Survey of American children's oral health released

Sep 15 2009

While a majority of Americans rate their children's oral health as "excellent," there are clear gaps in understanding of basic oral health procedures and actual behavior.

That's one of the key findings from a survey of American children's oral health, conducted on behalf of Delta Dental Plans Association, the nation's leading dental benefits provider.

One example: Only 36 percent of the respondents completely agree that a child should go to the dentist by age 1 or within six months after the first tooth erupts, even though that's the time recommended by the American Academy of Pediatric Dentistry (AAPD). Two-thirds of those surveyed said their child had seen a dentist, but the average age of the first visit was 2.6 years.

Delta Dental commissioned the survey of primary caregivers to build greater knowledge about the state of children's oral health.

Nearly nine of 10 Americans (87 percent) agree that it is equally important to get good medical care and dental care. Children covered by dental insurance are much more likely to have visited the dentist than uninsured children, 69 percent versus 54 percent. Covered children also made their first visit to the dentist at an earlier age, at a mean of 2.5 years, compared to 3 years for uninsured children. And more than 85 percent of survey respondents who have insurance for their child rate dental coverage as "very important."

Other key findings:

• About three in five Americans (58 percent) report that their child's overall oral health is excellent.
• Among those who rate their child's oral health as less than excellent, 45 percent say that not enough brushing or poor brushing technique is the biggest obstacle to excellent oral health. Another 20 percent say the biggest obstacle is a poor diet - not enough fruits and vegetables - or too many sweets.
• While the AAPD recommends daily flossing, a quarter of the survey respondents say their child never flosses; only 7 percent report their child flosses daily.
• Among children who have never visited a dentist, or who have not visited a dentist in the past year, the most mentioned reason was that the child was too young or did not have enough teeth yet.
• About one in five (18 percent) survey respondents report their child has had a cavity in the past year. Among those children who have had cavities, nearly one in five (17 percent) experienced four or more cavities.

Brushing Technique a Challenge

More than a third of the survey respondents (36 percent) admit their child brushes his or her teeth less than once a day. They also recognize the frequency as "not enough," despite the fact that nearly all those surveyed (95 percent) with children 2 to 6 years old say they supervise or assist with brushing.

Similarly, nearly half (45 percent) of caregivers say their children brush their teeth for a minute or less - dentists recommend spending two minutes or more on each brushing.

"Americans say they understand that proper brushing technique is critical to children's oral health," said Jed J. Jacobson, DDS, MS, MPH, chief science officer and senior V.P. of Delta Dental. "But there's clearly a need for more education, more frequently, to teach practices that will ensure lifelong oral health. And, since people overwhelmingly prefer the dentist as their primary information source, dental benefits that encourage visits to the dentist are crucial."