Exploring a Family-Based Oral Health Promotion Model for Dental Caries Prevention among School-Aged Children: A Qualitative Study

Authors

  • Febi Magfirah Dental Health Study Program, STIKES Amanah Makassar, Makassar, Indonesia
  • Faradillah Usman Dental Health Study Program, STIKES Amanah Makassar, Makassar, Indonesia

Keywords:

Dental Caries, Family-Based Promotion, Oral Health, School-Aged Children, Qualitative Study

Abstract

Background: Dental caries remains common among school-aged children and can cause pain, infection, eating difficulties, school absence, and reduced quality of life. Because children’s daily oral health practices develop mainly within families, prevention requires active caregiver participation.

Research Objective: This study aimed to explore experiences, perceptions, barriers, facilitators, and expectations regarding a family-based oral health promotion model for dental caries prevention.

Methods: This qualitative descriptive study involved 24 participants: eight children, eight parents, four teachers, two community health workers, and two dental professionals. Participants were recruited purposively. Data were collected through semi-structured interviews and focus-group discussions and analysed thematically. Trustworthiness was supported through triangulation, member checking, peer discussion, and an audit trail.

Results: Five themes emerged: caries was considered a minor problem; children’s oral hygiene was inconsistent; family behaviour shaped children’s habits; families experienced practical, social, and economic barriers; and integrated family–school–healthcare collaboration was required. Participants proposed education, parental modelling, supervised toothbrushing, reduced sugar exposure, school reinforcement, and regular dental screening.

Conclusion: Dental caries prevention requires coordinated support from families, schools, and healthcare providers. The proposed model may strengthen sustainable preventive behaviour but requires feasibility testing and outcome evaluation in diverse communities.

Downloads

Download data is not yet available.

References

Abuhaloob, L., & Petersen, P. E. (2023). Health-Promoting Schools Project for Palestine Children’s Oral Health. International Dental Journal, 73(5), 746–753. https://doi.org/https://doi.org/10.1016/j.identj.2023.03.011

Al-Harthy, N., Qutieshat, A., Petropoulou, P., Chopra, H., & Ruiz, E. F. (2023). A Preventive Strategy against Root Caries for the General Dentist: A Cross-sectional Clinical Study. The Open Dentistry Journal, 17. https://doi.org/https://doi.org/10.2174/18742106-v17-230824-2022-175

AlHumaid, J. (2022). Dental experiences related to oral care of children with autism spectrum disorders in Saudi Arabia: A literature review. The Saudi Dental Journal, 34(1), 1–10. https://doi.org/https://doi.org/10.1016/j.sdentj.2021.09.023

Anopa, Y., Macpherson, L., & McIntosh, E. (2020). Systematic Review of Economic Evaluations of Primary Caries Prevention in 2- to 5-Year-Old Preschool Children. Value in Health, 23(8), 1109–1118. https://doi.org/https://doi.org/10.1016/j.jval.2020.04.1823

Aqeeli, A., Alsharif, A. T., Kruger, E., Tennant, M., & Bakeer, H. (2021). Caries prevalence and severity in association with sociodemographic characteristics of 9-to-12-year-old school children in Al-Madinah, Saudi Arabia. The Saudi Dental Journal, 33(8), 897–903. https://doi.org/https://doi.org/10.1016/j.sdentj.2021.09.008

Bencze, Z., Kovalecz, G., Márton, S., Gáll, T., Mahrouseh, N., & Varga, O. (2021). Childhood caries management in the European Union: A cross-sectional study. Heliyon, 7(2), e06198. https://doi.org/https://doi.org/10.1016/j.heliyon.2021.e06198

Cheng, F.-C., Wang, Y.-L., & Chiang, C.-P. (2023). The dental use for dental caries under the National Health Insurance system in Taiwan in 2020. Journal of Dental Sciences, 18(1), 330–337. https://doi.org/https://doi.org/10.1016/j.jds.2022.10.001

Cheng, F.-C., Wang, Y.-L., Tang, L.-H., Wang, L.-H., Huang, G.-F., & Chiang, C.-P. (2023). Correlation between dental professionally topical fluoride application and children’s dental use for dental caries under the National Health Insurance system in Taiwan from 2008 to 2021. Journal of Dental Sciences, 18(3), 1310–1322. https://doi.org/https://doi.org/10.1016/j.jds.2023.04.006

Chuang, R.-J., Byrd-Williams, C., Yamal, J.-M., Johnson, K., Kelder, S., Nelson, S., Mofleh, D., & Sharma, S. V. (2022). Design for a cluster randomized controlled trial to evaluate the effects of the CATCH Healthy Smiles school-based oral health promotion intervention among elementary school children. Contemporary Clinical Trials Communications, 30, 101033. https://doi.org/https://doi.org/10.1016/j.conctc.2022.101033

Comerford, K., Lawson, Y., Young, M., Knight, M., McKinney, K., Mpasi, P., & Mitchell, E. (2024). The role of dairy food intake for improving health among black Americans across the life continuum: A summary of the evidence. Journal of the National Medical Association, 116(2, Part 2), 292–315. https://doi.org/https://doi.org/10.1016/j.jnma.2024.01.020

Fu, T., Liu, Y., Shen, J., & Shen, H. (2022). Oral Health Status of Residents in Jiangsu Province, China: An Epidemiologic Survey. International Dental Journal, 72(4), 519–528. https://doi.org/https://doi.org/10.1016/j.identj.2021.08.051

Glenny, A.-M., Walsh, T., Iwasaki, M., Kateeb, E., Braga, M. M., Riley, P., & Melo, P. (2024). Development of Tooth Brushing Recommendations Through Professional Consensus. International Dental Journal, 74(3), 526–535. https://doi.org/https://doi.org/10.1016/j.identj.2023.10.018

Herrero, R., Carvajal, L. J., Camargo, M. C., Riquelme, A., Porras, C., Ortiz, A. P., Camargo, L. A., Fink, V., van De Wyngard, V., Lazcano-Ponce, E., Canelo-Aybar, C., Balbin-Ramon, G., Feliu, A., & Espina, C. (2023). Latin American and the Caribbean Code Against Cancer 1st edition: Infections and cancer. Cancer Epidemiology, 86, 102435. https://doi.org/https://doi.org/10.1016/j.canep.2023.102435

Imchen, M., Anju, V. T., Busi, S., Mohan, M. S., Subhaswaraj, P., Dyavaiah, M., & Kumavath, R. (2022). Metagenomic insights into taxonomic, functional diversity and inhibitors of microbial biofilms. Microbiological Research, 265, 127207. https://doi.org/https://doi.org/10.1016/j.micres.2022.127207

Ishimaru, M., Zaitsu, T., Kino, S., Taira, K., Inoue, Y., Takahashi, H., & Tamiya, N. (2023). Dental Utilization Stratified by the Purpose of Visit: A Population-Based Study in Japan. International Dental Journal, 73(6), 896–903. https://doi.org/https://doi.org/10.1016/j.identj.2023.06.007

Jang, H., Al Jallad, N., Wu, T. T., Zeng, Y., Fadaak, A., Malmstrom, H., Fiscella, K., & Xiao, J. (2021). Changes in Candida albicans, Streptococcus mutans and oral health conditions following Prenatal Total Oral Rehabilitation among underserved pregnant women. Heliyon, 7(8), e07871. https://doi.org/https://doi.org/10.1016/j.heliyon.2021.e07871

Jin, M. W., & Wu, M. degree students H. (2023). Promotion effect of hyaluronic acid on intrafibrillar mineralization of collagen. International Dental Journal, 73, S21–S22. https://doi.org/https://doi.org/10.1016/j.identj.2023.07.244

Lin, P.-Y., Wang, J., Chuang, T.-Y., Chang, Y.-M., Chang, H.-J., & Chi, L.-Y. (2022). Association between population-based fluoride varnish application services and dental caries experience among schoolchildren in Taiwan. Journal of the Formosan Medical Association, 121(5), 986–994. https://doi.org/https://doi.org/10.1016/j.jfma.2021.07.016

Luo, H., Wu, B., Wu, Y., & Moss, M. E. (2024). Dental Caries and Preventive Dental Visits Among Children in the U.S.: The Impact of Race/Ethnicity and Immigration. AJPM Focus, 3(4), 100230. https://doi.org/https://doi.org/10.1016/j.focus.2024.100230

Nordin, A., Bin Saim, A., Ramli, R., Abdul Hamid, A., Mohd Nasri, N. W., & Bt Hj Idrus, R. (2020). Miswak and oral health: An evidence-based review. Saudi Journal of Biological Sciences, 27(7), 1801–1810. https://doi.org/https://doi.org/10.1016/j.sjbs.2020.05.020

Omara, H., & Elamin, A. (2022). Oral health status and related risk factors among adolescents attending high schools in Khartoum, Sudan: A cross-sectional study. Clinical Epidemiology and Global Health, 16, 101080. https://doi.org/https://doi.org/10.1016/j.cegh.2022.101080

Poirier, B. F., Hedges, J., Smithers, L. G., Moskos, M., & Jamieson, L. M. (2022). “I feel like the worst mother in the world”: Neoliberal subjectivity in Indigenous Australian oral health. SSM - Qualitative Research in Health, 2, 100046. https://doi.org/https://doi.org/10.1016/j.ssmqr.2022.100046

Radaic, A., & Kapila, Y. L. (2021). The oralome and its dysbiosis: New insights into oral microbiome-host interactions. Computational and Structural Biotechnology Journal, 19, 1335–1360. https://doi.org/https://doi.org/10.1016/j.csbj.2021.02.010

Seeberger, G., & Sampietro, M. (2021). Brush Day & Night: a review of a landmark partnership for children’s oral health. International Dental Journal, 71, S2–S3. https://doi.org/https://doi.org/10.1016/j.identj.2021.01.019

Suwargiani, A. A., Aripin, D., Susilawati, S., Setiawan, A. S., Putri, F. M., Hamdani, A. M., Elfarisi, R. N., Sanjaya, A., Suryanti, N., & Yusof, Z. Y. M. (2024). The Correlation between Dental Health Status and Educational Level, Age, and Gender as Demographic Attributes of the Children of Migrant Workers. The Open Dentistry Journal, 18. https://doi.org/https://doi.org/10.2174/0118742106208606240628095600

Tan, S. H. X., Teo, Y.-Y., Tan, M. H. X., & Gao, X. (2021). Childhood Factors and Dental Caries in the Permanent Dentition: Findings of an 8-Year Study Under a Nationwide School Dental Service. International Dental Journal, 71(6), 508–515. https://doi.org/https://doi.org/10.1016/j.identj.2021.01.008

Tobias, G., & Spanier, A. B. (2020). Developing a Mobile App (iGAM) to Promote Gingival Health by Professional Monitoring of Dental Selfies: User-Centered Design Approach. JMIR MHealth and UHealth, 8(8). https://doi.org/https://doi.org/10.2196/19433

Trinh, M., Rhodes, A. L., Measey, M., & Silva, M. (2022). Dental visits in early life: patterns and barriers among Australian children. Australian and New Zealand Journal of Public Health, 46(3), 281–285. https://doi.org/https://doi.org/10.1111/1753-6405.13224

van Spreuwel, P. C. J. M., Jerković-Ćosić, K., van Loveren, C., & van der Heijden, G. J. M. G. (2022). Oral Health Coaches at Well-Baby Clinics to Promote Oral Health in Preschool Children From the First Erupted Tooth: Protocol for a Multisite, Pragmatic Randomized Controlled Trial. JMIR Research Protocols, 11(8). https://doi.org/https://doi.org/10.2196/39683

Väyrynen, E., Hakola, S., Keski-Salmi, A., Jämsä, H., Vainionpää, R., & Karki, S. (2023). The Use of Patient-Oriented Mobile Phone Apps in Oral Health: Scoping Review. JMIR MHealth and UHealth, 11. https://doi.org/https://doi.org/10.2196/46143

Wang, P.-H. (2023). Overview of the policies of oral health promotion for children in Taiwan. Journal of the Formosan Medical Association, 122(3), 200–201. https://doi.org/https://doi.org/10.1016/j.jfma.2022.08.004

Wei, Y.-H., Lin, C.-H., Yang, S.-N., Wu, C.-Y., Yang, Y.-N., Tey, S.-L., & Su, Y.-T. (2023). Execution of anticipatory guidance and the knowledge and practice gap among caregivers in Southern Taiwan: A retrospective study. Journal of the Formosan Medical Association, 122(12), 1282–1295. https://doi.org/https://doi.org/10.1016/j.jfma.2023.06.005

Zhang, T., Zhang, Q., Peng, Y., Zheng, K., Yang, L., Xiao, Q., Liu, H., Tang, W., & Liu, Y. (2022). Retrospective summary analysis on the results of oral health epidemiological investigations in China. Journal of Oral Biology and Craniofacial Research, 12(6), 809–817. https://doi.org/https://doi.org/10.1016/j.jobcr.2022.09.008

Downloads

Published

2025-08-31

How to Cite

Febi Magfirah, & Faradillah Usman. (2025). Exploring a Family-Based Oral Health Promotion Model for Dental Caries Prevention among School-Aged Children: A Qualitative Study. Jurnal Ilmu Kesehatan Nusantara, 2(2), 96–108. Retrieved from https://jurnal.nasyahmedikacare.com/index.php/jiken/article/view/61