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Incorporating Oral Health into Pediatric Practice: National Trends 2008, 2012, 2018.

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Pediatricians increasingly perform oral health tasks for young children and report fewer barriers. However, oral screenings and caries risk assessments remain underutilized, highlighting a need for continued focus on these preventive measures.

Keywords:
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Area of Science:

  • Pediatric primary care
  • Public health

Background:

  • Oral health is integral to children's overall well-being.
  • Pediatricians face barriers to integrating oral health into primary care.
  • Recent policies emphasize oral health in medical settings.

Purpose of the Study:

  • To assess changes in pediatricians' oral health practices and perceived barriers from 2008 to 2018.
  • To evaluate the impact of policy changes on pediatric oral health integration.

Main Methods:

  • Utilized three national cross-sectional surveys of American Academy of Pediatrics members (2008, 2012, 2018).
  • Assessed frequency of oral health tasks for children aged 3 and younger.
  • Analyzed self-rated ability, attitudes, and barriers using multivariable logistic regression.

Main Results:

  • Pediatricians more frequently provided fluoride varnish and dental referrals at younger ages in 2018 compared to 2008.
  • Fewer barriers to oral health integration were reported by pediatricians in 2018.
  • Oral screening examinations and caries risk assessments remain underutilized.

Conclusions:

  • Pediatricians' engagement in oral health tasks and reported barriers have improved between 2008 and 2018.
  • Continued efforts are necessary to enhance oral screening and caries risk assessment utilization.
  • Promoting fluoride varnish application remains important for pediatric oral health.