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Oral health related knowledge, attitude and behavior among group of mothers in relation to their primary school children's oral health: a cross-sectional study

  • Nada O. Bamashmous1
  • Eman A. El Ashiry1
  • Najlaa M. Alamoudi1
  • Dhuha K Qahtan2
  • Rana A. Alamoudi1
  • Osama M. Felemban1,*,

1Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, 21589 Jeddah, Saudi Arabia

2Private practitioner of pediatric dentistry, 23719 Jeddah, Saudi Arabia

DOI: 10.22514/jocpd.2024.017 Vol.48,Issue 1,January 2024 pp.152-162

Submitted: 06 June 2023 Accepted: 14 July 2023

Published: 03 January 2024

*Corresponding Author(s): Osama M. Felemban E-mail:


The etiology of oral diseases in children is complex and multifactorial. The oral health of children can be influenced by various factors, including parental knowledge, attitudes and behaviors, as well as socioeconomic status. The objective of this study was to assess, among mothers of children aged 6–12 years, (1) mothers’ knowledge about their children’s oral health, (2) mothers’ attitude toward their children’s oral health, and (3) mothers’ dental behavior concerning their oral health and to evaluate their influence on their children’s dental caries. This cross-sectional study involved three questionnaires to be filled in by mothers of primary school children in addition to an oral examination of their children to measure decayed, missing, filled teeth for primary (dmft) and permanenet (DMFT) dentitions. The mother-child pairs were recruited through multistage stratified random sampling of primary schools in Jeddah, Saudi Arabia. The questionnaire was comprised of four sections: 1—demographic characteristics and socioeconomic status 2—Hiroshima University Dental Behavioral Inventory (mothers’ attitudes and behavior pertaining to their oral health) 3—mothers’ knowledge regarding the oral health of their children 4—mothers’ attitude toward their children oral health. A total of 1496 mother-child pairs completed the study. The mean values of dmft were 4.08± 3.47; DMFT was 1.82 ± 2.07; total dmft and DMFT were 5.65 ± 4.05. According to the questionnaire results, mothers in private schools had a more favorable attitude and behavior toward their oral health, as well as a more favorable knowledge and attitude toward their children’s oral health. The multiple linear regression model revealed that children’s dmft/DMFT scores were significantly related to mother education, mother questionnaire scores, and the Simplified Oral Hygiene Index. Children’s oral health is significantly impacted by oral health-related knowledge, attitude and behaviors of their mothers in addition to income status and education level.


Oral health; Mothers; Children; Knowledge; Attitude; Behavior; Primary schools; Dental caries; Oral hygiene index

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Nada O. Bamashmous,Eman A. El Ashiry,Najlaa M. Alamoudi,Dhuha K Qahtan,Rana A. Alamoudi,Osama M. Felemban. Oral health related knowledge, attitude and behavior among group of mothers in relation to their primary school children's oral health: a cross-sectional study. Journal of Clinical Pediatric Dentistry. 2024. 48(1);152-162.


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