ArticleInternational journal of environmental research and public health2025
Parental Knowledge, Attitudes, and Practices and Their Association with Dental Caries in Children Aged 5-9 Years: A Cross-Sectional Study in Rural Ecuador.
Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Oral Hygiene and Dietary Behaviors Associated with Major Carious Lesions in Primary Dentition: A Cross-Sectional Study.Children (Basel, Switzerland) · 2026Article
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5 authors.
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Abstract
Childhood dental caries remains a critical public health issue in rural areas, where caregivers' knowledge, attitudes, and practices (KAP) significantly influence oral health outcomes. This study assessed the association between parental KAP and the prevalence and severity of caries in children aged 5-9 years in Cayambe, Ecuador.
methodsA cross-sectional study was conducted with 229 schoolchildren and their caregivers, using a validated questionnaire and clinical examinations (ICDAS criteria). Caries severity was categorized as "obvious decay" (ICDAS 4-6) or "no obvious decay" (ICDAS 0-3).
resultsAdvanced dental caries affected 73.4% of children (ICDAS 4-6). While parental knowledge and attitudes showed no significant association, brushing teeth ≥2 times/day significantly reduced caries severity (
conclusionOral hygiene practices-particularly frequent toothbrushing-were the key protective factor against severe caries, highlighting the need for behavior-focused interventions promoting daily habits. Future research should evaluate long-term preventive strategies.
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