Twelve-Year Changes in Pre-Schoolers’ Oral Health and Parental Involvement in Children’s Dental Care: Results from Two Repeated Cross-Sectional Surveys in Lithuania

Background and objectives: The role of parents and the family in promoting children’s oral health is increasingly acknowledged in the dental literature. This study aimed to investigate twelve-year changes in pre-schoolers’ oral health and parental involvement in children’s dental care using data fro...

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Main Authors: Apolinaras Zaborskis, Jaunė Razmienė, Augustė Razmaitė, Vilija Andruškevičienė, Julija Narbutaitė, Eglė Aida Bendoraitienė, Aistė Kavaliauskienė
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/11/11/1380
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author Apolinaras Zaborskis
Jaunė Razmienė
Augustė Razmaitė
Vilija Andruškevičienė
Julija Narbutaitė
Eglė Aida Bendoraitienė
Aistė Kavaliauskienė
author_facet Apolinaras Zaborskis
Jaunė Razmienė
Augustė Razmaitė
Vilija Andruškevičienė
Julija Narbutaitė
Eglė Aida Bendoraitienė
Aistė Kavaliauskienė
author_sort Apolinaras Zaborskis
collection DOAJ
description Background and objectives: The role of parents and the family in promoting children’s oral health is increasingly acknowledged in the dental literature. This study aimed to investigate twelve-year changes in pre-schoolers’ oral health and parental involvement in children’s dental care using data from two repeated cross-sectional surveys. The objectives were (1) to assess the temporal changes in children’s dental health status and oral health-related behaviours, (2) to examine temporal changes in parental attitudes toward their children’s oral health care, and (3) to analyze the associations between observed changes. Materials and methods: Two identical cross-sectional surveys were conducted in 2010/2011 (<i>n</i> = 294) and 2023 (<i>n</i> = 304). In both surveys, parents answered questions regarding their children’s oral health care and completed the 38-item ‘Parental Attitudes toward Children’s Oral Health’ (PACOH) scale, while the dental health of their 3–7-year-old children was clinically assessed. Changes in the examined characteristics were analyzed using general linear models. Results: Significant positive changes (<i>p</i> < 0.001) were observed when comparing the surveys: the dmf-t (decayed, missing, filled teeth) score for deciduous teeth decreased from 5.56 to 3.31; the Silness–Löe Plaque Index decreased from 1.45 to 1.15; the percentage of children brushing their teeth regularly increased from 33.0% to 55.3%; the percentage of parents assisting their child with tooth brushing increased from 19.2% to 85.1%; and regular visits to a children’s dentist increased from 36.4% to 85.1%. Moreover, the study revealed better parental attitudes toward their children’s oral health care, as reflected by a change in the total score of the PACOH scale from 112 to 122. Conclusions: It was concluded that changes in parental attitudes played a crucial role in driving positive trends in oral health-related behaviours, which likely contributed to the improvement of dental health in children. Therefore, understanding and influencing parental attitudes can be essential for promoting good oral health skills and good oral health in young children.
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spelling doaj-art-e2c3dee68bdc443a8eaa967c016bf6c22025-08-20T02:08:09ZengMDPI AGChildren2227-90672024-11-011111138010.3390/children11111380Twelve-Year Changes in Pre-Schoolers’ Oral Health and Parental Involvement in Children’s Dental Care: Results from Two Repeated Cross-Sectional Surveys in LithuaniaApolinaras Zaborskis0Jaunė Razmienė1Augustė Razmaitė2Vilija Andruškevičienė3Julija Narbutaitė4Eglė Aida Bendoraitienė5Aistė Kavaliauskienė6Department of Preventive Medicine & Health Research Institute, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, LithuaniaDepartment of Oral Health and Paediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, LithuaniaDepartment of Oral Health and Paediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, LithuaniaDepartment of Oral Health and Paediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, LithuaniaDepartment of Oral Health and Paediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, LithuaniaDepartment of Oral Health and Paediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, LithuaniaDepartment of Orthodontics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus 9, LT-44307 Kaunas, LithuaniaBackground and objectives: The role of parents and the family in promoting children’s oral health is increasingly acknowledged in the dental literature. This study aimed to investigate twelve-year changes in pre-schoolers’ oral health and parental involvement in children’s dental care using data from two repeated cross-sectional surveys. The objectives were (1) to assess the temporal changes in children’s dental health status and oral health-related behaviours, (2) to examine temporal changes in parental attitudes toward their children’s oral health care, and (3) to analyze the associations between observed changes. Materials and methods: Two identical cross-sectional surveys were conducted in 2010/2011 (<i>n</i> = 294) and 2023 (<i>n</i> = 304). In both surveys, parents answered questions regarding their children’s oral health care and completed the 38-item ‘Parental Attitudes toward Children’s Oral Health’ (PACOH) scale, while the dental health of their 3–7-year-old children was clinically assessed. Changes in the examined characteristics were analyzed using general linear models. Results: Significant positive changes (<i>p</i> < 0.001) were observed when comparing the surveys: the dmf-t (decayed, missing, filled teeth) score for deciduous teeth decreased from 5.56 to 3.31; the Silness–Löe Plaque Index decreased from 1.45 to 1.15; the percentage of children brushing their teeth regularly increased from 33.0% to 55.3%; the percentage of parents assisting their child with tooth brushing increased from 19.2% to 85.1%; and regular visits to a children’s dentist increased from 36.4% to 85.1%. Moreover, the study revealed better parental attitudes toward their children’s oral health care, as reflected by a change in the total score of the PACOH scale from 112 to 122. Conclusions: It was concluded that changes in parental attitudes played a crucial role in driving positive trends in oral health-related behaviours, which likely contributed to the improvement of dental health in children. Therefore, understanding and influencing parental attitudes can be essential for promoting good oral health skills and good oral health in young children.https://www.mdpi.com/2227-9067/11/11/1380childrenparentsoral healthearly childhood cariesoral health-related behaviourparental attitudes
spellingShingle Apolinaras Zaborskis
Jaunė Razmienė
Augustė Razmaitė
Vilija Andruškevičienė
Julija Narbutaitė
Eglė Aida Bendoraitienė
Aistė Kavaliauskienė
Twelve-Year Changes in Pre-Schoolers’ Oral Health and Parental Involvement in Children’s Dental Care: Results from Two Repeated Cross-Sectional Surveys in Lithuania
Children
children
parents
oral health
early childhood caries
oral health-related behaviour
parental attitudes
title Twelve-Year Changes in Pre-Schoolers’ Oral Health and Parental Involvement in Children’s Dental Care: Results from Two Repeated Cross-Sectional Surveys in Lithuania
title_full Twelve-Year Changes in Pre-Schoolers’ Oral Health and Parental Involvement in Children’s Dental Care: Results from Two Repeated Cross-Sectional Surveys in Lithuania
title_fullStr Twelve-Year Changes in Pre-Schoolers’ Oral Health and Parental Involvement in Children’s Dental Care: Results from Two Repeated Cross-Sectional Surveys in Lithuania
title_full_unstemmed Twelve-Year Changes in Pre-Schoolers’ Oral Health and Parental Involvement in Children’s Dental Care: Results from Two Repeated Cross-Sectional Surveys in Lithuania
title_short Twelve-Year Changes in Pre-Schoolers’ Oral Health and Parental Involvement in Children’s Dental Care: Results from Two Repeated Cross-Sectional Surveys in Lithuania
title_sort twelve year changes in pre schoolers oral health and parental involvement in children s dental care results from two repeated cross sectional surveys in lithuania
topic children
parents
oral health
early childhood caries
oral health-related behaviour
parental attitudes
url https://www.mdpi.com/2227-9067/11/11/1380
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