Correlation Between Parental Knowledge of Oral Health and Dental Caries Incidence Among Preschool Children at Ar-Rahman Foundation Jombang

Heva Pratiwi(1) , Silvia Prasetyowati(2) , Sunomo Hadi(3) , Imam Sarwo Edi(4)
(1) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(2) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(3) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(4) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia

Abstract

Dental caries remains one of the most prevalent oral health problems among preschool children and continues to pose a significant public health concern, particularly in developing countries. Inadequate parental knowledge of oral and dental health is often considered a contributing factor to the high incidence of early childhood caries. This study aimed to examine the relationship between parental knowledge of oral health and the incidence of dental caries among preschool children attending PAUD and Kindergarten under the Ar-Rahman Foundation in Jombang, Indonesia. A quantitative cross-sectional design was employed involving 39 parents and their preschool-aged children selected using total sampling. Parental knowledge was assessed using a structured questionnaire, while dental caries status in children was evaluated using the def-t (decayed, extracted, and filled teeth) index. Data were analyzed using the Chi-square test with a significance level of α = 0.05. The results indicated that the majority of parents (51.3%) had low levels of oral health knowledge, while only 10.3% demonstrated good knowledge. Dental caries prevalence among preschool children was relatively high, with higher def-t scores more frequently observed among children whose parents had lower knowledge levels. However, statistical analysis revealed no significant association between parental knowledge and the incidence of dental caries (p = 0.286). Despite the absence of a statistically significant relationship, descriptive findings suggested a tendency toward poorer oral health outcomes among children of parents with limited knowledge. In conclusion, parental knowledge alone was not significantly associated with dental caries incidence among preschool children in this study. These findings suggest that dental caries is influenced by multiple factors beyond knowledge, including behavioral practices, dietary patterns, and access to dental care. Comprehensive oral health promotion programs that integrate parental education with practical behavioral interventions are therefore essential to improve early childhood oral health outcomes.

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References

[1] G. Minervini, R. Franco, M. M. Marrapodi, M. Di Blasio, V. Ronsivalle, and M. Cicciù, “Children oral health and parents’ education status: A cross-sectional study,” BMC Oral Health, vol. 23, no. 1, pp. 1–7, 2023.

[2] R. Dumitrescu, M. Dumitrescu, A. Dogaru, and M. Oancea, “The impact of parental education on schoolchildren’s oral health: A multicenter cross-sectional study,” Int. J. Environ. Res. Public Health, vol. 19, no. 17, pp. 1–13, 2022.

[3] T. Foote, L. Willis, and T. K. Lin, “National oral health policy and financing and dental health status in OECD countries,” Int. Dent. J., vol. 73, no. 3, pp. 449–455, 2023.

[4] R. M. Alamoudi, A. A. Alharbi, S. A. Masoud, and N. A. Almutairi, “The impact of parental oral health behaviors on the oral health of children,” Int. J. Community Med. Public Health, vol. 10, no. 11, pp. 4451–4456, 2023.

[5] F. F. Hakeem, H. A. Hammudah, A. A. Masoudi, A. T. Habeeb, R. M. Aljohani, and S. N. Almutairi, “Is parental rating of a child’s oral health associated with caries experience? A cross-sectional study,” J. Int. Soc. Prev. Community Dent., vol. 13, no. 6, pp. 485–492, 2023.

[6] C. Chawłowska, M. Borysewicz-Lewicka, A. Lella, and J. M. Bogucka-Kocka, “Exploring relationships between children’s oral health and parents’ oral health knowledge, literacy, and behaviors,” Int. J. Environ. Res. Public Health, vol. 19, no. 18, pp. 1–15, 2022.

[7] B. Tahani, I. Asgari, S. Golkar, A. Ghorani, N. H. Z. Tehrani, and F. A. Moghadam, “Effectiveness of an integrated oral health-promoting school model on children and parents,” BMC Oral Health, vol. 22, no. 1, pp. 1–13, 2022.

[8] K. Kitsaras, M. Goodwin, M. P. Kelly, and I. A. Pretty, “Bedtime oral hygiene behaviours, dietary habits, and children’s dental health,” Children, vol. 8, no. 5, pp. 1–7, 2021.

[9] M. Kaushik and S. Sood, “Parents’ knowledge of children’s oral health: A systematic review,” Cureus, vol. 15, no. 7, Art. no. e41485, 2023.

[10] A. Zaborskis, A. Kavaliauskiene, and J. Sumskas, “Parental involvement in preschool children’s dental care: A population-based study,” Children, vol. 11, no. 11, Art. no. 1380, 2024.

[11] A. Atanyan, A. Melkumyan, and S. Harutyunyan, “Parental oral health knowledge and plaque index of their children in rural communities,” Eur. J. Public Health, vol. 33, suppl. 2, pp. 1–3, 2023.

[12] Y. Mayasari, R. R. Darwita, F. Setiawati, and H. Novrinda, “Risk factors of dental caries among preschool children: A cross-sectional study,” Padjadjaran J. Dent., vol. 37, no. 1, pp. 9–17, 2025.

[13] S. Sağlam, E. Akça, and M. Kılınç, “Evaluation of the effectiveness of parental oral health education,” J. Pediatr. Res., vol. 12, no. 1, pp. 7–13, 2025.

[14] A. Zaborskis, A. Kavaliauskiene, and J. Sumskas, “Twelve-year changes in preschoolers’ oral health and parental involvement,” Children, vol. 11, no. 11, Art. no. 1380, 2024.

[15] R. T. Firmino, F. M. Ferreira, C. C. Martins, A. F. Granville-Garcia, F. C. Fraiz, and S. M. Paiva, “Is parental oral health literacy a predictor of children’s oral health outcomes? A systematic review,” Int. J. Paediatr. Dent., vol. 31, no. 5, pp. 459–471, 2021.

[16] K. Hurry, L. Ridsdale, J. Davies, and V. E. Muirhead, “Dental health pathways and care access for children: A scoping review,” Community Dent. Health, vol. 40, no. 3, pp. 154–161, 2023.

[17] P. C. J. M. van Spreuwel, K. Jerković-Ćosić, C. van Loveren, and G. J. M. G. van der Heijden, “Parents’ willingness to invest in primary oral health prevention for preschool children,” Int. J. Environ. Res. Public Health, vol. 18, no. 21, Art. no. 11437, 2021.

[18] T. Tamannur, M. Rahman, and S. Islam, “Mothers’ knowledge and practices toward oral hygiene of children aged 5–9 years: A cross-sectional study,” medRxiv, preprint, 2024.

[19] G. Kitsaras, M. Goodwin, and I. A. Pretty, “Dietary habits and dental caries in early childhood,” Children, vol. 8, no. 5, pp. 1–7, 2021.

[20] T. Foote, L. Willis, and T. K. Lin, “Oral health policy and population dental outcomes: International comparisons,” Int. Dent. J., vol. 73, no. 3, pp. 449–455, 2023.

[21] C. Chawłowska, M. Borysewicz-Lewicka, and J. M. Bogucka-Kocka, “Oral health literacy and early childhood caries,” Int. J. Environ. Res. Public Health, vol. 19, no. 18, pp. 1–12, 2022.

[22] A. Zaborskis, A. Kavaliauskiene, and J. Sumskas, “Longitudinal changes in preschool oral health outcomes,” Children, vol. 11, no. 11, Art. no. 1380, 2024.

[23] A. Atanyan, A. Melkumyan, and S. Harutyunyan, “Association between parental knowledge and children’s oral hygiene,” Eur. J. Public Health, vol. 33, suppl. 2, pp. 1–3, 2023.

[24] I. Shalahuddin, U. Rosidin, U. Sumarna, N. Sumarni, A. Yamin, and M. Lukman, “Dental health education and caries incidence among school children,” Abdimas UMTAS, vol. 5, no. 2, pp. 1–8, 2022.

[25] R. Ulfah and K. N. Utami, “Parental knowledge and dental care behavior in kindergarten children,” J. Kesehat. Masy., vol. 7, no. 2, pp. 146–150, 2020.

[26] Y. Mayasari, R. R. Darwita, and H. Novrinda, “Socio-behavioral factors associated with dental caries in preschool children,” Padjadjaran J. Dent., vol. 37, no. 1, pp. 18–26, 2025.

[27] A. T. Rachmat Hidayat, Oral and Dental Health: What You Should Know. Jakarta, Indonesia: EGC, 2021.

[28] T. Foote, L. Willis, and T. K. Lin, “Global strategies for oral health promotion,” Int. Dent. J., vol. 73, no. 3, pp. 456–463, 2023.

[29] M. S. Setiawan, R. R. Darwita, and F. Setiawati, “Application of cross-sectional design in pediatric oral health studies,” J. Dent. Indones., vol. 28, no. 2, pp. 65–72, 2021.

[30] J. L. Kelsey, A. S. Whittemore, and A. S. Evans, “Sampling strategies in epidemiological research,” Int. J. Epidemiol., vol. 50, no. 4, pp. 1201–1210, 2021.

[31] A. Zaborskis, A. Kavaliauskiene, and J. Sumskas, “Socio-demographic determinants of preschool children’s oral health,” Children, vol. 11, no. 11, Art. no. 1380, 2024.

[32] C. Chawłowska, M. Borysewicz-Lewicka, and J. M. Bogucka-Kocka, “Development and validation of parental oral health knowledge questionnaires,” Int. J. Environ. Res. Public Health, vol. 19, no. 18, pp. 1–15, 2022.

[33] World Health Organization, Oral Health Surveys: Basic Methods, 5th ed. Geneva, Switzerland: WHO Press, 2022.

[34] R. T. Firmino et al., “Examiner calibration and reliability in dental epidemiology,” Int. J. Paediatr. Dent., vol. 31, no. 5, pp. 459–471, 2021.

[35] S. Mishra and M. C. Gupta, “Application of chi-square test in health research,” J. Educ. Health Promot., vol. 12, pp. 1–6, 2023.

[36] Council for International Organizations of Medical Sciences, International Ethical Guidelines for Health-Related Research Involving Humans, Geneva, Switzerland, 2021.

[37] A. Fisher-Owens et al., “Influences on children’s oral health: A conceptual model,” Pediatrics, vol. 147, no. 5, pp. 1–10, 2021.

[38] S. Sağlam, E. Akça, and M. Kılınç, “Effectiveness of parental oral health education on children’s dental outcomes,” J. Pediatr. Res., vol. 12, no. 1, pp. 7–13, 2025.

[39] C. Chawłowska, M. Borysewicz-Lewicka, and J. M. Bogucka-Kocka, “Parental oral health literacy and early childhood caries,” Int. J. Environ. Res. Public Health, vol. 19, no. 18, pp. 1–12, 2022.

[40] G. Minervini et al., “Parents’ education level and oral health outcomes in children,” BMC Oral Health, vol. 23, no. 1, pp. 1–7, 2023.

[41] A. Alamoudi et al., “Parental oral health behaviors and children’s dental caries,” Int. J. Community Med. Public Health, vol. 10, no. 11, pp. 4451–4456, 2023.

[42] R. T. Firmino et al., “Parental oral health literacy and children’s oral health outcomes,” Int. J. Paediatr. Dent., vol. 31, no. 5, pp. 459–471, 2021.

[43] A. Zaborskis, A. Kavaliauskiene, and J. Sumskas, “Parental involvement and preschool children’s oral health,” Children, vol. 11, no. 11, Art. no. 1380, 2024.

[44] K. Hurry et al., “Pathways influencing dental caries development in children,” Community Dent. Health, vol. 40, no. 3, pp. 154–161, 2023.

[45] Y. Mayasari et al., “Institutional factors and dental caries in preschool children,” Padjadjaran J. Dent., vol. 37, no. 1, pp. 18–26, 2025.

[46] J. Broadbent and W. Thomson, “Longitudinal approaches in pediatric oral health research,” Community Dent. Oral Epidemiol., vol. 50, no. 4, pp. 257–264, 2022.

[47] M. Kaushik and S. Sood, “Limitations of self-reported oral health knowledge assessments,” Cureus, vol. 15, no. 7, Art. no. e41485, 2023.

[48] B. Tahani et al., “Integrated oral health-promoting school interventions,” BMC Oral Health, vol. 22, no. 1, pp. 1–13, 2022.

[49] A. Watt and R. Sheiham, “Social determinants of oral health inequalities,” Community Dent. Oral Epidemiol., vol. 51, no. 2, pp. 101–109, 2023.

[50] World Health Organization, Global Oral Health Status Report, Geneva, Switzerland, 2022.

Authors

Heva Pratiwi
hevapratiwi89@gmail.com (Primary Contact)
Silvia Prasetyowati
Sunomo Hadi
Imam Sarwo Edi
[1]
“Correlation Between Parental Knowledge of Oral Health and Dental Caries Incidence Among Preschool Children at Ar-Rahman Foundation Jombang”, International Journal of Advanced Health Science and Technology, vol. 6, no. 2, pp. 81–87, Apr. 2026, doi: 10.35882/ijahst.v6i2.575.

Article Details

How to Cite

[1]
“Correlation Between Parental Knowledge of Oral Health and Dental Caries Incidence Among Preschool Children at Ar-Rahman Foundation Jombang”, International Journal of Advanced Health Science and Technology, vol. 6, no. 2, pp. 81–87, Apr. 2026, doi: 10.35882/ijahst.v6i2.575.

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