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Attitudes of EAPD members toward using the “knee-to-knee” position

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This survey assessed the attitude of paediatric dental EAPD members toward using “knee-to-knee” positioning for dental examinations and minor procedures in infants and toddlers.


An anonymous electronic online questionnaire was distributed among EAPD members. The survey consisted of 12 questions and assessed demographic characteristics, professional experience and attitudes toward the use of the “knee-to-knee” position.


Of the 162 respondents, 148 (91%) reported using “knee-to-knee” positioning for dental examination. In addition, 97 (63%) reported performing other procedures in the “knee-to-knee” position. Fluoride application and oral hygiene instructions were the most common procedures performed in the “knee-to-knee” position.


Most of the paediatric dentists who responded to this survey reported performing dental examinations in toddlers up to 2 years old using the “knee-to-knee” position. Majority of respondents also used this position to instruct parents regarding oral hygiene and to apply fluoride varnish.

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Author information

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by AFN, AS, KH and DR. The first draft of the manuscript was written by AFN and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Correspondence to A. Fux-Noy.

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Fux-Noy, A., Shmueli, A., Herzog, K. et al. Attitudes of EAPD members toward using the “knee-to-knee” position. Eur Arch Paediatr Dent (2020). https://doi.org/10.1007/s40368-020-00514-0

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  • “Knee-to-knee” position
  • Dental examination
  • Infants and toddlers
  • Dentists’ attitudes