title: Dentists' perceptions of barriers to providing dental care to pregnant women.
abstract: OBJECTIVE
  The purpose of the study was to understand US dentists' attitudes, knowledge, and practices regarding dental care for pregnant women and to determine the impact of recent papers on oral health and pregnancy and guidelines disseminated widely.
  
  
  METHODS
  In 2006 and 2007, the investigators conducted a mailed survey of all 1,604 general dentists in Oregon; 55.2% responded). Structural equation modeling was used to estimate associations between dentists' attitudes toward providing care to pregnant women, dentists' knowledge about the safety of dental procedures, and dentists' current practice patterns.
  
  
  RESULTS
  Dentist's perceived barriers have the strongest direct effect on current practice and might be the most important factor deterring dentists from providing care to pregnant patients. Five attitudes (perceived barriers) were associated with providing less dental services: time, economic, skills, dental staff resistance, and peer pressure. The final model shows a good fit with a chi-square of 38.286 (p = .12; n = 772; df = 52) and a Bentler-Bonett normed fit index of .98 and a comparative fit index of .993. The root mean square error of approximation is .02.
  
  
  CONCLUSIONS
  Findings suggest that attitudes are significant determinants of accurate knowledge and current practice. Multidimensional approaches are needed to increase access to dental care and protect the oral health of women during pregnancy. Despite current clinical recommendations to deliver all necessary care to pregnant patients during the first, second, and third trimesters, dentists' knowledge of the appropriateness of procedures continues to lag the state of the art in dental science.
authors.affiliation: Department of Dental Public Health Sciences, University of Washington, Seattle, Washington 98195-7475, USA.
authors.forename: Rosanna Shuk-Yin
authors.initials: RS
authors.lastname: Lee
authors.forename: Peter
authors.initials: P
authors.lastname: Milgrom
authors.forename: Colleen E
authors.initials: CE
authors.lastname: Huebner
authors.forename: Douglas A
authors.initials: DA
authors.lastname: Conrad
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003144:Communication Barriers; D003729:Dental Care / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000517:prevention & control*; D009909:Oral Health; D009922:Oregon; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000379:methods; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D011295:Prenatal Care / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
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