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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Available from: Aline Castilho
    • "In addition, family functioning has also been found to be associated with childhood dental caries [13]. There are systematic reviews on the effect of parental influences on early childhood caries [5] and effects of parental oral hygiene behaviour on dental caries in their children [12]. However, there is no synthesised evidence on the effects of various parent related characteristics on caries in the permanent dentitions of children aged 6–12 years which would help in better understanding of the determinants of dental caries in this important age group. "
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    ABSTRACT: Objective: To synthesise data from the literature on the effects of various parent-related characteristics (socio-demographic, behavioural and family environment) on dental caries in the permanent dentition of children. Data: Available studies in which the effects of parent-related characteristics on dental caries experience in the permanent dentition of children aged 6-12 years were evaluated. Sources: PubMed, Medline and CINAHL, restricted to scientific articles, were searched in April 2015. English language and time filters (articles published from 2000) were used. Study selection: A total of 4162 titles were retrieved, of which 2578 remained after duplicates were removed. After review of titles and their abstracts by two independent reviewers, 114 articles were considered relevant for full text review. Of these, 48 were considered for final inclusion. Data extraction was performed by two authors using piloted data extraction sheets. Conclusions: Most of the literature on determinants of dental caries has been limited to socio-economic and behavioural aspects: we found few studies evaluating the effects of family environment and parental oral hygiene behaviour. Children belonging to lower socio-economic classes experienced more caries. In more than half the studies, children of highly educated, professional and high income parents were at lower risk for dental caries. There were conflicting results from studies on the effect of variables related to family environment, parents' oral hygiene behaviour and parent's disease status on dental caries in their children.
    No preview · Article · Dec 2015 · Journal of dentistry
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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.
    Full-text · Article · Jan 2015 · Caries Research
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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.
    Full-text · Article · Feb 2014 · Pakistan Journal of Medical Sciences Online
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