A., Gussy M., McCarthy C., Bracksley-O’Grady S. The knowledge and practice of pediatricians in children’s oral health: a scoping review. BMC Oral Health . 2020;20(1):211–310. doi: 10.1186/s12903-020-01198-0. - DOI - PMC - PubMed
  29.  
    1. Kumar P., Kumar P., Dixit A., Gupta V., Singh H., Sargaiyan V. Cross-sectional evaluation of awareness of prevention of dental caries among general pediatricians in Ghaziabad district, India. Annals of Medical and Health Sciences Research . 2014;4(9):S302–S306. doi: 10.4103/2141-9248.141976. - DOI - PMC - PubMed
  30.  
    1. Hadjipanayis A., Grossman Z., Del Torso S., Michailidou K., Van Esso D., Cauwels R. Oral health training, knowledge, attitudes and practices of primary care paediatricians: a European survey. European Journal of Pediatrics . 2018;177(5):675–681. doi: 10.1007/s00431-018-3108-z. - DOI - PubMed
  31.  
    1. Alshunaiber R., Alzaid H., Meaigel S., Aldeeri A., Adlan A. Early childhood caries and infant’s oral health; pediatricians’ and family physicians’ practice, knowledge and attitude in Riyadh city, Saudi Arabia. The Saudi Dental Journal . 2019;31:S96–S105. doi: 10.1016/j.sdentj.2019.01.006. - DOI - PMC - PubMed
  32.  
    1. Murthy G. A., Mohandas U. The knowledge, attitude and practice in prevention of dental caries amongst pediatricians in Bangalore: a cross-sectional study. Journal of Indian Society of Pedodontics and Preventive Dentistry . 2010;28(2):100–103. doi: 10.4103/0970-4388.66747. - DOI - PubMed
  33.  
    1. Poornima P., Bajaj M., Nagaveni N. B., Roopa K. B., Neena I. E., Bharath K. P. Evaluation of the knowledge, attitude and awareness in prevention of dental caries amongst paediatricians. International Journal of Community Medicine and Public Health . 2015;2(1):64–70. doi: 10.5455/2394-6040.ijcmph20150213. - DOI
  34.  
    1. Golubović L., Selimović-Dragaš M., Kobašlija S., Huseinbegović A. The role of the pediatricians in dental caries prevention in Montenegro: the knowledge, attitude and practice. Balkan Journal of Dental Medicine . 2020;24(3):29–37. doi: 10.2478/bjdm-2020-0005. - DOI
  35.  
    1. Aburahima N., Hussein I., Kowash M., Alsalami A., Al Halabi M. Assessment of paediatricians’ oral health knowledge, behaviour, and attitude in the United Arab Emirates. International Journal of Dentistry . 2020;2020:8. doi: 10.1155/2020/7930564.7930564 - DOI - PMC - PubMed
  36.  
    1. Karasz A., Patel V., Ranasinghe S., Chaudhuri K., McKee D. Preventing caries in young children of immigrant Bangladeshi families in New York: perspectives of mothers and paediatricians. Community Dental Health . 2014;31(2):80–84. - PubMed
  37.  
    1. Geissler K. H., Dick A. W., Goff S. L., Whaley C., Kranz A. M. Dental fluoride varnish application during medical visits among children who are privately insured. JAMA Network Open . 2021;4(8) doi: 10.1001/jamanetworkopen.2021.22953.e2122953 - DOI - PMC - PubMed
  38.  
    1. Girish Babu K. L., Doddamani G. M., Kumaraswamy N. L. R. Knowledge, attitude, and practice of pediatricians regarding pediatric liquid medicaments. European Journal of Dermatology . 2017;11(1):106–110. doi: 10.4103/ejd.ejd_222_16. - DOI - PMC - PubMed
  39.  
    1. Bawazir O. A., Alsuwayt B., Alqahtani W., Al-Dhafiri A., Al-Shamrani M. Knowledge, attitude and practice of pediatricians and pharmacists in Riyadh City toward the use of sugar free medications. The Journal of Contemporary Dental Practice . 2014;15(6):755–760. doi: 10.5005/jp-journals-10024-1612. - DOI - PubMed
  40.  
    1. Gassner R., Tuli T., Hachl O., Moreira R., Ulmer H. Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. Journal of Oral and Maxillofacial Surgery . 2004;62(4):399–407. doi: 10.1016/j.joms.2003.05.013. - DOI - PubMed
  41.  
    1. American Academy of Pediatric Dentistry. The Reference Manual of Pediatric Dentistry . Chicago, Ill, USA: American Academy of Pediatric Dentistry; 2021. Policy on prevention of sports-related orofacial injuries; pp. 110–115.
  42.  
    1. Oge O. A., Douglas G. V. A., Seymour D., Adams C., Csikar J. Knowledge, attitude and practice among health visitors in the United Kingdom toward children’s oral health. Public Health Nursing . 2018;35(1):70–77. doi: 10.1111/phn.12381. - DOI - PubMed
  43.  
    1. Greenlaw C., Brown-Welty S. A comparison of web-based and paper-based survey methods: testing assumptions of survey mode and response cost. Evaluation Review . 2009;33(5):464–480. doi: 10.1177/0193841x09340214. - DOI - PubMed