The role of paediatricians in the prophylaxis of early childhood caries

Open access


The first visit to the dentist should take place within 6 months after the first deciduous tooth erupts, and not later than in the 12th month of the child’s life. To assess the role of paediatricians in the prophylaxis of early childhood caries, the authors studied recommendations given to parents about the age when their child should see the dentist for the first time. The survey covered 250 parents of children aged from 11 to 69 months who attended nursery schools and kindergartens in Lublin. Our results show that paediatricians only referred 12.80% (n = 32) of all children at the age of between 3 to 66 months for their first visit to the dentist. Herein, half of the references were of children younger than 2 years (Me = 24.0). In total, the mean age of the child was 22.41 ± 13.24 months on reference.

Thus, paediatricians refer children to the dentist for their first visit too seldom and too late. It is essential that paediatricians learn to participate to a greater extent in the prevention of early childhood caries. The cooperation between the paediatrician and the dentist is necessary to provide complex and comprehensive care to developmental age patients.

1. AAPD. Guideline on infant oral health care. Pediatr Dent. 2012; 34(5):148-52.

2. Krol DM. Educating pediatricians on children’s oral health: past, present, and future. Pediatrics. 2004;113(5):487-92.

3. Brickhouse TH, Unkel JH, Kancitis I, Best AM, Davis RD. Infant oral health care: a survey of general dentists, pediatric dentists, and pediatricians in Virginia. Pediatr Dent. 2008;30(2):147-53.

4. Kargul A, Koperny M, Bała M, Seweryn M, Wiercińska E. Ocena stanu wiedzy na temat czynników wywołujących chorobę próchnicową oraz metod jej zapobiegania na podstawie badania ankietowego wśród rodziców dzieci w wieku przedszkolnym. Dent Med Probl. 2015;52(3):316-23.

5. Skonieczna J, Jankowska M, Olejniczak D, Boratyński W. Zachowania higieniczne dzieci w wieku przedszkolnym w ocenie rodziców. J Educ Health Sport. 2015;5(9):109-16.

6. Marcinkowska U, Piekarz T, Mosler B, Michalak E, Jośko-Ochojska J. Wybrane elementy profilaktyki próchnicy zębów dzieci w wieku przedszkolnym. Dent Med Probl. 2013;50(1):52-6.

7. 80% of 1 to 2-year-olds didn’t visit an NHS dentist last year. The Royal College of Surgeons of England. 2017. Available from: [Accessed 14.03.2018].

8. Peedikayil FC, Kottayi S, Kenchamba V. Knowledge, attitude and practices of pediatricians regarding prevention of dental caries. Health Sci. 2013;2(2):JS002

9. Balaban R, Aguiar CM, da Silva Araújo AC, Dias Filho EB. Knowledge of paediatricians regarding child oral health. Int J Paediatr Dent. 2012;22(4):286-91.

10. Noueiri B, Nassif N, Bacho R. Behavior of Lebanese pediatricians regarding children’s oral health. Int J Clin Pediatr Dent. 2017;10(4): 379-83.

11. Emerich K, Wyszkowski J. Profilaktyka chorób jamy ustnej w świadomości polskich pediatrów. Dent Med Probl. 2009;46(2): 157-61.

12. Ismail AI, Nainar SM, Sohn W. Children’s first dental visit: attitudes and practices of US pediatricans and family physicians. Pediatr Dent. 2003;25(5):425-30.

13. Kubić-Filiks B, Rosiak J, Szalewski L, Pietryka-Michałowska E, Szymańska J. Socio-medical analysis of patients aged 0-6 years reporting to the dentist. Pol J Public Health. 2016;126(1):24-7.

14. Rudnicka J, Kowalczyk K, Ganowicz E, Iwanicka-Grzegorek. Czynniki warunkujące zdrowie jamy ustnej u dzieci w wieku przedszkolnym. Stomatol Współcz. 2015;22(1):8-15.

15. Kowash MB, Alkhabuli JO, Dafaalla SA, Shah A, Khamis AH. Early childhood caries and associated risk factors among preschool children in Ras Al-Khaimah, United Arab Emirates. Eur Arch Paediatr Dent. 2017;18(2):97-103.

16. Di Giuseppe G, Nobile CG, Marinelli A, Angelillo IF. Knowledge, attitude and practices of pediatricians regarding the prevention of oral diseases in Italy. BMC Public Health. 2006;6(1):176.

17. Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O’Connor KG, Quinonez RB. Oral health and pediatricians: results of a national survey. Acad Pediatr. 2009;9(6):457-61.

18. Bader JD, Rozier GR, Lohr KN, Frame PS. Physicians’ roles in preventing dental caries in preschool children: a summary of the evidence for the U.S. Preventive Services Task Force. Am J Prev Med. 2004;26(4):315-25.

19. Jadach R, Siwek-Jadach K, Migas-Mastalerz A. Rola lekarza rodzinnego w prewencji próchnicy zębów u dzieci i młodzieży. Fam Med Prim Care Rev. 2007;9(3):442-4.

Current Issues in Pharmacy and Medical Sciences

Formerly Annales UMCS Sectio DDD Pharmacia

Journal Information

CiteScore 2017: 0.22

SCImago Journal Rank (SJR) 2017: 0.131
Source Normalized Impact per Paper (SNIP) 2017: 0.200


All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 157 157 25
PDF Downloads 93 93 19