title: Barriers to the treatment of childhood caries perceived by dentists working in different countries.
abstract: OBJECTIVE
  To explore whether dentists' beliefs and attitudes to providing preventive and restorative dental care for young children can form a barrier to the provision of care.
  
  
  METHODS
  The Barriers to Childhood Caries Treatment (BaCCT) Questionnaire, a standardised international measure was developed and applied.
  
  
  METHODS
  Through a research consortium, each site was asked to recruit 100 dentists. The sample participating was not intended to be nationally representative. Dentists were mainly randomly selected and contacted by mail with one or more mailings depending on site.
  
  
  RESULTS
  2,333 dentists in 14 countries and 17 sites participated. Factor analysis identified four factors as potential barriers. Two factors were found to be barriers in many sites. First, in most countries, dentists agreed that young children's coping skills limit their ability to accept dental care. Secondly, dentists with negative personal feelings, for example, that providing care can be stressful and troublesome and that they feel time constrained. Differences in dentists' beliefs can be partly explained by their work profile, with those treating children often, and those working under systems where they feel they can provide quality care being least likely to identify barriers to providing care for children.
  
  
  CONCLUSIONS
  The BaCCT Questionnaire was determined to be a valid psychometric measure. Separately, it was found that health systems do impact on dentists' ability to deliver preventive and restorative care for children but that these effects vary across countries and further work is needed to determine how best these should be examined.
authors.affiliation: WHO Collaborating Centre on Oral Health in Deprived Communities, University of Liverpool Dental School, England, UK.
authors.forename: Cynthia M
authors.initials: CM
authors.lastname: Pine
authors.forename: Pauline M
authors.initials: PM
authors.lastname: Adair
authors.forename: Girvan
authors.initials: G
authors.lastname: Burnside
authors.forename: Alison D
authors.initials: AD
authors.lastname: Nicoll
authors.forename: Angela
authors.initials: A
authors.lastname: Gillett
authors.forename: S Aida
authors.initials: SA
authors.lastname: Borges-Yáñez
authors.forename: Zdenek
authors.initials: Z
authors.lastname: Broukal
authors.forename: John
authors.initials: J
authors.lastname: Brown
authors.forename: Dominique
authors.initials: D
authors.lastname: Declerck
authors.forename: Feng Xi
authors.initials: FX
authors.lastname: Ping
authors.forename: Tshepo
authors.initials: T
authors.lastname: Gugushe
authors.forename: Jaranya
authors.initials: J
authors.lastname: Hunsrisakhun
authors.forename: Edward C M
authors.initials: EC
authors.lastname: Lo
authors.forename: Sudeshni
authors.initials: S
authors.lastname: Naidoo
authors.forename: Ursuline
authors.initials: U
authors.lastname: Nyandindi
authors.forename: Vibeke Juul
authors.initials: VJ
authors.lastname: Poulsen
authors.forename: Noëline
authors.initials: N
authors.lastname: Razanamihaja
authors.forename: Christian
authors.initials: C
authors.lastname: Splieth
authors.forename: Betty King
authors.initials: BK
authors.lastname: Sutton
authors.forename: Teo Choo
authors.initials: TC
authors.lastname: Soo
authors.forename: Helen
authors.initials: H
authors.lastname: Whelton
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D003299:Cooperative Behavior; D003695:Delivery of Health Care; D003731:Dental Caries / Q000517:prevention & control / Q000628:therapy*; D003793:Dental Restoration, Permanent; D003812:Dentist-Patient Relations; D003815:Dentists; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D011368:Professional-Family Relations; D011787:Quality of Health Care; D013315:Stress, Psychological / Q000523:psychology; D013997:Time Factors; D014094:Tooth, Deciduous / Q000473:pathology