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Understanding Oral Health Behaviors Among Children Treated for Caries Under General Anesthesia
Helen H Lee1, Charles W Lehew2, David Avenetti3
1Dr. Lee is an assistant professor, Department of Anesthesiology, College of Medicine, Department of Pediatric Dentistry, Chicago, Ill., USA;,
Journal of Dentistry for Children (Chicago, Ill.)
|August 10, 2019
Summary
Family dynamics and life stress significantly impact oral health behaviors in children receiving dental care for caries under general anesthesia (GA). Addressing these factors is crucial for improving treatment outcomes.
Area of Science:
- Pediatric Dentistry
- Public Health
- Behavioral Science
Background:
- Severe caries in children presents significant challenges to oral health.
- Dental caries treatment under general anesthesia (GA) is often necessary for young children with extensive decay.
- Understanding factors influencing oral health behaviors is critical for effective intervention.
Purpose of the Study:
- To explore factors affecting oral health behaviors in pediatric patients undergoing caries treatment under GA.
- To identify barriers to accessing dental care and maintaining oral hygiene in this population.
- To understand the role of family dynamics in shaping oral health practices.
Main Methods:
- Conducted 19 semi-structured key informant interviews with caregivers of children treated for caries under GA.
- Utilized audio recordings and professional transcription for interview data.
- Employed an inductive coding approach with iterative theme identification by four investigators.
Main Results:
- Caregiver experiences with severe caries and family dynamics influenced accessing dental services, toothbrushing, and sugar intake.
- Barriers to care included caregiver denial, insurance issues, and provider availability.
- Parent-child discord and daily life stress hindered oral health behavior change efforts.
Conclusions:
- Family experiences and dynamics are significant barriers to changing oral health behaviors in urban, Medicaid-enrolled children treated for caries under GA.
- Future interventions should consider the complexity of familial interactions to improve outcomes.
- Addressing psychosocial factors is essential for enhancing pediatric dental care effectiveness.
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