Broadening perspectives on pediatric oral health care provision: social determinants of health and behavioral management.
Dental caries is not just the most common chronic childhood disease, with not insignificant burden of disease during childhood, but also lifelong impact. Traditional models that focus on the "mouth in the chair" have been helpful but insufficient to identify structural root causes for its high incidence, thus having a limited ability to prevent the disease. The addition of social and behavioral determinants to strictly biologic models provides the full context of care, enabling providers to better tailor their guidance and improve health outcomes. In-office behavioral management involves understanding these determinants and applying appropriate techniques; these not only can help reset family and patient expectations but can actually increase compliance. Lastly, children with multiple medical issues require additional focus, as they can carry greater burden of disease, making it even more critical during office visits to offer multifactorial compliance strategies for these patients and their parents.
Associate professor of Pediatrics, UC San Francisco School of Medicine, San Francisco, Calif., USA. fisherowens@peds.ucsf.edu.
Susan
S
Fisher-Owens
D001294:Attitude to Health; D032763:Behavior Control; D002648:Child; D002652:Child Behavior; D017281:Cost of Illness; D019140:Dental Care for Children; D017742:Dental Care for Chronically Ill; D003731:Dental Caries / Q000209:etiology / Q000517:prevention & control; D003812:Dentist-Patient Relations; D005192:Family Health; D006801:Humans; D009909:Oral Health; D010349:Patient Compliance; D010353:Patient Education as Topic; D011368:Professional-Family Relations; D064890:Social Determinants of Health