Original Article

Perception of Iranian Mothers about Oral Health of Their School-Children: A Qualitative Study

Abstract

Objectives: Oral health is an important aspect of general health and well-being for children. Understanding the viewpoint of mothers about children's oral health provides a basis for the development of interventions to improve oral care and disease prevention. The purpose of this study was to explore the perception of Iranian mothers regarding the oral health of their children.
Materials and Methods: This descriptive qualitative study was the first phase of an exploratory mixed method design and collected data from April to May 2015 in Tehran, Iran. The qualitative data were collected through seven focus group discussions and three semi-structured interviews. The participants were 58 Iranian women who had a first grader. Data were analyzed using conventional content analysis.
Results: The main themes identified from the data were: (I) the definition of oral health, (II) the importance of maintaining oral health and dental treatment, (III) the effect of nutrition on children’s oral health, (IV) the role of oral health behaviors, (V) the causes of dental caries and malocclusion/crowding, (VI) the symptoms and causes of gum disease, (VII) the causes of halitosis.
Conclusions: According to the mothers' perception, the main factors influencing children's oral health were: nutrition and oral health behaviors such as daily tooth brushing and flossing. The results of this study can be used to develop a model of oral health education and a prevention program for improving oral health among Iranian school-children.

- Mak KK, Day JR. Dental health behaviours among early adolescents in Hong Kong. Int J Dent Hyg. 2011 May;9(2):122-6.

- Petersen PE. Global policy for improvement of oral health in the 21st century--implications to oral health research of World Health Assembly 2007, World Health Organization. Community Dent Oral Epidemiol. 2009 Feb;37(1):1-8.

- Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st centurythe approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003 Dec;31(suppl 1):3-24.

- Sheiham A. Oral health, general health and quality of life. Bull World Health Organ. 2005 Sep;83(9):644.

- Edelstein BL. The dental caries pandemic and disparities problem. BMC Oral Health. 2006 Jun;6 Suppl 1:S2.

- Touger-Decker R, Mobley C. Position of the Academy of Nutrition and Dietetics: oral health and nutrition. J Acad Nutr Diet. 2013 May;113(5):693-701.

- Do LG, Spencer A. Oral health-related quality of life of children by dental caries and fluorosis experience. J Public Health Dent. 2007 Summer; 67(3):132-9.

- Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S. Decreased quality of life associated with obesity in school-aged children. Arch Pediatr Adolesc Med. 2003 Dec;157(12):1206-11.

- Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005 Sep;83(9):661-9.

- Naidu R, Nunn J, Forde M. Oral healthcare of preschool children in Trinidad: A qualitative study of parents and caregivers. BMC Oral Health. 2012 Aug;12(1):27.

- Ismail AI. Prevention of early childhood caries. Community Dent Oral Epidemiol. 1998;26(1 Suppl):49-61.

- Riley JL, Gilbert GH. Childhood dental history and adult dental attitudes and beliefs. Int Dent J. 2005 Jun;55(3):142-50.

- Akpabio A, Klausner CP, Inglehart MR. Mothers'/guardians' knowledge about promoting children's oral health. J Dent Hyg. 2008 Winter;82(1):12.

- Hausen H, Karkkainen S, Seppa L. Application of the high-risk strategy to control dental caries. Community Dent Oral Epidemiol. 2000 Feb;28(1):26-34.

- Oredugba F, Agbaje M, Ayedun O, Onajole A. Assessment of mothers’ oral health knowledge: Towards oral health promotion for infants and children. Health. 2014 Apr;6(10):908-15.

- Lourenco CB, Saintrain MV, Vieira AP. Child, neglect and oral health. BMC Pediatr. 2013 Nov; 13:188.

- Lambert SD, Loiselle CG. Combining individual interviews and focus groups to enhance data richness. J Adv Nurs. 2008 Apr;62(2):228-37.

- O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014 Sep;89(9):1245-51.

- Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007 Dec;19(6):349-57.

- Hilton IV, Stephen S, Barker JC, Weintraub JA. Cultural factors and children's oral health care: a qualitative study of carers of young children. Community Dent Oral Epidemiol. 2007 Dec;35(6): 429-38.

- McDonald SM. Perception: a concept analysis. Int J Nurs Knowl. 2012 Feb;23(1):2-9.

- Casamassimo PS. Dental disease prevalence, prevention, and health promotion: the implications on pediatric oral health of a more diverse population. Pediatr Dent. 2003 Jan-Feb;25(1):16-8.

- Harrison RL, Wong T. An oral health promotion program for an urban minority population of preschool children. Community Dent Oral Epidemiol. 2003 Oct;31(5):392-9.

- Ng MW. Multicultural influences on child-rearing practices: implications for today's pediatric dentist. Pediatr Dent. 2003 Jan-Feb;25(1):19-22.

- Riedy CA, Weinstein P, Milgrom P, Bruss M. An ethnographic study for understanding children's oral health in a multicultural community. Int Dent J. 2001 Aug;51(4):305-12.

- Carvalho JC. Caries process on occlusal surfaces: evolving evidence and understanding. Caries Res. 2014;48(4):339-46.

- Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004 Feb;7(1A):201-26.

- Durey A, McAullay D, Gibson B, Slack-Smith LM. Oral health in young Australian aboriginal children: qualitative research on parents’ perspectives. JDR Clin Trans Res. 2017 Jan;2(1):38-47.

- Gussy MG, Waters EB, Riggs EM, Lo SK, Kilpatrick NM. Parental knowledge, beliefs and behaviours for oral health of toddlers residing in rural Victoria. Aust Dent J. 2008 Mar;53(1):52-60.

- Hoeft KS, Barker JC, Masterson EE. Urban Mexican-American mothers' beliefs about caries etiology in children. Community Dent Oral Epidemiol. 2010 Jun;38(3):244-55.

- Davies R, Hunter L, Loyn T, Rees J. Sour sweets: a new type of erosive challenge? Br Dent J. 2008 Jan;204(2):E3; discussion 84-5.

- Robyn RL, Robert JM, John DR. Pucker up: the

effects of sour candy on your patients' oral health. A review of the dental erosion literature and pH values for

popular candies. Northwest Dent. 2008 Mar-Apr;87(2):20-1.

- Agostini BA, Machry RV, Teixeira CRdS, Piovesan C, Oliveira MDM, Bresolin CR, et al. Self-perceived oral health influences tooth brushing in preschool children. Braz Dent J. 2014;25(3):248-52. 34- Finlayson TL, Siefert K, Ismail AI, Sohn W. Maternal self-efficacy and 1-5-year-old children's brushing habits. Community Dent Oral Epidemiol. 2007 Aug;35(4):272-81.

- Jokovic A, Locker D, Guyatt G. How well do parents know their children? Implications for proxy reporting of child health-related quality of life. Qual Life Res. 2004 Sep;13(7):1297-307.

- Casamassimo PS, Fields HW, McTigue DJ, Nowak AJ. Pediatric dentistry infancy through adolescence. 5th ed., St. Louis, Elsevier, 2013:371.

- Gholami M, Pakdaman A, Virtanen JI. Common perceptions of periodontal health and illness among adults: a qualitative study. ISRN Dent. 2012;2012: 671879.

- Adewole RA, Eweka OM, Agbelusi GA. A review of knowledge, diagnosis and treatment of halitosis among nigerian dentists- a pilot study. Oral Biol Dent. 2014 Jun;2(1):6.

- Aylikci BU, Colak H. Halitosis: From diagnosis to management. J Nat Sci Biol Med. 2013 Jan;4(1):14-23.

- Ueno M, Shinada K, Zaitsu T, Yokoyama S, Kawaguchi Y. Effects of an oral health education program targeting oral malodor prevention in Japanese senior high school students. Acta Odontol Scand. 2012 Sep;70(5):426-31.

- Montazeri A, Goshtasebi A, Vahdaninia M. Educational inequalities in self-reported health in a general Iranian population. BMC Res Notes. 2008 Jul;1(1):50.

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IssueVol 14, No 4 (2017) QRcode
SectionOriginal Article
Keywords
Qualitative Research Oral Health Perception Mothers Schools Iran

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How to Cite
1.
Momeni Z, Sargeran K, Yazdani R, Shahbazi Sighaldeh S. Perception of Iranian Mothers about Oral Health of Their School-Children: A Qualitative Study. Front Dent. 2017;14(4):180-190.