Knowledge of Parents toward their Children’s Oral Health: A Survey in Monastir, Tunisia
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Abstract
Introduction: The establishment and preservation of optimal oral health in children are largely contingent upon the active participation of their parents and caregivers. These primary figures are instrumental in shaping children's preventive practices and facilitating necessary treatment, highlighting a critical interface for health interventions. The aim of the study was to evaluate the knowledge of parents in Monastir city, Tunisia, toward their children’s oral health care and prevention of tooth decay and to determine the influence of parental socio-demographic variables on knowledge.
Methods: A cross-sectional study was conducted in the pediatrician’s waiting room in Monastir, Tunisia. Ethical Clearance was obtained. The sample was made up of 195 parents. The questionnaire was completed to obtain information regarding demographic and education variables, knowledge about oral health prevention, parents', children's oral hygiene habits, and risk behaviors. The data collected were subjected to statistical analysis using the Pearson chi-square test and the ANOVA test.
Results: Sixty-three percent of parents who participated in the study had an insufficient knowledge score (score<50%). The mean knowledge score among mothers was slightly greater than fathers. The parents having fewer than three children have better knowledge, and the parents with one child have better scores. Similar results with a higher educational level were statistically significant. The majority of parents recognized many preventive dental aspects like the number of daily brushings, the nature of toothbrush .....( abstract truncated at 250 words)
Keywords:
Children, Dental caries, Prevalence, Prevention, Parents##plugins.themes.academic_pro.article.details##

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References
- Abid A. Oral health in Tunisia. International Dental Journal. 2004;54:389-394. doi:10.1111/j.1875-595X.2004.tb00016.x
- Petersen PE. World Health Organization global policy for improvement of oral health - World Health Assembly 2007. International Dental Journal. 2008;58(3):115-121. doi:10.1111/j.1875-595X.2008.tb00185.x
- Segura A, Boulter S, Clark M, Gereige R, Krol D, Mouradian W. Maintaining and Improving the Oral Health of Young Children. SECTION ON ORAL HEALTH, Pediatrics. 2014; 134(6):1224-1229. doi:10.1542/peds.. 2014-2984
- Doğan GK, Polat Y, Özüdoğru S. Parental awareness and attitudes towards pediatric dentistry and children’s oral health. BMC Oral Health. 2025 Apr 30;25(1):672.
- Filstrup SL, Briskie D, Lawrence L, Wandera A, Inglehart MR. Early Childhood Caries and Quality of Life: Child and Parent Perspectives.
- Lim S, Kim K, Choi N, Kim S. Perception of Parents Regarding Specialized Pediatric Dentistry. J Korean Acad Pediatr Dent. 2024 Nov 30;51(4):344–58.
- Von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007;370(9596):1453-1457. doi:10.1016/S0140-6736(07)61602-X
- American Academy of Pediatric Dentistry. Policy on dietary recommendations for infants, children, and adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021:87-9.
- UFSBD. Fiche conseil. [Internet]. 2017 Jan Available from:https://www.ufsbd.fr/wp-content/uploads/2017/01/ficheAlimentation-carie-enfant_251116.pdf
- Committee, Clinical Affairs, Infant Oral Health Subcommittee, and American Academy of Pediatric Dentistry. "Guideline on infant oral health care." Pediatric dentistry 34.5 (2012): e148-e152.
- Kumar G, Dhillon J, Vignesh R, Garg A. Knowledge, attitude, and practical behavior of parents regarding their child’s oral health in New Delhi. J Indian Soc Pedod Prev Dent. 2019;37(1):3. doi:10.4103/JISPPD.JISPPD_257_18
- Duguma FK. Assessment of Knowledge, Attitude and Practice (KAP) of Parents Towards Childhood Dental Caries Attending Pediatrics and Dental Clinic at ALERT Center, Addis Ababa, Ethiopia, January 2018. ADOH. 2019;11(2). doi:10.19080/ADOH.2019.11.555806
- Nagarajappa R, Kakatkar G, Sharda AJ, Asawa K, Ramesh G, Sandesh N. Infant oral health: Knowledge, attitude and practices of parents in Udaipur, India. Dental Research Journal. 2013;10(5):7.
- Kotha S, Alabdulaali R, Dahy W, Alkhaibari Y, Albaraki AM, Alghanim A. The influence of oral health knowledge on parental practices among the Saudi parents of children aged 2–6 years in Riyadh City, Saudi Arabia. J Int Soc Prevent Communit Dent. 2018;8(6):565. doi:10.4103/jispcd.JISPCD_341_18
- Nuca C, Amariei C, Badea V, Jipa I. Relationships between Constanta (Romania) 12-year-old children’s oral health status and their parents’ socioeconomic status, oral health knowledge, and attitudes. 2009;(4):9.
- Khanduri N, Singhal N, Mitra M, Rohatgi S. Knowledge, attitude, and practices of parents toward their children’s oral health: A questionnaire survey in Bhairahawa (Nepal). Int J Pedod Rehabil. 2018;3(2):59. doi:10.4103/ijpr.ijpr_31_17
- Akpabio A, Klausner CP, Inglehart MR. Mothers’/Guardians’ Knowledge about Promoting Children’s Oral Health. Journal of Dental Hygiene.
- Chan SCL, Tsai JSJ, King NM. Feeding and oral hygiene habits of preschool children in Hong Kong and their caregivers’ dental knowledge and attitudes: Preschool children’s feeding and oral hygiene. International Journal of Paediatric Dentistry. 2002;12(5):322-331. doi:10.1046/j.1365-263X.2002.00389.x
- Azimi S, Taheri JB, Tennant M, Kruger E, Molaei H, Ghorbani Z. Relationship Between Mothers' Knowledge and Attitude Towards the Importance of Oral Health and Dental Status of their Young Children. Oral Health Prev Dent. 2018;16(3):265-270. doi: 10.3290/j.ohpd.a40760.
- Kaushik M, Sood S. A Systematic Review of Parents’ Knowledge of Children’s Oral Health. Cureus. 2023 Jul;15(7):e41485.