Experience in Oral Health Prevention for Children 0-5 Years of Thai Dental Therapists

Objective: To study experience of Thai dental therapists in oral health prevention for 0-5 year-old children.

Materials and method: In-depth interviews were conducted with nineteen dental therapists who were selected by purposive sampling of national award winning dental therapist from 2010 to 2016. The questions include role and experience in the job especially in oral health prevention for 0-5 year-old children and how to update new knowledge in this specific field. All data was collected as qualitative data during October 2017 to February 2018. Then content analysis and thematic analysis were performed to categorize, analyze and summarize the data.

Results: The study revealed that 19 dental therapists have vary levels of experience in oral health prevention of 0-5 year-old children including caries risk assessment, periodicity of examination or recall, oral hygiene instruction, dietary advice, professional topical fluoride application and primary teeth’s sealant. The mentioned interventions are not base on the individual caries risk level but depend on agreement of each of individual workplace and have to comply to policy indicators of ministry of public health. The most frequently practiced intervention is oral hygiene instruction, while primary teeth’s sealant is not widely practiced. In addition, there are misconception in professional topical fluoride indication, case selection and application.

Conclusions: This study indicates that in order to provide an effective oral health prevention for 0-5 year-old children, experience of dental therapist should be calibrated and priorited in the intervention selection for each patients with different levels of caries risk.

1. Tinanoff N, Kanellis MJ, Vargas CM. Current understanding of the epidemiology mechanisms, and prevention of dental caries in preschool children. Pediatr Dent 2002; 24(6): 543-551.

2. Kawashita Y, Kitamura M, Saito T. Early childhood caries. Int J Dent 2011; 2011: 1-7.

3. American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): Classifications, Consequences, and Preventive strategies. Pediatr Dent 2014; 37(6): 50-52.

4. Kagihara LE, Niederhauser VP. Stark M. Assessment, management, and prevention of early childhood caries. J Am Acad Nurse Pract 2009; 21(1): 1-10.

5. Twetman S, Dhar V. Evidence of Effectiveness of Current Therapies to Prevent and Treat Early Childhood Caries. Pediatr Dent 2015; 7(3): 246-253.

6. Dental Health Division. The 7th National oral health survey of Thailand report 2012. Nonthaburi:

7. Department of Health, Ministry of Public Health; 2013 (in Thai).

8. Dental Health Division. The 8th National oral health survey of Thailand report 2017. Nonthaburi:

9. Department of Health, Ministry of Public Health; 2018 (in Thai).

10. Trairatvorakul C.Oral health prevention in childhood and adolescence. 4th ed. Bangkok: Chulalongkorn University Printing House; 2554: 85-104 (in Thai).

11. Jitaram P, Makboon K. Dental care behavior of the caregivers of children aged 3-5 years. TDNJ 2014; 25(1): 26-41 (in Thai).

12. Sakolwasan C, Batpun P. Oral Health Promotion Process Development for Preschool Children in child-care Centers, Muang District, Nan Province. CM Dent J 2009; 16(1): 85-93 (in Thai).

13. Agrasuta V. Role of dental therapist and dental hygienist in various countries. Th Dent PH J 2015; 20(3): 78-87 (in Thai).

14. Coates DE, Kardos TB, Moffat SM, Kardos RL. Dental Therapists and Dental Hygienists

14. Educated for the New Zealand Environment. JDE 2009; 73(8): 1001-1008.

16. Chaiprasitti S, Tangjikongpittaya C. Practical Roles of Dental Therapist Working at District Hospital : A Case Study of Four District Hospitals in Lampang Province. CM Dent J 2015; 36(2): 145-159 (in Thai).

17. Dental auxilary association Thailand. Role of dental nurse in Oral health service plan 2016: 1-11 (in Thai).

18. Royal Thai Government Gazette, 113 (35ง), 30Oct.1995. (in Thai).

19. Royal Thai Government Gazette, 133 (155ง), 13Jul.2016. (in Thai).

20. Bureau of Inspection and Evaluation, Ministry of Public Health. Inspection guideline 2017. Nonthaburi; 2016 (in Thai).

21. Bureau of Dental Health, Ministry of Public Health.Dental health guideline 2018. Nonthaburi: Department of Health; 2017 (in Thai).

22. Office of The Dental Council.The desired competency of dental therapist 2013: 1-4 (in Thai).

23. Office of The Dental Council.The desired competency of dental therapist 2015: 1-10 (in Thai).

24. Sirindhorn College of Public Health.Bachelor of Public Health Program in Dental Public Health2012. Trang; 2011: 1-130 (in Thai).

25. Sirindhorn College of Public Health. Bachelor of Public Health Program in Dental Public Health2012.Suphanburi; 2011:1-130(in Thai).

26. Sirindhorn College of Public Health[URL of homepage on the Internet]. Khon Kaen: Bachelor of Public Health Program in Dental Public Health2011; 2011 [cited 2016 Dec 29]. Available from: http://www.scphkk.ac.th/mis/index_codeigniter.php/...

27. Sirindhorn College of Public Health [URL of homepage on the Internet].Chonburi: Bachelor of Public Health Program in Dental Public Health2011; 2011 [cited 2017 Jul 19]. Available from: http://dph.scphc.ac.th/home/khorngsrang/hlaksutr-s...

28. Sirindhorn College of Public Health [URL of homepage on the Internet].Yala: Bachelor of Public Health Program in Dental Public Health2012; 2012 [cited 2017 Aug 16]. Available from: http://www.yala.ac.th/SCPHYL/

29. Sirindhorn College of Public Health [URL of homepage on the Internet].Ubon ratchathani: Bachelor of Public Health Program in Dental Public Health2012; 2012 [cited 2016 Dec 27]. Available from: http://www.scphub.ac.th/2559/#portfolioModal9

30. Moon HS, Jung JY, Horowitz AM, Ma DS, Paik DI. Korean dental hygienists' knowledge and opinions about etiology and prevention of dental caries. Community Dent Oral Epidemiol 1998; 26(5): 296-302.

31. Francisco EM, Johnson TL, Freudenthal JJ, Louis G. Dental hygienists' knowledge, attitudes and practice behaviors regarding caries risk assessment and management. J Dent Hyg 2013;87(6): 353-361.

32. Chen CJ-A, Jallaludin RLR. Knowledge and perception of oral health promotion in schools among dental nurses in Sarawak, Malaysia. Asia Pac J Public Health 2000; 12(1): 12-16.

33. Clovis JB, Horowitz AM, Kleinman DV, Wang MQ, Massey M. Maryland dental hygienists' knowledge, opinions and practices regarding dental caries prevention and early detection. J Dent Hyg 2012;86(4): 292-305.

34. Nenthong C, Duangsong R. Factors associated with sustain of sealant students in first year of primary school among dental assistants in Nakhonratchasima province. TDNJ 2017; 27(2): 16 (in Thai).

35. The Dental Association of Thailand [URL of homepage on the Internet]: Caries risk assessment 2018; 2018 [cited 2018 Jun 26]. Available from: http://www.thaidental.net

36. Bureau of Dental Health, Department of Health [URL of homepage on the Internet]: Caries risk assessment form (Age 0-5); 2018 [cited 2018 Jul 26]. Available from: http://dental2.anamai.moph.go.th/main.php?filename...

37. American Academy of Pediatric Dentistry. Guideline on Caries-risk Assessment and Management for Infants, Children, and Adolescents. Pediatr Dent 2014; 38(6): 142-149.

38. Soongswang S, Rojanaworarit C, Wipapsathiankul S. Comparative Caries Preventive Effects of a Serial Oral Health Counseling Program Versus Routine Oral Hygiene Instruction Provided on Vaccination Visits: A Retrospective Cohort Study in Preschool Children in Nan, Thailand. SDU Res J 2017; 10(1): 1-16 (in Thai).

39. American Academy of Pediatric Dentistry. Guideline on Infant Oral Health Care. Pediatr Dent, 37(6), 146-150.

40. Hayes M, Wallace J, Coxon A. Attitudes and barriers to providing dietary advice: perceptions of dental hygienists and oral health therapists. Int J Dent Hygiene 2016; 14(4): 255-260.

41. The Dental Association of Thailand [URL of homepage on the Internet]: Guideline on Fluoride Therapy 2017; 2017[cited 2017 Jan 26]. Available from: http://www.thaidental.net

42. Promma S, Leelasithorn S. Fluoride varnish used for caries prevention in the children 0-3 years old. Th Dent PH J 2009; 14(1): 70-75 (in Thai).

43. Bureau of Dental Health, Department of Health [URL of homepage on the Internet]. Nonthaburi: KPI Template 2017; 2016 [cited 2017 Sep 21]. Available from: http://dental2.anamai.moph.go.th/ewt_news.php?nid=...

Maneemanorom A, Chatiketu P, Theerapiboon U. Experience in Oral Health Prevention for Children 0-5 Years of Thai Dental Therapists: Original articles. CM Dent J [Internet]. 2020 Jul 14 [cited 2024 Jul 23];41(2):135-149. Available from: https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=60

Maneemanorom, A., Chatiketu, P. & Theerapiboon, U. (2020). Experience in Oral Health Prevention for Children 0-5 Years of Thai Dental Therapists. CM Dent J, 41(2), 135-149. Retrieved from: https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=60

Maneemanorom, A., Chatiketu Piyanart and Theerapiboon Ubonwan. 2020. "Experience in Oral Health Prevention for Children 0-5 Years of Thai Dental Therapists." CM Dent J, 41(2), 135-149. https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=60

Maneemanorom, A. et al. 2020. 'Experience in Oral Health Prevention for Children 0-5 Years of Thai Dental Therapists', CM Dent J, 41(2), 135-149. Retrieved from https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=60

Maneemanorom, A., Chatiketu, P. and Theerapiboon, U. "Experience in Oral Health Prevention for Children 0-5 Years of Thai Dental Therapists", CM Dent J, vol.41, no. 2, pp. 135-149, Jul. 2020.

Maneemanorom Atchara, Chatiketu Piyanart, Theerapiboon Ubonwan "Experience in Oral Health Prevention for Children 0-5 Years of Thai Dental Therapists." CM Dent J, vol.41, no. 2, Jul. 2020, pp. 135-149, https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=60