Abstract
Purpose
Early Childhood Caries (ECC) is a highly prevalent disease in Kuwait. It poses health, economic, and social implications affecting patients, their families and communities. ECC awareness campaigns targeting expectant mothers hold a promising potential as primary prevention tools. Understanding the baseline of ECC knowledge (ECC-K) is an important foundational step in planning such interventions. The aim of this study was to assess the level of ECC-K in a sample of expectant mothers, and to identify the sociodemographic and behavioural determinants of that knowledge.
Methods
A multiple-choice questionnaire was distributed to 430 expectant women from one maternity hospital in Kuwait. The questionnaire gathered information on the demographics, ECC-K, and the oral health behaviours of the participants. Bivariate analysis assessed the relationship between ECC-K scores and the different socio-demographic variables and oral health practices of the participants. A multiple linear regression model was developed to identify the predictors of ECC-K scores
Results
The response rate was 94% (n = 405). The mean ECC-K score was 6.4 [standard deviation (SD) = 2.5] out of a maximum score of 14. Age, education, number of children, frequency of dental visits, and flossing frequency were significantly associated with ECC-K levels (p < 0.05).
Conclusions
ECC-K among this cohort of expectant mothers was inadequate. Educational interventions are needed to foster better ECC preventive practices.
Similar content being viewed by others
References
Alkhubaizi Q, Moule A, Al-Sane M, Sorkin JD. Oral health practices and knowledge among parents and hired caregivers. Eur Arch Paediatr Dent. 2018;19:403–10.
Al-Mutawa SA, Shyama M, Al-Duwairi Y, Soparkar P. Dental caries experience of Kuwaiti kindergarten schoolchildren. Commun Dent Health. 2010;27:213–7.
Al-Sane M, Bourisly N, Almulla T, Andersson L. Laypeoples’ preferred sources of health information on the emergency management of tooth avulsion. Dent Traumatol. 2011;27:432–7.
American Academy of Pediatrics, Section on Pediatric Dentistry and Oral Health. Preventive oral health intervention for paediatricians. Pediatrics. 2008;122:1387–94.
Ashkanani F, Al-Sane M. Knowledge, attitudes and practices of caregivers in relation to oral health of preschool children. Med Princ Pract. 2013;22:167–72.
Baker SD, Quiñonez RB, Boggess K, Phillips C. Pregnant women’s infant oral health knowledge and beliefs: influence of having given birth and of having a child in the home. Matern Child Health J. 2016;20:1288–95.
Borrelli B, Tooley EM, Scott-Sheldon LA. Motivational interviewing for parent-child health interventions: a systematic review and meta-analysis. Pediatr Dent. 2015;37:254–65.
Casamassimo PS, Hammersmith K, Gross EL, Amini H. Infant oral health: an emerging dental public health measure. Dent Clin N Am. 2018;62:235–44.
International Association of Paediatric Dentistry (IAPD). Early Childhood Caries. IAPD Bangkok declaration. Int J Paediatr Dent. 2019;29:384–6.
ElKarmi R, Aljafari A, Eldali H, Hosey MT. Do expectant mothers know how early childhood caries can be prevented? A cross-sectional study. Eur Arch Paediatr Dent. 2019;20:595–601.
Flores MT, Al-Sane M, Andresson L. Information to the public, patients and emergency services on traumatic dental injuries. In: Andreasen OJ, Andreasen FM, Anderson L, editors. Textbook and color atlas of traumatic injuries to the teeth. Oxford: Wiley; 2019. p. 992–1008.
Honkala S, Al-Ansari J. Self-reported oral health, oral hygiene habits, and dental attendance of pregnant women in Kuwait. J Clin Periodontol. 2005;32:809–14.
Hooley M, Skouteris H, Boganin C, et al. Parental influence and the development of dental caries in children aged 0–6 years: a systematic review of the literature. J Dent. 2012;40:873–85.
Kaste LM, Sreenivasan D, Koerber A, et al. Pediatric oral health knowledge of African American and Hispanic of Mexican origin expectant mothers. Pediatr Dent. 2007;29:287–92.
Keirse MJ, Plutzer K. Women’s attitudes to and perceptions of oral health and dental care during pregnancy. J Perinat Med. 2010;38:3–8.
Kolstad C, Zavras A, Yoon RK. Cost-benefit analysis of the age one dental visit for the privately insured. Pediatr Dent. 2015;37:376–80.
McGoldrick N, Burns J, Muir M. Is there an association between prenatal oral healthcare and early childhood caries prevention? Evid Based Dent. 2019;20:64–5.
Meyer K, Geurtsen W, Günay H. An early oral health care program starting during pregnancy: results of a prospective clinical long-term study. Clin Oral Investig. 2010;14:257–64.
Phantumvanit P, Makino Y, Ogawa H, et al. WHO global consultation on public health intervention against early childhood caries. Commun Dent Oral Epidemiol. 2018;46:280–7.
Plutzer K, Spencer AJ. Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Commun Dent Oral Epidemiol. 2008;36:335–46.
American Academy of Pediatric Dentistry (AAPD), Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. Pediatr Dent.2016;38:52-4.
Riggs E, Kilpatrick N, Slack-Smith L, et al. Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries. Cochrane Database Syst Rev. 2019;2019:CD012155.
Rothnie JJ, Walsh CA, Wang MJ, et al. An exploratory study of pregnant women’s knowledge of child oral health care in New Zealand. N Z Dent J. 2012;108:129–33.
Schroth RJ, Brothwell DJ, Moffatt ME. Caregiver knowledge and attitudes of preschool oral health and early childhood caries (ECC). Int J Circumpolar Health. 2007;66:153–67.
Seow KW. Environmental, maternal, and child factors which contribute to early childhood caries: a unifying conceptual model. Int J Paediatr Dent. 2012;22:157–68.
Tinanoff N, Baez RJ, Diaz Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019;29:238–48.
Vann WF Jr, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral health outcomes in early childhood. J Dent Res. 2010;89:1395–400.
Weintraub JA, Prakash P, Shain SG, et al. Mothers’ caries increases odds of children’s caries. J Dent Res. 2010;89:954–8.
Xiao J, Alkhers N, Kopycka-Kedzierawski DT, et al. Prenatal oral health care and early childhood caries prevention: a systematic review and meta-analysis. Caries Res. 2019;53:411–21.
Acknowledgements
This study was funded by a Grant from Kuwait University (ZD01/08). The authors of the study wish to thank Royal Hayat Hospital in Kuwait City, Kuwait, for permitting conducting the study at their out patient maternity clinics. Additionally, the authors would like to thank Dr. Maha Abdulsalam for her valuable contribution to the data collection in this study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
This study was funded by a grant from Kuwait University (ZD01/08).
Conflict of interest
The authors declare no conflicts of interest.
Ethical approval
This study was approved by the Ethical Clearance Committee, Health Science Center Kuwait University.
Consent to participate
Participants in the study provided a written consent for their participation.
Availability of data/material
Data available on request from the corresponding author.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Al-Sane, M., Koerber, A., Montero, M. et al. Sociodemographic and behavioural determinants of early childhood caries knowledge among expectant mothers in Kuwait. Eur Arch Paediatr Dent 22, 449–458 (2021). https://doi.org/10.1007/s40368-020-00579-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40368-020-00579-x