Thoughts, Beliefs and Contexts Regarding Tooth-Brushing and Oral Care of Toddlers: Case Studies from 3 Regions of Thailand
Article Sidebar
Main Article Content
Abstract
The objective of this study was to investigate thoughts, beliefs, and contexts regarding tooth-brushing and oral care of toddlers from 3 regions of Thailand. The qualitative research was employed, data gathering by focus group discussions among 20 groups 96 caregivers, and through in-depth interviews and observation for 42 persons. Key informants were caregivers of toddlers aged 9-24 months from 5 sites of 3 regions in Thailand: North, North-eastern and Southern of Thailand. Data collection was conducted during December 2017-June 2018. The results showed that the main factors were the caregivers' internal factors, including their thoughts and beliefs about the importance of brushing teeth for beautiful white teeth, their understanding and concerns about toothpaste use in young children, their learning through experience, and caregiver’s characteristics themselves. Children's factors included being docile, whereas family factors were support or prohibition from family members, as well as serving as a role model. In addition, learning to brush teeth from health personnel at the appropriate time and in a manner compatible with caregivers’ lives was also critical. It was suggested that caregivers should be empowered their understanding and abilities in toothbrushing with fluoridated toothpaste as well as emotional and child management skills. Additionally, it is crucial to strengthen families and communities to better understand and foster caregivers in providing oral health care to children.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Rugg-Gunn A, Durward C, Ungchusak C, Khitdee C. Early childhood caries - a major public health problem J Public Health Dent 2017;22:1-2.
Bureau of Dental Health, Department of Health. Report of the 8th national oral health survey Thailand 2560. Nontaburi: Bureau of Dental Health ,Department of Health; 2561.14.
Clarke R, Shaw-Ridley M. Parental attitudes and beliefs about preschooler preventive oral health behaviors: Implications for health promotion. J Immigr Minor Health 2019;21:731–6.
Wright JT, Hanson N, Ristic H, Whall CW, Estrich CG, Zentz RR. Fluoride toothpaste efficacy and safety in children younger than 6 years: A systematic review. J Am Dent Assoc 2014;145(2):182-9.
Cameron AC, Widmer RP. Dental caries and restorative paediatric dentistry. In Handbook of Pediatric Dentistry. 2nded. China: Elsevier;2003.44-70.
Marshman Z, Ahern SM, McEachan RRC, Rogers HJ, Gray-Burrows KA, Day PF. Parents’ experiences of tooth brushing with children: A qualitative study. JDR Clin Trans Res 2016;1(2):122-30.
Nathe CN. Target populations. In Dental public health: contemporary practice for the dental hygienist. New Jersey: Pearson Prentice Hall; 2001.125-44.
Nathe CN. Target populations. In Dental public health: contemporary practice for the dental hygienist. Seconds Edition. New Jersey: Pearson Prentice Hall; 2005.143-56.
Hiratsuka VY, Robinson JM, Greenlee R, Refaat A. Oral health beliefs and oral hygiene behaviours among parents of urban Alaska native children. International Journal of Circumpolar Health 2019; 78:1. Available from: https://doi.org/10.1080/ 22423982. 2019.1586274
Trubey RJ, Moore SC, Chestnutt IG. The association between parents' perceived social norms for toothbrushing and the frequency with which they report brushing their child's teeth. Community Dent Health 2015 Jun;32(2):98-103.
Huebner CE and Riedy CA. Behavioral determinants of brushing young children's teeth: Implications for anticipatory guidance. Pediatr Dent. 2010 Jan–Feb;32(1):48–55. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2939855/pdf/nihms227947.pdf
Elison S, Norgate S, Dugdill L, and Pine C. Maternally perceived barriers to and facilitators of establishing and maintaining tooth-brushing routines with infants and preschoolers. Int J Environ Res Public Health. 2014 Jul;11(7):6808–6826. Available from: https://doi.org/10.3390/ ijerph110706808
Vanagas G, Grabauskas V. Associations between parental skills and their attitudes toward importance to develop good oral hygiene skills in their children. Medicina (Kaunas) 2009;45(9):718-23.
Clarke R, Shaw-Ridley M. Parental attitudes and beliefs about preschooler preventive oral health behaviors: implications for health promotion. J Immigr Minor Heal [Internet]. 2019;21(4):731–6. Available from: https://doi.org/10.1007/s10903-018-0812-8
Setijanto RD, Bramantoro T, Palupi R, Hanani A. The role of attitude, subjective norm, and perceived behavioral control (PBC) of mothers on teaching toothbrushing to preschool children - Based on the Theory of Planned Behavior: A cross-sectional study. Fam Med Prim Care Rev 2019;21(1):53–7.
Jitaram P, Makboon K. Dental care behavior of the caregivers of children aged 3-5 years. Thai Dent Nurse J. 2014;25(1):26-41.
Chuachaithat K, Chettaprin S, Ungchusak J, Leelasithorn S, Triroj B. First love, First tooth. Bangkok: The Printing Office to assist veterans organization, 2012.
Tuongratanaphan S, Chata S. Lifestyles of grandparents, main caregiver, related to oral health of children age 1-3 years, baan lao, bann phang district, khon kaen province. CM Dent J 2014;35(1):107-17.
Purisinsith W. Feminism in Thai Society. CM Soc Sci J. Chiang Mai University. Chiang Mai: Nopburi Publishing. 2000.
Subkamondi T, Tuongratanaphan S, Chaiprasitti S, Tuongratanaphan S. Oral self-care of muslim primary caregivers and care of their children’s oral health aged 3-5 years old in a muslim community, trang province. CM Dent J 2018;39(2):91-102.
Martin M, Pugach O, Avenetti D, Lee H, Salazar S, Rosales G, et al. Oral health behaviors in very young children in low-Income urban areas in chicago, illinois, 2018–2019. Prev Chronic Dis 2020; 17:200213. Available from: https:// europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7735487&blobtype=pdf
Kulpichit U, Puttikul P. Situation analysis of non-parental care for young children and a proposed innovative approach to enhance attachment in family. CUEDUJ, Chulalongkorn University. 2560; 45(3):188-205.
de Castilho AR, Mialhe FL, Barbosa TS, Puppin-Rontani RM. Influence of family environment on children’s oral health: a systematic review. J Pediatr (Rio J) 2013;89:116-23.
Marshman Z, Ahern SM, McEachan RRC, Rogers HJ, Gray-Burrows KA, and Day PF. Parents’ experiences of tooth brushing with children: A qualitative study. JDR Clin Trans Res 2016; 1(2):122-30.
Collett BR, Huebner CE, Seminario AL, Wallace E, Gray KE, Speltz ML. Observed child and parent toothbrushing behaviors and child oral health. Int J Paediatr Dent 2016;26(3):184–92.
Duijster D, Verrips GHW, Cor van Loveren. The role of family functioning in childhood dental caries. Community Dent Oral Epidemiol 2014;42(3): 193-205.
Suprabha BS, D’Souza V, Shenoy R, Karuna YM, Nayak AP, Rao A. Early childhood caries and parents’ challenges in implementing oral hygiene practices: a qualitative study. Int J Paediatr Dent 2021;31(1):106-14.
Duijster D, de Jong-Lenters M, Verrips E, Cor van Loveren. Establishing oral health promoting behaviours in children–parents’ views on barriers, facilitators and professional support: a qualitative study. BMC Oral Health 2015;15:157.
Brännemo I, Dahllöf G, Soares FC, Tsilingaridis G. Impact of an extended postnatal home visiting programme on oral health among children in a disadvantaged area of Stockholm, Sweden. Acta Paediatrica 2020: 230-237. Available from: https:// doi.org/10.1111/apa.15457