Assessment of Mothers’ Oral Health Knowledge: Towards Oral Health Promotion for Infants and Children


Aim: To assess the knowledge and oral health practices of a selected population of mothers in order to develop appropriate oral health promotion program for children in the area. Method: A cross sectional study was carried out among a convenient sample of mothers who attended two well-baby clinics—a tertiary and a primary health care centre in Lagos, Nigeria. A questionnaire requesting personal information, previous exposure to and source of oral health education (OHE), knowledge of oral health, diet and oral hygiene practices was administered. Results: There were 104 participants, aged 21 - 46 years (mean 32.01 ± 4.85 years); 58.7% had received OHE, 23.1% from electronic media, 22.1% dentist and 9.6%, doctor or nurse. Only 44 (42.3%) had attended the dentist, 5 (4.8%) in <1 year and 10 (9.6%) within 1 - 2 years. Most younger mothers, compared with older mothers had knowledge of fluoride (x2 = 8.51, p = 0.014). Only 44 (42.3%) and 20 (19.2%) respectively believed the type of baby food and supplement affect the child’s teeth. Conclusion: Participants in this study showed inadequate knowledge of preventive oral health care. Regular OHE is recommended for mothers at the well baby and immunization clinics where they can be easily reached by health professionals.

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Oredugba, F. , Agbaje, M. , Ayedun, O. and Onajole, A. (2014) Assessment of Mothers’ Oral Health Knowledge: Towards Oral Health Promotion for Infants and Children. Health, 6, 908-915. doi: 10.4236/health.2014.610114.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Mouradian, W.E., Wehr, E. and Grall, J.J. (2000) Disparities in Children’s Oral Health and Access to Dental Care. Journal of American Medical Association, 284, 2625-2631.
[2] Oredugba, F.A. (2006) Use of Oral Health Care Services by Children with Special Needs in Nigeria. Special Care Dentistry, 26, 59-65.
[3] World Health Organization (2993) Diet, Nutrition and the Prevention of Chronic Diseases. WHO Technical Report Series 916, WHO, Geneva.
[4] Finlayson, T.L., Siefert, K., Ismail, A.I., Delva, J. and Sohn, W. (2005) Reliability and Validity of Brief Measures of Oral Health-Related Knowledge, Fatalism and Self Efficacy in Mothers of African American Children. Pediatric Dentistry, 27, 422-428.
[5] Surgeon General’s National Workshop in Hispanic/Latino Health (1993) One Voice one Vision—Recommendations to the Surgeon General to Improve Hispanic/Latino Health. US Department of Health and Human Services, Office of the Surgeon General, Washington DC.
[6] Skeie, M.S., Skaret, E., Espelid, I. and Misvaer, N. (2011) Do Public Health Nurses in Norway Promote Information on Oral Health? BMC Oral Health, 11, 23.
[7] Gussy, M.G., Waters, E.G., Walsh, O. and Kilpatrick, N.M. (2006) Early Childhood Caries: Current Evidence for Aetiology and Prevention. Journal of Paediatric Child Health, 42, 37-43.
[8] Arora, A., McNab, M.A., Lewis, M.W., Hilton, G., Blinkhorn, A.S. and Schwarz, E. (2012) “I Can’t Relate It to Teeth”: A Qualitative Approach to Evaluate Oral Health Education Materials for Preschool Children in New South Wales, Australia. International Journal of Paediatric Dentistry, 22, 302-309.
[9] Hale, K.J. (2003) American Academy of Pediatrics. Section on Pediatric Dentistry. Oral Health Risk Assessment Timing and Establishment of the Dental Home. Pediatrics, 111, 1113-1116.
[10] Yost, J. and Li, Y. (2008) Promoting Oral Health from Birth through Childhood: Prevention of Early Childhood Caries. American Journal of Maternal and Child Nursing, 33, 17-23.
[11] Hoeft, K.S., Barker, J.C. and Masterson, E.E. (2011) Maternal Beliefs and Motivations for First Dental Visits by Low-Income Maxican-American Children in California. Pediatric Dentistry, 33, 392-398.
[12] Goldfeld, S.R., Wright, M. and Oberklaid, F. (2003) Parents, Infants and Health Care: Utilization of Health Services in the First 12 Months of Life. Journal of Paediatric Child Health, 39, 249-253.
[13] Hobdell, M., Petersen, P.E., Clarkson, J. and Johnson, N. (2003) Global Goals for Oral Health 2020. International Dental Journal, 53, 285-288.
[14] Varenne, B., Fournet, F., Cadot, E., Msellati, P., Ouedraogo, H.Z., Meyer, P.E., Cornu, J.F., Salm, G. and Petersen, P.E. (2011) Family Environment and Dental Health Disparities among Urban Children in Burkina Faso. Revue d’Epidémiologie et de Santé Publique, 59, 385-392.
[15] Grenbowski, D., Spiekerman, C. and Milgrom, P. (2008) Linking Mother and Child Access to Dental Care. Pediatrics, 22, e805-e814.
[16] Leroy, R., Bogaerts, K., Hoppenbrouwers, K., Martens, L.C. and Declerck, D. (2013) Dental Attendance in Preschool Children—A Prospective Study. International Journal of Paediatric Dentistry, 23, 84-93.
[17] Blinkhorn, A. (1978) Influence of Social Norms on Toothbrushing Behaviour of Preschool Children. Community Dentistry and Oral Epidemiology, 6, 222-226.
[18] Sohn, W., Ismail, A., Amaya, A. and Lepkowski, J. (2007) Determinants of Dental Care Visits among Low-Income Africa-American Children. Journal of American Dental Association, 138, 309-318.
[19] Pahel, B.T., Rozier, R.G., Stearns, S.C. and Quinonez, R.B. (2011) Effectiveness of Preventive Dental Treatments by Physicians for Young Medical Endless. Pediatrics, 127, e682-e689.
[20] Savage, M.F., Lee, J.Y., Kotch, J.B. and Vann Jr., W.F. (2004) Early Preventive Dental Visits: Effects on Subsequent Utilization and Costs. Pediatrics, 114, e418-e423.
[21] Riley III, J.L. and Gilbert, G.H. (2005) Childhood Dental History and Adult Dental Attitudes and Beliefs. International Dental Journal, 55, 142-150.
[22] Doulglass, J.M., Tinanoff, N., Tang, J.M. and Altman, D.S. (2001) Dental Caries Patterns and Oral Health Behaviors in Arizona Infants and Toddlers. Community Dentistry and Oral Epidemiology, 29, 14-22.
[23] Hilton, I.V., Stephen, S., Barker, J.C. and Weintraub, J.A. (2007) Cultural Factors and Children’s Oral Health Care: A Qualitative Study of Carers of Young Children. Community Dentistry and Oral Epidemiology, 35, 429-438.
[24] Horton, S. and Barker, J.C. (2008) Rural Latino Immigrant Caregivers’ Conceptions of Their Children’s Oral Disease. Journal of Public Health Dentistry, 68, 22-29.
[25] Orenuga, O.O. and Sofola, O.O. (2005) A Survey of the Knowledge Attitude and Practices of Antenatal Mothers in Lagos, Nigeria about the Primary Teeth. Journal of Medicine and Medical Sciences, 34, 285-291.
[26] Vanegas, G., Milasausktene, Z., Grabauskas, V. and Mickeviciene, A. (2009) Associations between Parental Skills and Their Attitudes toward Importance to Develop Good Oral Hygiene Skills in Their Children. Medicina (Kaunas), 45, 718-723.
[27] World Health Organization (2005) WHO Bulletin. Special Theme on Oral Health. WHO, Geneva.
[28] Petersen, P.E. (2004) Challenges to Improvement of Oral Health in the 21st Century—The Approach of the WHO Global Oral Health Programme. International Dental Journal, 4, 329-343.
[29] Petersen, P.E. (2009) Global Policy for Improvement of Oral Health in the 21st Century—Implications to Oral Health Research of World Health Assembly 2007, World Health Organization. Community Dentistry and Oral Epidemiology, 37, 1-8.
[30] Oredugba, F.A., Orenuga, O.O., Ashiwaju, M.O. and Agbaje M.O. (2008). Risk Factors Associated with Early Childhood Caries (ECC) in Nigerian Children. Nigerian Dental Journal, 16, 67-71.

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