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Assessment of New York Primary Care Physicians’ Knowledge, Attitudes, and Practices Related to Fluoride Varnish in an Urban Medical-Setting
1New York University College of Dentistry, New York, NY, USA
2Columbia University College of Dental Medicine, New York, NY, USA
3Columbia University Medical Center, New York, NY, USA
*Corresponding Author(s): Lisa Lian E-mail: LL132@nyu.edu
Objective: To determine changes in knowledge, attitudes, and practices of primary care physicians (PCPs) regarding fluoride varnish (FV). Study Design: Fifty-four PCPs at an urban medical center in New York completed a pre-intervention survey. A pediatric dental resident provided an hour-long educational lecture and a hands-on demonstration regarding FV application. Six months later, PCPs were sent a post-intervention survey via electronic mail. Results: Fifty-four PCPs participated in the pre-survey and FV training and 48% completed the post-survey. Prior to the FV training, 57% of PCPs knew that FV application by medical practitioners was reimbursable for children under 6-years-old and 2% of PCPs were applying FV. Post FV training, 62% of PCPs reported applying FV. Pre and post survey, barriers to FV application was not enough hands-on training (43% to 15% respectively) and not enough time (50% to 85% respectively). Conclusions: Post FV training, PCPs’ knowledge, attitudes and practices in regard to FV changed. Interprofessional education may be one approach to increasing FV application participation.
Primary care; Fluoride; Fluoride varnish; Interprofessional education
Lisa Lian,Christie Lumsden,Richard Yoon,Dana Sirota. Assessment of New York Primary Care Physicians’ Knowledge, Attitudes, and Practices Related to Fluoride Varnish in an Urban Medical-Setting. Journal of Clinical Pediatric Dentistry. 2020. 44(4);249-255.
1. Benjamin RM. Oral health: the silent epidemic. Public Health Rep 125 (2): 158-159, 2010.
2. Dye BA, Tan S, Smith V, Lewis BG, et al. Trends in oral health status: United States, 1988-1994 and 1999-2004. Vital Health Stat 11 (248): 1-92, 2007.
3. Macek MD, Heller KE, Selwitz RH, Manz MC. Is 75 percent of dental caries really found in 25 percent of the population? J Public Health Dent 64: 20-25, 2004.
4. Fleming E, Afful J. Prevalence of total and untreated dental caries among youth: United States, 2015-2016. NCHS Data Brief, no 307. Hyattsville, MD: National Center for Health Statistics 2018.
5. Weyant RJ, Tracy SL, Anselmo TT, et al. Topical fluoride for caries prevention: executive summary of the updated clinical recommendations and supporting systematic review. J Am Dent Assoc 144 (11): 1279-1291, 2013.
6. Marinho VCC, Worthington HV, Walsh T, Clarkson JE. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews 2013;7:1-92. DOI: 10.1002/14651858. CD002279.pub.
7. American Academy of Pediatric Dentistry. Policy on Use of Fluoride 2018. http://www.aapd.org/media/Policies_Guidelines/P_FluorideUse1. pdf. Accessed January 21, 2018.
8. American Academy of Pediatric Dentistry. Guideline on Caries-risk Assessment and Management for Infants, Children and Adolescents. Reference Manual 37 (6): 132-139, 2016.
9. Chou R, Cantor A, Zakher B, Mitchell JP, Pappas M. Prevention of Dental Caries in Children Younger Than 5 Years Old: Systematic Review to Update the U.S. Preventive Services Task Force Recommendation. Evidence Synthesis No. 104. AHRQ Publication No. 12-05170-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2014.
10. American Academy of Pediatrics – Section on Oral Health. https://www. aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Oral-Health/ Pages/Oral-Health-Practice-Tools.aspx. Accessed January 22, 2018.
11. Kranz AM, Lee J, Divaris K, Baker AD, Vann W. North Carolina physician-based preventive oral health services improve access and use among young Medicaid enrollees. Health Aff (Millwood) 33 (12): 2144-52, 2014.
12. Clark M, Slayton RL. Fluoride Use in Caries Prevention in the Primary Care Setting. Pediatrics 134 (3): 626-633, 2014.
13. Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O’Connor KG, et al. Oral health and pediatricians: results of a national survey. Acad Pediatr 9 (6): 457-61, 2009.
14. Close K, Rozier RG, Zeldin LP, Gilbert AR. Barriers to the Adoption and Implementation of Preventive Dental Services in Primary Medical Care. Pediatrics 125 (3): 509-517, 2010.
15. King L, Hinterland K, Dragan KL, Driver CR, Harris TG, Gwynn RC, Linos N, Barbot O, Bassett MT. Community Health Profiles 2015, Manhattan Community District 12: Washington Heights and Inwood; 2015;12(59):1-16.
16. Prevalence of Untreated Dental Caries in Primary Teeth Among Children Aged 2-8 Years, by Age Group and Race/ Hispanic Origin–National Health and Nutrition Examination Survey, 2011–2014. MMWR Morb Mortal Wkly Rep. 2017;66:261.
17. Albert DA, Findley S, Mitchell DA, Park K, McManus JM. Dental caries among disadvantaged 3- to 4-year-old children in northern Manhattan. Pediatr Dent. 2002;24(3):229-233.
18. Silk H, Douglass A, Clark M, et al. Smiles for Life National Oral Health Curriculum: Module 6. Fluoride Varnish. MedEdPORTAL Publications 2012.
19. Institute of Medicine. 2011. Advancing Oral Health in America. Washington, DC: The National Academies Press.
20. AAP. Policy Statement: Maintaining and Improving the Oral Health of Young Children. Pediatrics 134 (6): 1224-1229, 2014.
21. Dietrich T, Culler C, Garcia RI, Henshaw MM. Racial and ethnic disparities in children’s oral health: the National Survey of Children’s Health. J Am Dent Assoc 139 (11): 1507-1517, 2008.
22. Mofidi M, Rozier RG, King RS. Problems with access to dental care for Medicaid-insured children: what caregivers think. Am J Public Health 92: 53-58, 2002.
23. Isong I, Silk H, Rao S, et al. Provision of fluoride varnish to Medicaid-enrolled children by physicians: the Massachusetts experience. Health Serv Res, 46(6): 1843-1862, 2011.
24. Quinonez R, Kranz A, Lewis C, et al. Oral Health Opinions and Practices of Pediatricians: Update Results from a National Survey. Academic Pediatrics 14(6): 616-623, 2014.
25. Clark M, Quinonez R, Bowser J, Silk H. Curriculum influence on interdisciplinary oral health education and practice. J Public Health Dent 77 (3): 272-282, 2017.
26. Lewis C, Lynch H, Richardson L. Fluoride Varnish Use in Primary Care: What Do Providers Think? Pediatrics, e69-e76, 2005.
27. Weatherspoon DJ, Horowitz AM, Kleinman DV. Maryland Physicians’ Knowledge, Opinions, and Practices Related to Dental Caries Etiology and Prevention in Children. Pediatr Dent 38(1): 61-67, 2016.
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