Evaluation Of Knowledge, Attitude and Practice Of Pediatricians Towards Long-Term Liquid Medicaments And Its Association With Dental Health

Abstract

Background: A regular practice following child birth is interaction with the pediatrician for routine medical examination, who administers children with a variety of medicines. Heavily sweetened liquid pediatric medicines has been a well accepted risk factor for the development of dental caries and dental erosion. Aim: To evaluate pediatricians' knowledge, attitude and practice about the long term use of liquid pediatric medicines and their relationship with dental caries and dental erosion. Methods: A cross-sectional survey was undertaken among the pediatricians in Chennai. Total subjects included in the survey were 55 pediatricians, through the method of convenience sampling. Data was collected by pre-tested, structured and self administered questionnaires handed out in hospitals, medical clinics and offices. The data on qualitative responses of the respondents was presented in percentage and statistical significance was tested using Chi-square test for independence of attributes. Results: No statistical difference was seen in the practice of advising dental checkup. Statistically significant difference was seen in awareness of PLM and association with caries, Prescription time for PLM, Practice on advising of rinsing mouth with water, brushing and chewing gum (P<0.001) Conclusion: Pediatricians in this study did not adequately perceive the relationship between the presence of fermentable carbohydrates in pediatric liquid medications and dental caries. But, they had moderate knowledge and lacked proper attitude and practice regarding the various preventive measures . Further studies with a larger sample are necessary.