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upporting

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our

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ractice

31

Volume 3 Issue 5

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The following is based on a research article originally published

in the “Applied Research” section of

JCDA.ca

—CDA’s online,

open access scholarly publication that features articles indexed in

Medline, Journal Citation Reports and Science Citation Index.

Research Summary

Full article and

references at

jcda.ca/article/f15

More Online

What are Canadian Dental Professional

Students Taught

about Infant, Toddler and

Prenatal Oral Health?

Despite the fact that many professional organizations, including CDA, recommend a first visit

coinciding with the eruption of the first tooth or no later than 12 months of age,

2-4

only a limited

number of dentists are willing to see infants and toddlers.

6,11

A recent survey revealed that some

general dentists are willing to see low-risk infants and toddlers, but not those with obvious

dental disease.

12

Parents who attempt to obtain an early consultation for their child may become

discouraged, as some practitioners refuse to see any children under 3 years of age.

13

The purpose

of this study was to determine how accredited dental and dental hygiene programs in Canada

prepare students in the areas of infant, toddler and prenatal oral health.

An electronic questionnaire was sent to associate deans (academic), program directors or

curriculum directors of accredited dentistry and dental hygiene programs in the country.

Respondents included representatives of the 10 accredited dentistry (100%) and 25 dental

hygiene programs (64.1%) in Canada. The questionnaire was developed to collect informa-

tion on whether, and to what extent, programs were educating students in infant, toddler

and prenatal oral health. Specifics explored methods used, hours dedicated to each method

and materials used to educate students.

Results

Infant and Toddler Oral Health Curriculum

While all dentistry programs recommend that a child’s first dental visit take place by 12

months of age, only 56% of dental hygiene programs recommend it. Most respondents

indicated that infant and toddler oral health is an explicit component of their curriculum, and

all indicated that time is designated in their curriculum for this topic. Only 1 dental hygiene

and 4 dentistry schools reported offering additional elective training on the topic, which

most commonly take place in community programs, public health clinics and pediatric

dentistry clinics, with considerable variation in hours of exposure.

In terms of the time devoted to various teaching methods, lectures and seminars were

the most common didactic approaches followed by clinical care and clinical observation

only. Less than a third of programs reported that all students receive hands-on experience

in performing infant and toddler examinations. Most responding programs rely on their

institution’s clinic to provide these opportunities, while others send students to primary care

clinics, daycares and public health settings. Of those who provide hands-on experiences to

some or all of their students, most dentistry programs reported that fewer than 50% of their

students receive hands-on experiences, while most dental hygiene programs reported that

≥ 75% of their students have such opportunities.

Robert J. Schroth

DMD,MSc,PhD

Rocio B. Quiñonez

DMD,MS,MPH

Aaron B.Yaffe

BSc,BN

Mary F. Bertone

DipDH,BScDH,MPH

Felicity K. Hardwick

BDS,MS,FRCD(C)

Rosamund L. Harrison

DMD,MSc,MRCD(C)

umschrot@ cc.umanitoba.ca