December 2011

Volume 28, Issue 4

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

Authors: A.J. Karki D.R. Thomas I.G. Chestnutt
doi: 10.1922/CDH_2596Karki04


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. Key words: dental general anaesthesia, fluoride, oral health advice, oral health promotion, prevention


Other articles in this issue

Article Pages Access
Editorial - Early Childhood Caries: a complex problem requiring a complex intervention 254-254 Download
Why has oral health promotion and prevention failed children requiring general anaesthesia for dental extractions? 255-258 Download
The relationship between dental care and perceived oral health impacts 259-264 Download
Is the shortened dental arch an underused treatment strategy in the Republic of Ireland? 265-268 Download
Predictors of utilisation of dental care services in a nationally representative sample of adults 269-273 Download
Applicability of both dentist and patient perceptions of dentists’ explanations to the evaluation of dentist–patient communication 274-279 Download
Oral health behaviour of urban and semi-urban schoolchildren in the Lao PDR 280-285 Download
Evaluation of a preventive program based on caries risk among mentally challenged children using the Cariogram model 286-291 Download
The effect of a modified fluoride toothpaste technique on buccal enamel caries in adults with high caries prevalence: a 2-year clinical trial 292-296 Download
Association of clinical oral health status with self-rated oral health and GOHAI in Japanese adults 297-300 Download
Prevalence of periodontopathogens in a black Brazilian secluded community matched with a black urban population 301-304 Download
Association of pulp stones with coronary artery stenosis 305-307 Download
Incisor trauma in a Turkish preschool population: Prevalence and socio-economic risk factors 308-312 Download
Malocclusion and orthodontic treatment need measured by the Dental Aesthetic Index and its association with dental caries in Indian schoolchildren 313-316 Download


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