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Clinical Pediatrics
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Early Childhood Tooth Decay

Pediatric Interventions

James R. Schulte, D.D.S., M.H.P.E.

Department of Restorative and Preventive Dentistry, Loyola University Chicago School of Dentistry, 2160 South First Avenue, Maywood, IL 60153

Mary Ellen Druyan, Ph.D., M.P.H., R.D.

Department of Microbiology/Biochemistry Loyola University Chicago School of Dentistry, Maywood, Illinois

James C. Hagen, Ph.D., M.P.H.

Department of Microbiology/Biochemistry Loyola University Chicago School of Dentistry, Maywood, Illinois

Pediatricians in the greater Chicago area were surveyed to probe their awareness and approaches to management of dental caries in early childhood. A total of 298 pediatricians (21 % of those surveyed) responded to the questionnaire. Ninety-five percent of the respondents stated they examined their patients' teeth; 85% considered dental examinations part of their responsibility for children under 3 years of age. However, our data suggest that many pediatricians are unaware of the decay and the dietary patterns associated with tooth decay in early childhood. Although 96% of the respondents referred patients to a dentist when decay was diagnosed, analysis of diet and dietary counseling were performed by only 61 % and 65% of the respondents, respectively Recommendations for preventive measures that can be adopted by pediatricians are offered.

Clinical Pediatrics, Vol. 31, No. 12, 727-730 (1992)
DOI: 10.1177/000992289203101207
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