Title: 2694 - Dentists’ Approach to Caries Prevention in High-caries-risk Children in Jordan
Ahmad Aljafari (Presenter)
The University of Jordan
Rawan Elkarmi, The University of Jordan
Jumana Kussad, Jordan University Hospital
Marie Therese Hosey, King's College London
Objectives: To explore the oral-health-advice and preventive-care provided by general-dental-practitioners to high-caries-risk children in Jordan.
Methods: A cross-sectional study using an open-ended questionnaire. General-dental-practitioners were targeted at a national general-dentistry conference, the attendance of which contributes towards Continuing Professional Development. They were presented with a high-caries-risk child scenario and asked regarding: 1) oral-hygiene and dietary advice they would give; 2) preventive-care they would offer; 3) barriers they face in prevention delivery. Their answers were compared against an evidence-based guideline for general-dental-practitioners in England. Data were input into SPSS-20 and analysed using descriptive statistics and frequencies. Chi-square test was used to compare results by age, experience and practice location.
Results: One-hundred and sixty dentists were approached and 128 agreed to participate (80%), of whom 87 (69%) were females. The average age was 31 years [Range:22-50]. Sixty-six percent practiced in the capital, Amman. Sixty-five percent gave advice on tooth-brushing frequency, but only 23% suggested brushing at bed-time and 24% recommended parental supervision. None provided advice on toothpaste fluoride content. Seventy-one percent advised reducing sugary-food amounts, but only 21% focused on intake frequency and 2% suggested the use of diet diaries. Most knew about fissure-sealants (77%) and fluoride-varnish (80%). Forty-two percent reported barriers to delivering preventive-care, including parental attitudes (36%), child cooperation (30%), poor financial reward (19%), and lack of training (6%). Participants practicing outside of the capital were less likely to use fluoride-varnish [P= 0.002] and more likely to face barriers [P=0.001].
Conclusions: The oral-health-advice delivered by general-dental-practitioners to high-caries-risk children in Jordan does not meet the standards of an evidence-based guideline. Future initiatives for oral-health-promotion should aim to address the barriers reported, especially outside the capital.
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE