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Oral health and oral health risk behaviour in children with and without externalising behaviour problems

M Staberg1, J G Norén2, L Gahnberg3

  • 1Department of Pediatric Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, P.O. Box 450, 405 30, Gothenburg, Sweden. marie.staberg@vgregion.se.

European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry
|May 17, 2018
PubMed

Insights

Children with externalizing behavior problems show increased oral health risks, including poor hygiene and dental trauma, despite similar caries rates. Dental professionals should offer enhanced preventive care and support for these children and their families.

Area of Science:

  • Pediatric Dentistry
  • Child Psychology
  • Public Health

Background:

  • Externalizing behavior problems in children can impact various aspects of their health and well-being.
  • Oral health is crucial for overall child development and quality of life.
  • Understanding the oral health status of children with behavioral challenges is essential for targeted interventions.

Purpose of the Study:

  • To compare oral health, risk behaviors, and parental evaluations between children with early-detected externalizing behavior problems and matched controls.
  • To identify specific oral health risk factors associated with externalizing behavior in children.
  • To inform dental professionals on supporting families of children with externalizing behaviors.

Main Methods:

  • A comparative study involving children aged 10-13 with externalizing behavior problems and matched controls.
  • Assessment of behavioral characteristics using the Strength and Difficulties Questionnaire.
  • Collection of data on oral hygiene, diet, dental fear, caries, dental trauma, and parental evaluations through questionnaires and dental records.

Main Results:

  • No significant difference in caries prevalence between groups.
  • Children with externalizing behavior problems exhibited higher consumption of sweet drinks, less frequent tooth brushing, increased dental trauma, and a higher risk for dental fear.
  • Parents of children with externalizing behavior problems were more likely to perceive dental care as inadequate.

Conclusions:

  • Early-detected externalizing behavior problems are associated with specific oral health risk factors, including poor hygiene and increased dental trauma.
  • While caries prevalence was similar, behavioral issues may indirectly affect oral health outcomes.
  • Dental professionals should implement enhanced prophylactic measures and provide support to families of children with externalizing behavior problems to maintain dental health.
Abstract

Keywords:
Child behaviourConduct problemsDental cariesDental fearDental traumaDisruptive behaviour disorder

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