Dave B et al.

: 1st Dental Visit ORIGINAL RESEARCH

1st Dental Visit: ‘An Ounce 0f Prevention is

Worth a Pound of Cure’
Bhavna Dave1, Roshani Patel2, Seema Bargale3, Anshula Deshpande4, Vaishnavi Shah5, Gaurav Chawda6
1-Dean, Professor and H.O.D., Department of pedodontics and preventive dentistry,
KMSDCH, Sumandeep vidhyapeeth university , Vadodara (D), India. 2,5,6-P.G. student, Correspondence to:
Dr. Bhavna Dave, MDS, KMSDCH, Sumandeep
Depart-ment of pedodontics and preventive dentistry, KMSDCH, Sumandeep
vidhyapeeth university,Gujarat State, India.
vidhyapeeth university, Vadodara (D), India. 3,4- Professor, Department of Contact Us: www.ijohmr.com
pedodontics and preventive dentistry, KMSDCH, Sumandeep vidhyapeeth university.

ABSTRACT
Introduction – At the age of a 1st year, the 1st dental visit to the pediatric dentist should arise. A regular 1 st
dental visit of a child to the clinic is a principal role of the children‟s well-being which serves the level of
the preventive side of dental care which child will earn so it will help in the upcoming oral health of the child.
This study was conducted to recognize the average age of the 1 st dental visit of the children and their
treatment needs. Aim - To evaluate 1st Dental Visit of children according to their treatment needs reported to
the institute between 1/04/2016 to 31/3/2017. Methodology: This retrospective study was done by using the
case documents of 900 children in K.M.shah dental college and hospital, Vadodara, Gujarat. The age groups of
the children were categorized into five categories; 0- 3 years, 4-6years, 7-9 years, 10-12 years and 13-14 years
with 15 chief-complains (Regular dental check-up, Dental caries, Dental pain/ sensitivity, Discoloration of teeth,
Deposits/bad breath, Ulcers, Malocclusion, Unerupted, missing or extra tooth, Oral habit, Trauma,Orientation to
prevention,Cleft lip and palate,Mobile teeth, Soft tissue lesions and Natal/Neonatal teeth). Assessment of the age
group and the most common chief complaint at the 1st dental visit was done. Results – Maximum number of
the children visited the department were among 7-9 years of age (37.6%). The most common chief-complain was
a pain (34.9%) followed by dental caries (31.2%). Conclusion – The apprehension regarding the 1st dental visit
and prevention approach is less among this population.
KEYWORDS: 1st Dental visit, Children, Age, Chief-complain
children‟s life.5
ASSSAAsasasss
AINTRODUCTION The aim of the early dental visit is to commence
Globally it is advocated that the 1st visit to the preventive guidance and dental care to ensure
pediatric dentist should be within the 1 st year of supreme oral haleness into childhood‟. A Dental visit
life.1 The American Academy of Pediatric Dentistry at the age of 1st year assists to give anticipatory
(AAPD) recommend that “a child must visit the guidance and setting up the dental home.6 According to
dentist within 6 months of eruption of the first several studies, factors which will influence early dental
primary tooth and no later than 12 months of age management are the socioeconomic status of the child,
however American Academy of Pediatrics commends understanding, and information concerning infant oral
oral health risk assessment by 6 months of age and health among pediatricians and general dentists, parents‟
founding of Dental Home for all infants by 12 approach to the early dental care and the health insurance
months.”2 coverage.5
A timely dental visit is important because, in 6 This study was organized to know the average age
month-old predentate infants, the oral establishment of of the 1st dental visit of the children and to identify
Streptococcus mutans occurs with their mothers as an the common causes of pursuing dental care at the 1 st
origin of the infection.3 Some authors suggest that the dental visit in Vadodara city, Gujarat.
1st dental visit of the child should ensue during 4 th-
month pregnancy of the mother. Because the mother‟s MATERIALS AND METHODS
oral health has influence over the oral health of the
newborn.4 The study was accompanied in the Department of
Pedodontics and Preventive Dentistry, K.M.shah dental
Early childhood caries (ECC) is found to be the most
college and hospital, Vadodara, Gujarat. A list of
prevalent dental problem run into the children. During a
case documents was taken from the O.P.D. of the
timely dental visit, detection of the white spot lesions
Department of Paedodontics & Preventive Dentistry.
and parents‟ education for preventive aspects can help
to circumvent severe conditions in the future of their Sample: 900 case documents were randomly selected
How to cite this article:
Dave B, Patel R, Bargale S, Deshpande A, Shah V, Chawda G. 1st Dental Visit: ‘An Ounce 0f Prevention is Worth a Pound of Cure’. Int J Oral Health
Med Res 2018;5(5):4-7.

International Journal of Oral Health and Medical Research | ISSN 2395-7387 | JANUARY-FEBRUARY 2019 | VOL 5 | ISSUE 5 4
 Dave B et al.: 1st Dental Visit ORIGINAL RESEARCH

from 1/04/2016 to 31/3/2017. AGE

Frequency Percent
Ethical approval: Ethical approval was taken from Valid <3 years 42 4.7
the Institutional Ethics Committee SVIEC/ON/DENT/ 4-6 years 257 28.6
SRP/17094. 7-9 years 338 37.6
10-12 years 182 20.2
Selection Criteria: 13-14 years 81 9.0
Inclusion criteria: Total 900 100.0

 Case documents of the 1st dental visit of Table 1: Male-Female distribution

children from the Department of Pedodontics &
Preventive Dentistry between 1/04/2016 to GENDER
31/3/2017 were taken. Frequency Percent
Valid Female 370 41.1
Exclusion criteria: Male 530 58.9
 Case documents of children who had come for Total 900 100.0

the follow-up. Table 2: Age of 1st dental visit

 Case documents of the children who already The most common reason for visiting the department was
visited the other institute or private dental dental pain (34.9%, n=314) followed by dental caries
clinics. (31.2%,n=281).Very few children were appeared for
 Case documents of the children who had come Orientation to prevention(1.2%, n= 11) (Table 3)
through camp.
 Case documents of children that did not show the CHIEF COMPLAINTS
age of the patient or any inadequate details Frequency Percent
Valid Cleft lip and palate 9 1.0
regarding the reason for the 1st dental visit.
dental caries 281 31.2
The distribution of the sample was done according Deposites 12 1.3
Discoloration of teeth 31 3.4
to children‟s age, gender and their reasons for the 1 st irregular- teeth 111 12.3
dental visit to the institute and noted in a data Mobile teeth 26 2.9
sheet. The children were graded into five groups natal tooth /neonatal tooth 3 .3
based on the age: 0-3 years (group I), 4-6 years Oral-habits 4 .4
(group II), 7-9 years (group III), 10-12 years (group IV) Orientation to prevention 11 1.2
Pain 314 34.9
and 13-14 years (group V). Routine dental check-up 31 3.4
The reasons for their 1st visit was categorized into the Soft-tissue lesion 7 .8
Trauma 40 4.4
following categories: Ulcer 5 .6
 Routine dental check up Missing,Unerupted or Extra tooth 15 1.7
 Dental caries Total 900 100.0
 Dental pain/ sensitivity Table 3: Reasons for 1st dental visit
 Discoloration of teeth
 Deposits/bad breath DISCUSSION
 Ulcers
 Malocclusion According to the present study, the number of
 Missing,Unerupted or extra tooth children were approached for the 1 st dental visit at
 Oral habits 6-9 years of age and the usual reason was pain
 Trauma followed by dental caries, and various other reasons
 Orientation to prevention as well.
 Cleft lip and palate In developing nations, most of the parents bring their
 Mobile teeth, children to the dentist for corrective not for the
 Soft tissue lesions preventive treatment as they are not getting any
 Natal/Neonatal teeth assistance in finance by the government where as in
The average age group and the most common developing countries expenses are borne by the
complaint at the 1st dental visit were analyzed. government for dental treatment.7 Another reason for
dental neglect seems due to lack of awareness among
the people regarding early dental visits in the Indian
RESULTS subcontinent.
Among 900 children, who visited the department for the
Though it is been reported that dental caries is the
first time, 530(58.9%) were male, and 370(41.1 %) were
most common disease in the children, dental neglect is
female. (Table 1)
very High. According to American Guidelines, the 1st
Most of the children who visited the department were the dental visit should be within 6 months of the eruption
age of 7-9 years (37.6.%, n=338) followed by children of of the 1st tooth; So, the child should come for an early
age 4-6years (28.6%, n=245). (Table 2) dental visit, it will help in detecting the white spot

International Journal of Oral Health and Medical Research | ISSN 2395-7387 | JANUARY-FEBRUARY 2019 | VOL 5 | ISSUE 5 5
 Dave B et al.: 1st Dental Visit ORIGINAL RESEARCH

lesions, and by taking active preventive actions, we a principal role in the overall health and growth of
can decrease severe lesions later in life.2 the child along with the child‟s family members,
dentists, pediatricians, and other health professionals.
In the developed countries, it is suggested that parents
They can work in collaboration in the direction of a
register their children with a dentist once their 1st
common goal for raising the child‟s oral health and
tooth erupts at 6 months.8 It is published that a great
in succession of general health. However, the study
number of children residing in Australia visit the dental
conducted by Nammalwar and Rangeeth14 found that
clinic at around the age of 5 when they started to appear
the pediatrician and physicians were aware with
at preschool. The large majority of children at the age
respect to the value of primary dentition, but did not
of 5 and above nursed in private practice by general
refer the pediatric patients to the dentist.
dentists or in the public dental services.9
Advertisement in media and creating awareness
We can do a careful examination of oral health status
among the family physicians and pediatricians
as soon as one year of age in very young children.
regarding oral health education and promoting
One reason is to recognize the children with plaque
referral of children to the dentist will assuredly help
accumulation because it has been shown to increase
in increasing the early visit of a child to dentist, so
occurrence of caries in young children.
it will help to circulate preventive care as „An ounce
The timely dental visit facilitates for interceptive of prevention is worth a pound of cure‟.
treatment aiming at arresting the continuation of carious
lesions. Preventive aims incorporate enhancement of aCONCLUSION
the oral health status of the child, modification of
inappropriate habits of diet and eating, upgrade The necessary education regarding the 1 st dental visit
information regarding the role of non-nutritive sucking is very low, as stated by the present study, so, it is
habit in the development of malocclusions, exceed evident that parents are more towards interception
wisdom of the probability for traumatic dental injuries, preferably than prevention of diseases. This can be
and also where, when and how to detect emergency prevented by undertaking the subsequent
care.10 considerations:

Considering other studies, carried by Meera et al. 5 Evolving the understanding concerning the timely
which estimated the age of 1st dental visit to be visit of the children to the dentists with the help of
more than 6 years, Ghimire11 found it to be in 7 to radio, televisions, and posters.
11 years age group. In the study of Yahya ma Draidi Creating awareness among Gynecologist, Pediatricians
et al. revealed less awareness level respecting the and family physicians regarding referral of expecting
graveness of the 1st dental visit among Jordanian mothers and infants to the dentist for prevention of
population, with the mean age of the children was the oral disorders.
more than 5 years of age. The general reason for
pursuing dental treatment on the 1 st dental visit was
pain and dental caries.12 Nino John et al. showed 7
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Conflict of Interest: Nil
Frequency of reported dental visits and professionals

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