GHAZIABAD, India: Nearly half of all children in India have early childhood caries (ECC), and research shows that reducing ECC incidence requires the participation of healthcare practitioners who work with children and caregivers. Researchers at Manav Rachna Dental College in the northern state of Haryana recently surveyed paediatricians to assess their perspectives and knowledge relating to oral care, and they found that older clinicians working in hospitals or universities had a more positive attitude towards paediatric dental care, and most respondents agreed that medical curricula should include more oral health education.
The study focused on paediatricians working in the western regions of the northern state of Uttar Pradesh, and it drew 600 respondents, who mainly worked in hospital or university settings. Nearly half had ten or fewer years of clinical experience.
The vast majority (87.00%) knew the correct age for a child's first dental visit and 83.57% accurately identified ineffective methods of alleviating teething discomfort. The primary causes of caries were recognised by 72.59%, and 85.59% understood the factors that contribute to bottle mouth caries. Gaps in knowledge were identified relating to the bacteria involved in bottle mouth caries and the critical pH level for tooth demineralisation, which was correctly identified by just 79.76%.
In the area of dental hygiene, 90.8% supported the inclusion of oral health education in medical curricula for children, and 81.8% recognised the need to educate healthcare providers about caries prevention and infant oral health. The vast majority (88.70%) favoured collaboration with paediatric dentists to combat ECC and advance children's oral health, and 95.74% agreed that their role in providing dental healthcare advice to parents was essential.
Discussing the results, the researchers highlighted “an encouraging pattern: a significant proportion of practitioners had deep expertise in critical facets of child dental treatment”. Nonetheless, they pointed out that just 80.05% of participants agreed with incorporating oral health check-ups into daily paediatric practice, indicating that integration of dental care into broader medical practice remains a topic of debate.
“The data underscores a commendable understanding and positive attitude toward the preventive aspects of dental health among participants. Yet, it also pinpoints areas, like knowledge about critical pH levels for tooth demineralisation, where continued education is imperative,” the researchers concluded.
The study, titled “Reconnoitering the dental knowledge and attitude of pediatricians in the Western Uttar Pradesh region of India, was published online on 10 May 2024 in Cureus.
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