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Original Research

Open Access

Oral health knowledge, attitude and practice among parents of children with craniofacial syndromes

  • Nurul Asyiqin Rosnan1
  • Nur Faiqah A’ntasha Mohamad Faithal1
  • Nurul Zeety Azizi2,*,
  • Firdaus Hariri3
  • Norli Anida Abdullah4

1Faculty of Dentistry, Universiti Malaya, 50603 Kuala Lumpur, Malaysia

2Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universiti Malaya, 50603 Kuala Lumpur, Malaysia

3Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, 50603 Kuala Lumpur, Malaysia

4Mathematics Division, Center for Foundation Studies in Science, Universiti Malaya, 50603 Kuala Lumpur, Malaysia

DOI: 10.22514/jocpd.2024.018 Vol.48,Issue 1,January 2024 pp.163-170

Submitted: 11 April 2023 Accepted: 05 July 2023

Published: 03 January 2024

*Corresponding Author(s): Nurul Zeety Azizi E-mail:


Parents play an important role in caring for their children’s oral health, especially for those with craniofacial deformities. In this study, we analyzed the oral health knowledge, attitude and practice (KAP) among parents of children of 1 to 16 years-of-age with craniofacial syndromes (CS) at Universiti Malaya Medical Center (UMMC), Malaysia. This was a case-controlled study conducted between March and December 2021 involving 30 parents of children with CS and 30 parents of normal children as controls. A modified validated KAP questionnaire was distributed to all parents. Statistical analysis was carried out using SPSS 26.0 and descriptive analysis was performed, with data expressed as mean, standard deviation, frequency and percentage (%). Most respondents from both groups were mothers (73.3%) between 31 to 40 years-of-age. Both groups of parents had similar levels of oral health knowledge; there was no significant difference between the two groups for 10 of the KAP questions (p > 0.05). However, there was a significant different between the two groups with regards to two 2 relating to the definition of plaque and its relationship to dental caries (p = 0.035 and p = 0.032, respectively). Some parents of CS children believed that primary teeth were not important (23.33%) and were not concerned if their children showed changes in tooth color (26.67%). Despite parental acknowledgement of ideal practice, both groups of children showed irregular dental attendance and reduced toothbrushing frequency. Parents of children with CS had a similar depth of oral health knowledge and a slightly reduced positive attitude when compared to parents in the control group. However, both groups of parents had poor knowledge relating to the transmission and causes of dental caries. Healthcare providers should increase their awareness strategies for parents to be more aware of the ways to improve their children’s oral health.


Attitude; Craniosynostosis; Craniofacial syndrome; Knowledge; Oral health; Practice; Parents

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Nurul Asyiqin Rosnan,Nur Faiqah A’ntasha Mohamad Faithal,Nurul Zeety Azizi,Firdaus Hariri,Norli Anida Abdullah. Oral health knowledge, attitude and practice among parents of children with craniofacial syndromes. Journal of Clinical Pediatric Dentistry. 2024. 48(1);163-170.


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