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Pediatrics
The following Pediatrics articles relate to oral health and are listed by date, with the most recent articles appearing first. Links are to the full article in PDF format unless otherwise indicated. (Please note: For articles with abstracts only, a subscription to Pediatrics is required to view the full text version.)
2008
Preventive Oral Health Intervention for Pediatricians (Dec 08)
This policy is a compilation of current concepts and scientific evidence required to understand and implement practice-based preventive oral health programs designed to improve oral health outcomes for all children and especially children at significant risk of dental decay.

Influence of Multiple Social Risks on Children's Health (Feb 08)
ABSTRACT ONLY

Racial and Ethnic Disparities in Medical and Dental Health, Access to Care, and Use of Services in US Children (Feb 08)

2007
Association Between Infant Breastfeeding and Early Childhood Caries in the United States (Oct 07)

Disparities in Dental Insurance Coverage and Dental Care Among US Children: The National Survey of Children's Health (Feb 07)

Influences on Children's Oral Health: A Conceptual
Model (Sept 07)

State Children's Health Insurance Program Achievements, Challenges, and Policy Recommendations (Jun 07)

Preventive Health Care for Children With and Without Special Health Care Needs (Apr 07)

Preventive Dental Care for Children in the United States: A National Perspective (Mar 07) - The authors concluded that although the proportion of US children with a preventive dental visit now is higher than previously reported, children who are at highest risk for dental problems still are those least likely to receive preventive dental care.

2005
Unmet Dental Care Needs Among Children With Special Health Care Needs: Implications for the Medical Home (Sept 05) - Dental care is the most prevalent unmet health care need for CSHCN, affecting substantially more children than any other health care need category. Moreover, the perceived need for dental care for CSHCN exceeds the need for either preventive or specialty medical care. Given these findings, dental care should be an integral and explicitly stated part of the comprehensive coordinated services that the medical home aims to provide for CSHCN. Greater efforts to improve access to dental care for poor and more disabled CSHCN are needed.

Estimated Impact of Competing Policy Recommendations for Age of First Dental Visit (Apr 05) - The objective of this study was to compare levels of dental utilization and untreated dental decay among children aged 1 to 3 years that are likely to occur under 2 potential guidance policies: (1) pediatricians refer all toddlers to dentists for screening (consistent with American Academy of Pediatric Dentistry and the American Dental Association recommendations; DENT), and (2) pediatricians receive training in caries risk assessment, screen toddlers, and refer at-risk children to dentists (consistent with American Academy of Pediatrics recommendations; PED).

Fluoride Varnish Use in Primary Care: What Do Providers
Think? (Jan 05) - The objective of this study was to perform an in-depth case study of fluoride varnish diffusion in 12 pediatric, family medicine, and nurse practitioner offices that underwent fluoride varnish training.

2004
Dental Caries of Refugee Children Compared with US
Children (Dec 04) - Dental care is a major unmet health need of refugee children. The purpose of this study was to describe the prevalence of caries experience and untreated decay among newly arrived refugee children stratified by their regions of origin and compare it with that of US children.

Dental Screening and Referral of Young Children by Pediatric Primary Care Providers (Nov 04) - Several health care organizations recommend that physicians provide preventive dentistry services, including dental screening and referral. This study is the first to investigate characteristics of medical providers that influence their referral to a dentist of children who are at risk for dental disease.

Early Preventive Dental Visits: Effects on Subsequent Utilization and Cost (Oct 04) - This investigation looks at the effects of early preventive dental visits on subsequent utilization and costs of dental services among preschool-aged children.

Educating Pediatricians on Children's Oral Health: Past, Present, and Future (May 04) - The purpose of this study was to determine how well pediatricians are prepared to play the AAP-suggested role in children's oral health by examining the oral health content of their educational process.

Teeth (Apr 04) - Emerging data suggestive of posteruptive effects of some environmental toxicants on dental health may also be revealing and may help to explain, in part, the disproportionately high level of dental caries in children who are exposed to environmental tobacco smoke, for example.

2003
Dental Caries and Beverage Consumption in Young
Children (Sept 03) - Contemporary changes in beverage patterns, particularly the increase in soda pop consumption, have the potential to increase dental caries rates in children.

2002
Factors That Influence Receipt of Recommended Preventive Pediatric Health and Dental Care (Dec 02)
A substantial proportion of US children do not receive preventive care according to professionally recommended standards, particularly dental care. Publicly insured children experience higher rates of recommended well-child visits; however, much improvement is needed among public programs in providing recommended dental care, especially among adolescents and children in poor general health.

Accuracy of Pediatric Primary Care Providers’ Screening and Referral for Early Childhood Caries (May 02) - Few studies have been conducted on oral screenings and referrals by primary care physicians or the effectiveness of their oral health preventive activities. The purpose of this study was to determine the accuracy of pediatric primary care providers’ screening and referral for early childhood caries.

2000
Teething and Tooth Eruption in Infants: A Cohort
Study (Dec 2000) - Many symptoms are attributed to teething in infants, such as irritability, drooling, mouthing, sleep disturbance, fever, and diarrhea. There is little evidence to support these beliefs, despite their implications for clinical management. This study investigaged the relationship between tooth eruption, fever, and teething symptoms.

The Role of the Pediatrician in the Oral Health of Children:
A National Survey (Dec 2000) - By increasing their involvement in oral health prevention during well-child care visits, pediatricians may be able to play an important role in improving the dental health of their patients who have difficulty obtaining access to professional dental care. This approach would offer many advantages over the current model, in which most children do not visit a dentist until after 3 years of age and many poor children are unable to access dental care at all.

Adverse Sedation Events in Pediatrics: Analysis of Medications Used for Sedation (Oct 2000) - The purpose of the current analysis is to examine the relationship between medication-related factors and the adverse events reported above. Specifically, this study examined particular drugs and drug classes, routes of administration, medication errors and overdoses, drug combinations and interactions, the number of medications administered, venues of drug administration and of the adverse event, practitioners, and patterns of drug use.

Symptoms Associated with Infant Teething: A Prospective Study ( Apr 2000) - Most medical professionals now agree that teething does not cause life-threatening illness but disagree about which symptoms may be associated with tooth eruption. The goal of this study was to help infants' caregivers make decisions about which symptoms may be attributed to teething and to attempt to predict tooth emergence from these symptoms.

The Unmet Health Needs of America's Children (Apr 2000) -
Despite the nation's great wealth, unmet health needs remain prevalent among US children. A combined public policy that addresses financial and nonfinancial barriers to care is required to reduce the prevalence of unmet need for health care.

1998
Fluoride Supplement Prescribing and Dental Referral Patterns Among Academic Pediatricians (January 98) -
Pediatricians in an academic setting would be expected to be more knowledgeable of current recommendations than those in private practice. Failure to know and teach correct fluoride supplement recommendations and failure to recommend early professional dental involvement can result in less than optimum oral health.
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