QualitativeChild: care, health and development2025

Navigating Child Oral Health in Western Australia: A Caregiver's Perspective.

Lesley Andrew, Elizabeth Wenden, Mohamed Estai and 1 others

PMID 40444590

WHAT IT FOUND

Caregivers of children under five were confused about which foods and drinks damage teeth, particularly milk and yoghurt pouches.

Many did not floss or brush twice daily, often due to time or conflict avoidance. Dental visits were rare, driven by cost, fear, and a belief that baby teeth do not matter.

Key findings

01Most caregivers correctly identified soft drinks as harmful but were uncertain or incorrect about the safety of cow's milk, dried fruit, and fruit yoghurt pouches.

02Only 26% of caregivers brushed their children's teeth twice a day, and 70% never flossed, with most unaware that flossing was recommended.

03Two-thirds of caregivers had never taken their child to a dentist, citing cost, fear of judgment, and the belief that cavities in baby teeth do not matter.

STILL TO COME

How it was doneWhat they found

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What it does not show

The sample was small (42 participants) and not representative of the wider population. The survey questions were not validated for reliability or validity and some were leading. The study did not explore Aboriginal and Torres Strait Islander cultural influences in depth. Data was self-reported, which may be subject to bias.

Declared interests

The authors declare no conflicts of interest.

The easy way to misread this

Do not interpret the low rates of brushing and flossing as evidence that these practices are ineffective or unnecessary. The study describes caregiver knowledge and behaviour, not clinical outcomes or the efficacy of hygiene interventions.

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The study

Participants
42
Certainty of evidence
Very low

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    Cite

    Lesley Andrew, Elizabeth Wenden, Mohamed Estai, et al. Navigating Child Oral Health in Western Australia: A Caregiver's Perspective. Child: care, health and development. 2025.

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