Oral Health Opinions and Practices of Pediatricians: Updated Results From a National Survey |
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| Affiliation: | 1. Department of Pediatric Dentistry and Pediatrics, Schools of Medicine and Dentistry, University of North Carolina at Chapel Hill;2. Department of Dental Research, School of Dentistry, University of North Carolina at Chapel Hill;3. Division of General Pediatrics, University of Washington and Craniofacial Center, Seattle Children''s Hospital, Seattle, Wash;4. Division of Pediatric Practice, American Academy of Pediatrics, Elk Grove Village, Ill;5. Department of Research, American Academy of Pediatrics, Elk Grove Village, Ill;6. Department of Pediatrics and Community and Family Medicine, Geisel School of Medicine at Dartmouth Medical School, Hanover, NH;7. Division of Surgery, Duke University, Durham, NC;1. Department of Health Outcomes and Policy and Institute for Child Health Policy, University of Florida College of Medicine, Gainesville, FL;2. Department of Community Dentistry and Behavioral Science, University of Florida College of Dentistry, Gainesville, FL;1. Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn;2. Masters in Surgery Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil;3. Department of Vascular Surgery, Semmelweis University, Budapest, Hungary;1. Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, D.C., United States;2. Department of Pharmaceutical and Health Economics, School of Pharmacy, University of Southern California, Los Angeles, CA, United States;3. Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, United States;4. National Bureau of Economic Research (NBER), Cambridge, MA, United States;1. WHO Collaborating Centre in Oral Health Inequalities and Public Health, Department of Epidemiology and Public Health, University College London, London, UK;2. Division of Child and Public Dental Health, Dublin Dental University Hospital, Trinity College Dublin, University of Dublin, Dublin, Ireland;3. Faculty of Dentistry, McGill University, Montreal, QC, Canada;4. Department of Dental Public Health, School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK;5. Quality and Safety of Oral Healthcare, Department of Dentistry, Radboud University Medical Center, Radboud University, Nijmegen, Netherlands;6. Section for Translational Health Economics, Medical Faculty, Heidelberg University, Heidelberg, Germany;7. Department of Dental Public Health, University of Pittsburgh, Pittsburgh, PA, USA;8. Public Health Foundation of India, Gurgaon, India;9. Departamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia, Bogotá, Colombia;10. Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil;11. Menzies Health Institute Queensland and School of Dentistry and Oral Health, Griffith University, Gold Coast, QLD, Australia;12. Department of Preventive and Restorative Dental Sciences and Philip R Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA;13. WHO Collaborating Centre for Quality-Improvement, Evidence-Based Dentistry, Department of Epidemiology and Health Promotion, New York University College of Dentistry, New York, NY, USA;14. New York University College of Global Public Health, New York, NY, USA |
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| Abstract: | ![]()
BackgroundProfessional guidelines and state Medicaid policies encourage pediatricians to provide oral health screening, anticipatory guidance, and fluoride varnish application to young patients. Because oral health activities are becoming more common in medical offices, the objective of this study was to assess pediatricians' attitudes and practices related to oral health and examine changes since 2008.MethodsAs part of the 2012 Periodic Survey of Fellows, a random sample of 1638 members of the American Academy of Pediatrics was surveyed on their participation in oral health promotion activities. Univariate statistics were used to examine pediatricians' attitudes, practices, and barriers related to screening, risk assessment, counseling, and topical fluoride application among patients from birth to 3 years of age. Bivariate statistics were used to examine changes since 2008.ResultsAnalyses were limited to 402 pediatricians who provided preventive care (51% of all respondents). Most respondents supported providing oral health activities in medical offices, but fewer reported engaging in these activities with most patients. Significantly more respondents agreed they should apply fluoride varnish (2008, 19%; 2012, 41%), but only 7% report doing so with >75% of patients. Although significantly more respondents reported receiving oral health training, limited time, lack of training and billing remain barriers to delivering these services.ConclusionsPediatricians continue to have widespread support for, but less direct involvement with oral health activities in clinical practice. Existing methods of training should be examined to identify methods effective at increasing pediatricians' participation in oral health activities. |
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| Keywords: | education fluoride oral health pediatrician practice prevention |
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