International journal of paediatric dentistry最新文献

Backgrounds: Maximum willingness to pay (WTP) for a health benefit is linked to perceived value.

Aim: This study assesses WTP for a service package in cleft lip and palate patients and identifies influencing factors.

Design: In this cross-sectional study, demographic, disease type, socioeconomic variables, and WTP for a service package reducing patients' problems were measured. A two-part regression model was used to identify factors influencing WTP.

Results: Among 491 participants, 57% were male. 320 (65.17%) patients were willing to pay for the package, with an average of 79.42 USD. The highest mean WTP was for cleft palate and lip (65.27 USD). Family monthly expenditure was the only significant model variable; spending 50-100 USD compared to < 50 USD increased the likelihood of WTP by 1.79 times. Heads of families were willing to pay more for girls and for patients over 2 years. Each increase in child order raised WTP by 8.44 USD, while each additional sibling reduced it by 6.02 USD.

Conclusion: WTP for cleft lip and palate services was lower than expected. Better family financial status increased the likelihood of WTP, while both financial and demographic factors influenced the amount.

Background: Silver diamine fluoride (SDF) is a viable biological approach for arresting active dental caries in children. However, the resulting dark staining is a major concern for parents, often limiting its acceptance despite clinical benefits. Therefore, evaluating parental acceptability is crucial.

Aim: This study aimed to develop and validate a Malay version of the questionnaire on parental perception and acceptance of SDF treatment in children, based on the English version by Crystal et al., for use in Malaysia.

Design: The English questionnaire was modified and translated into Malay following standardised guidelines. Content validation was performed by an expert committee, followed by pilot testing with 134 participants. Construct validity was assessed using Exploratory Factor Analysis (EFA) with Kaiser-Meyer-Olkin (KMO) and Bartlett's test. Reliability was then measured through internal consistency (Cronbach's alpha) and test-retest reliability using intraclass correlation coefficient (ICC).

Results: Nineteen out of 22 items scored an I-CVI of 1.0; three scored 0.5. S-CVI/UA was 0.86 and S-CVI/Ave was 0.93. EFA confirmed construct validity (KMO = 0.74, Bartlett's test p < 0.001). Cronbach's alpha values ranged from 0.780 to 0.919, indicating high internal consistency. ICC values (0.528-0.802, p < 0.05) showed moderate to good reliability.

Conclusion: The Malay version of the questionnaire is both valid and reliable, supporting further nationwide studies to improve its stability.

Background: Gamified tools have shown promising improvements in health promotion. However, little is known about how mothers perceive their use in improving children's oral health.

Aim: This qualitative study explored the insights of mothers of school-aged children in Jeddah, Saudi Arabia, regarding gamification tools aimed at promoting oral hygiene.

Design: Participants were selected using purposive variation sampling to capture diversity. Data were collected through semi-structured individual interviews conducted in Arabic or English.

Results: Thematic analysis revealed six key themes: engagement and motivation to play, barriers related to prolonged use, perceived usefulness, parents' concerns and conflicts, desired features, and observed effects on children's behavior. These findings reflected the varied characteristics and experiences of the participants and highlighted both the learning potential and limitations of gamified tools for oral health education. While some mothers acknowledged the positive impact of gamified tools on increasing their children's knowledge and motivation in maintaining oral hygiene, others expressed concerns regarding excessive screen time, content, and linguistic needs.

Conclusions: Gamified tools appear effective in enhancing children's oral hygiene practices, as reflected by maternal observations of improved brushing habits. Nonetheless, concerns regarding screen exposure, content suitability, and cultural appropriateness emphasize the need for more customized and engaging solutions.

Background: Children with cerebral palsy (CP) face challenges in maintaining oral hygiene; data on their oral health practices and outcomes are limited.

Aim: To examine oral health practices and their association with adverse oral health outcomes among children and young adults with cerebral palsy in New Zealand.

Design: A cross-sectional, observational survey of 90 individuals with CP (aged 0-26 years) collected data on oral health behaviours, experiences, Gross Motor Function Classification System (GMFCS) and Eating and Drinking Ability Classification System (EDACS).

Results: Sixty-one (69%) reported teeth-brushing twice a day, 84 (94%) using age-appropriate fluoride toothpaste and 73 (85%) seeing a dental professional in the last 2 years. Difficulty keeping teeth clean was reported by 36 (41%) of participants and associated with 'poor' oral health (p < 0.001); toothache ≤ 12 months (p = 0.032); bad breath (p < 0.001) and bleeding gums ≤ 4 weeks (p < 0.001). Difficulty keeping teeth clean was more commonly reported for participants classified as GMFCS IV-V [19 (59%), p = 0.005] and EDACS III-V [12 (60%), p = 0.034].

Conclusion: Difficulty keeping teeth clean was commonly reported by individuals with greater physical and swallowing limitations and observed with indicators of adverse oral health. Targeted, family-centred strategies are needed to support effective oral hygiene in this population.

Background: Pediatric patients rely on their caregivers to make informed decisions about their oral health, which are influenced by caregivers' perceptions and the factors that shape those perceptions.

Aim: To evaluate if several individual, family, and community-level influences are associated with caregiver-reported perception of pediatric oral health in the United States using two self-reported measures as discordant or concordant perception.

Design: This cross-sectional study examined data from the 2021 National Survey of Children's Health using survey-weighted bivariate analyses and multivariable logistic regression to explore predictors of multilevel influences of caregiver-reported perception of children's oral health.

Results: Of 29 452 caregiver participants, discordant perception was most strongly associated with having children ages 6-12 years (AOR: 2.27, 95% CI: 1.86, 2.77), lacking child health insurance (AOR: 1.82, 95% CI: 1.16, 2.85), not being from a two-caregiver household (AOR: 1.64, 95% CI: 1.26, 2.16), positive special healthcare needs status (AOR: 1.37, 95% CI: 1.12, 1.68), having at least one caregiver born outside of the United States (AOR: 1.35, 95% CI: 1.08, 1.68), and education ≤ high school (AOR: 1.31, 95% CI: 1.04, 1.65).

Conclusion: Factors across multiple levels were associated with discordant caregiver-reported perception of pediatric oral health status of US children.

Background: Oral health is a key public health priority in the United Arab Emirates (UAE), yet the effectiveness of the existing programmes is unclear due to limited standardised data.

Aim: To estimate schoolchildren caries prevalence across UAE over five academic years (2015-2019) and assess the associated factors.

Methods: Secondary data analysis from a national oral health screening, by the Ministry of Health and Prevention in government schools across six emirates. Students in Grade 1 (6-8 years old), Grade 7 (12-14 years old) and Grade 10 (15-17 years old) were screened between 2015 and 2019.

Results: A total of 131 451 students were screened. Overall caries prevalence was high at 60.9%, declining from 65.1% in 2015 to 49.19% in 2019 (OR = 0.51, 95% CI: 0.49-0.53, p < 0.001, compared to 2015). Prevalence was the lowest in Dubai (55.2%), and the highest in Fujairah (75.0%, OR = 2.57, 95% CI: 2.46-2.67, p < 0.001, compared to Dubai). Grade 1 students had the highest prevalence (70.5%), while both Grade 7 (55.1%; OR = 0.51; 95% CI: 0.49-0.52; p < 0.001, compared to Grade 1) and Grade 10 (57.9%; OR = 0.58; 95% CI: 0.56-0.59; p < 0.001, compared to Grade 1) were the lowest.

Conclusion: Dental caries remains highly prevalent among UAE schoolchildren, particularly in Fujairah and younger age groups. Standardised, integrated oral health policy and planning are instantly needed across the Emirates.

Background: Puppetry is a well-established three-dimensional art form of media that has been commonly utilized to tell stories and communicate messages. Its application in educational entertainment has become widespread and gained recognition.

Aim: This scoping review aimed to explore puppetry-based approaches in promoting dental and oral health for children.

Methods: A comprehensive search of eight databases was conducted using PRISMA-ScR guidelines, focusing on studies published up to August 2024.

Results: Ten studies were included in the review. A game-centered educational approach significantly enhanced children's dental knowledge and skills. Human models with mirror feedback were most effective, while giant tooth-brushing models and animal puppets had the lowest imitation rates. Puppet theater improved urban preschoolers' oral health but had no effect on rural children. Hand puppets, pop-up books, and animated videos significantly enhanced toothbrushing skills. Storytelling with hand puppets improved knowledge and attitude more than role-playing. Puppet shows and animated videos yielded notable posttest improvements in oral health knowledge and skills.

Conclusion: Puppetry-based education appears to be an effective strategy for improving oral health knowledge, attitudes, and behaviors among children, particularly in school and clinical settings.