Influence of family environment on children's oral health: A systematic review

PhD in Pediatric Dentistry, Departamento de Ciências Biológicas, Faculdade de Odontologia de Bauru, Universidade de São Paulo (USP), Bauru, SP, Brazil. Electronic address: .
Jornal de pediatria (Impact Factor: 1.19). 03/2013; 89(2):116-23. DOI: 10.1016/j.jped.2013.03.014
Source: PubMed


To review current models and scientific evidence on the influence of parents' oral health behaviors on their children's dental caries.
MEDLINE articles published between 1980 and June, 2012. Original research articles on parents' oral health behavior were reviewed. A total of 218 citations were retrieved, and 13 articles were included in the analysis. The studies were eligible for review if they matched the following inclusion criteria: (1) they evaluated a possible association between dental caries and parents' oral-health-related behaviors, and (2) the study methodology included oral clinical examination. The main search terms were "oral health", "parental attitudes", "parental knowledge", and "dental caries".
: 13 experimental studies contributed data to the synthesis. Original articles, reviews, and chapters in textbooks were also considered.
Parents' dental health habits influence their children's oral health. Oral health education programs aimed at preventive actions are needed to provide children not only with adequate oral health, but better quality of life. Special attention should be given to the entire family, concerning their lifestyle and oral health habits.

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    • "We conclude that mothers who demonstrate positive oral health behaviors encourage similar behaviors in their children. These findings are consistent with the previous study [Castilho et al., 2013]. "
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    ABSTRACT: Previous programs had not designed the culturally adequate Lay Health Advisor (LHA) oral health training curriculum for medically underserved population. We evaluated the effects of LHA training curriculum for addressing immigrant children's caries disparities in their access to dental care. We used a pre/post-test study design. Immigrant women were recruited from churches, schools, and immigrant centers in an urban area. Four training classes were held. Each training cycle lasted 15 consecutive weeks, consisting of 1 weekly 2-h training session for 12 weeks followed by a 3-week practicum. The curriculum included training in caries-related knowledge, oral hygiene demonstrations, teaching techniques, communication skills, and hands-on practice sessions. Thirty-seven LHA trainees completed the course and passed the post-training exam. The data were collected using self-report questionnaires. The level of oral health knowledge, self-efficacy and attitudes toward oral hygiene were significantly increased after LHA training. There was a significant and over twofold increase in trainees' oral hygiene behaviors. An increase of >20% in LHA and their children's dental checkup was observed following training. After training, LHAs were more likely to have 3+ times of brushing teeth [Odds Ratio (OR) = 13.14], brushing teeth 3+ minutes (OR = 3.47), modified bass method use (OR = 30.60), dental flossing (OR = 4.56), fluoride toothpaste use (OR = 5.63) and child's dental visit (OR = 3.57). The cross-cultural training curriculum designed for immigrant women serving as LHAs was effective in improvement of oral hygiene behaviors and access to dental care. © 2015 S. Karger AG, Basel.
    Caries Research 01/2015; 49(2):147-56. DOI:10.1159/000363067 · 2.28 Impact Factor
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    • "Parents' oral health knowledge and attitude influence their children's oral health.7,8 The parents with appropriate oral health knowledge and attitude are likely to positively influence the oral health of their children.8,9 "
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    ABSTRACT: Objectives: To determine knowledge and attitude of Saudi mothers towards their preschool children’s oral health. Methods: One hundred and one mothers (of children aged 16 to 40 months) attending well-baby clinics at Security Forces Hospital Polyclinics in Makkah Al-Mukarrama participated in the study. A questionnaire was used to collect the required information. Results: A great majority (92.1%) of the mothers agreed that “baby teeth are important for child’s general health. Similarly, 90.1% of the mothers agreed that “using fluoridated toothpaste helps to prevent tooth decay”. About four in every ten mothers (43.6%) agreed that a child should be allowed to use a bottle at-will when he/she becomes able to hold it. More than half of the mothers (54.5%) agreed that letting baby sleep with bottle still in the mouth was of no harm to teeth. A significantly (p=0.04) higher percentage of high Socioeconomic status (SES) mothers as compared to middle SES mothers (85.9% versus 55.6%) agreed that “frequent feeding with milk or milk formula is of no harm to baby’s teeth”. A significantly (p=003) higher percentage of the middle SES mothers as compared to high SES mothers (66.7% versus 17.4%) agreed that a child should only visit a dentist in case of a dental pain/problem. Conclusions: The mothers need to be educated in several important areas related to feeding, diet and first dental check-up visit of their children.
    Pakistan Journal of Medical Sciences Online 02/2014; 30(4):720-724. DOI:10.12669/pjms.304.5069 · 0.23 Impact Factor
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    • "The results presented in this study revealed that there are social inequalities in the oral health of schoolchildren, even within a population with low socioeconomic status. Several researchers have emphasized the family environment and its socioeconomic conditions as mediators of health and disease in schoolchildren [28-32]. In the final logistic regression model, it was observed that children living in homes with a monthly family income of more than one Brazilian minimum wage, had less chance of presenting curative dental needs than their counterparts, a finding similar to that shown in the study of Paredes et al. [33]. "
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    ABSTRACT: The objective of this study was to compare the socioeconomic and family characteristics of underprivileged schoolchildren with and without curative dental needs participating in a dental health program. A random sample of 1411 of 8-to-10 year-old Brazilian schoolchildren was examined and two sample groups were included in the cross-sectional study: 544 presented curative dental needs and the other 867 schoolchildren were without curative dental needs. The schoolchildren were examined for the presence of caries lesions using the DMFT index and their parents were asked to answer questions about socioenvironmental characteristics of their families. Logistic regression models were adjusted estimating the Odds Ratios (OR), their 95% confidence intervals (CI), and significance levels. After adjusting for potential confounders, it was found that families earning more than one Brazilian minimum wage, having fewer than four residents in the house, families living in homes owned by them, and children living with both biological parents were protective factors for the presence of dental caries, and consequently, curative dental needs. Socioeconomic status and family structure influences the curative dental needs of children from underprivileged communities. In this sense, dental health programs should plan and implement strategic efforts to reduce inequities in oral health status and access to oral health services of vulnerable schoolchildren and their families.
    BMC Oral Health 10/2013; 13(1):56. DOI:10.1186/1472-6831-13-56 · 1.13 Impact Factor
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