The Early Dental Visit: Timing, Rationale, and Road Blocks
Timing and Barriers to Early Dental Visits
DOI:
https://doi.org/10.54393/pjhs.v6i10.3030Keywords:
Age, Child, First Dental Visit, Knowledge, Reasons, HurdlesAbstract
A child's first dental visit at the first tooth eruption or at one year of age has the potential to prevent early disease treatment and modify the child's dental behavior. Objectives: To assess the knowledge of parents about age, reasons, and hurdles to first dental visits of children. Methods: This cross-sectional questionnaire-based study was carried out at the outpatient department at Madina Teaching Hospital, Faisalabad, in a period of six months from February 2023 to July 2023. The parents of children<1 to 15 years meeting the inclusion criteria and who gave verbal consent were included in the study. Results: A total of 180 children (104 male, 76 female) enrolled in the study. Only 8.9 % (n=16) of parents were aware of the recommended time for the first dental visit of children. Most parents (46.7%, n=84) believed that children should visit a dentist at the time of a dental problem. Common reasons for the first dental visit were dental caries (50.6%, n=91) and dental pain (22.2%, n=40). Parents reported having time constraints (16.7%, n=30), believing primary teeth unimportant (13.3%, n=24) child cooperation problems (13.3%, n=24) as hurdles to early dental visits. Conclusions: Most participants were unaware of recommendations, and some had misbeliefs that led to a delay in the first dental visit of children. Efforts should be made to educate the local population about the proposed time and importance of the first dental visit of children.
References
American Academy of Pediatric Dentistry. Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents. Pediatric Dentistry. 2018 Nov–Dec; 40(6): 194–204.
Levesque J, Ghotra S, Mittermuller BA, DeMaré D, Lee VH, Cruz de Jesus V, et al. Canadian Dentists' Awareness and Views on Early Childhood Caries and Its Prevention and Management. Frontiers in Oral Health. 2024 Jan; 4: 1268350. doi: 10.3389/froh.2023.1268350.
Siddiqui AA, Alshammary F, Mulla M, Al-Zubaidi SM, Afroze E, Amin J, et al. Prevalence of Dental Caries in Pakistan: A Systematic Review and Meta-Analysis. BMC Oral Health. 2021 Sep; 21(1): 450. doi: 10.1186/s12903-021-01802-x.
Afeef M, Felemban N, Alhazmi N, Natto ZS. Factors Associated with a Late Visit to Dentists by Children: A Cross-Sectional Community-Based Study in Saudi Arabia. Journal of Taibah University Medical Sciences. 2021 Aug; 16(4): 513–20. doi: 10.1016/j.jtumed.2021.02.005.
Berat PJ, de Andrade V, Regnault N, Tenenbaum A, Azogui-Levy S. Model to Explain Dental Visit for Children Aged 0 to 5: Scoping Review of Birth Cohorts. PLOS ONE. 2025 Jan; 20(1): e0313922. doi: 10.1371/journal.pone.0313922.
Padung N, Singh S, Awasthi N. First Dental Visit: Age, Reasons, Oral Health Status, and Dental Treatment Needs among Children Aged 1 Month to 14 Years. International Journal of Clinical Pediatric Dentistry. 2022 Jul; 15(4): 394. doi: 10.5005/jp-journals-10005-2406.
Alkhuwaiter SS, Almutairi M, Alfuraih N, Ali SN, Alkhuwaiter S. Children's Ages, Reasons, and Experiences for First Dental Visit and Barriers of a Late Visit: A Cross-Sectional Community-Based Study in Saudi Arabia. Cureus. 2024 May; 16(5). doi: 10.7759/cureus.60942.
Alai-Towfigh H, Schroth RJ, Hu R, Lee VH, Olatosi O. Canadian Dentists' Views on the First Dental Visit for Children. Frontiers in Oral Health. 2022 Aug; 3: 957205. doi: 10.3389/froh.2022.957205.
Alshahrani NF, Alshahrani AN, Alahmari MA, Almanie AM, Alosbi AM, Togoo RA. First Dental Visit: Age, Reason, and Experiences of Saudi Children. European Journal of Dentistry. 2018 Oct; 12(4): 579–84. doi: 10.4103/ejd.ejd_426_17.
Batool A, Faridi TA, Rana MS, Perveen I, Mughal WA. Frequency of Dental Caries in 1–5 Years Aged Children and Its Impact on Their Quality of Life. Pakistan BioMedical Journal. 2021 Dec; 4(2): 199–203. doi: 10.54393/pbmj.v4i2.114.
Nayak UA, AlQahtani AF, Alturkistani RF, Al-Kendi AA, Aljuaid MA. First Dental Visit of a Child – Perspectives of Parents/Guardians and Dentists/Pediatric Dentists in Saudi Arabia. Journal of Evolution of Medical and Dental Sciences. 2020 Oct; 9(42): 3086–91. doi: 10.14260/jemds/2020/678.
Samuel SS, Rebekah G. Age and Reasons for First Dental Visit in a Tertiary Care Hospital in South India. Dentistry and Medical Research. 2021 Jul; 9(2): 126–30. doi: 10.4103/dmr.dmr_26_21.
Sobiech P, Turska-Szybka A, Kobylińska A, Olczak-Kowalczyk D. The First Dental Visit of a 3-Year-Old Child: Reasons and Socioeconomic Determinants. New Medicine. 2020 Jan; 24(1): 26–31. doi: 10.25121/NewMed.2020.24.1.26.
Kasemkhun P, Jirarattanasopha V, Lertsooksawat W. Characteristics and Influencing Factors of the First Dental Visit among Children in Bangkok, Thailand: A Cross-Sectional Study. BMC Oral Health. 2024 Jan; 24(1): 11. doi: 10.1186/s12903-023-03811-4.
Collie AD, Jayaraman J, Carrico C, Upshur C, Bortell E. The Age and Primary Reason for the First Dental Visit in Children with Special Health Care Needs. Special Care in Dentistry. 2024 Jul; 44(4): 1107–14. doi: 10.1111/scd.12956.
Qu X, Houser SH, Tian M, Zhang Q, Pan J, Zhang W. Effects of Early Preventive Dental Visits and Its Associations with Dental Caries Experience: A Cross-Sectional Study. BMC Oral Health. 2022 Apr; 22(1): 150. doi: 10.1186/s12903-022-02190-6.
Hung M, Licari FW, Lipsky MS, Moffat R, Cheever VJ, Mohajeri A, et al. Early Preventive Dental Visits: Do They Reduce Future Operative Treatments? Dentistry Journal. 2022 Mar; 10(4): 53. doi: 10.3390/dj10040053.
Bulut GÜ, Bulut H. Zero to Five Years: First Dental Visit. European Journal of Pediatric Dentistry. 2020 Dec; 21(4): 326.
Özveren N, Serindere G, Baltaci E. Evaluation of Pediatric Patients' Age, Behaviors, and Reasons for the First Dental Visit in Edirne, Turkey: A Cross-Sectional Study. Odovtos International Journal of Dental Sciences. 2021 Apr; 23(2). doi: 10.15517/ijds.2021.45847.
Trinh MV, Rhodes AL, Measey MA, Silva M. Dental Visits in Early Life: Patterns and Barriers among Australian Children. Australian and New Zealand Journal of Public Health. 2022 Jun; 46(3): 281–5. doi: 10.1111/1753-6405.13224.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Pakistan Journal of Health Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments




