CC BY 4.0 · Eur J Dent
DOI: 10.1055/s-0043-1771336
Original Article

Perceived Barriers among Indonesian General Dentists in Providing Caries Preventive Care for Pediatric Patients

Safira Khairinisa
1   Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia
Febriana Setiawati
1   Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia
Risqa Rina Darwita
1   Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia
Diah Ayu Maharani
1   Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia
› Author Affiliations
Funding This research was supported by grant from Universitas Indonesia


Objective This study aimed to investigate Indonesian dentists' perceived barriers in providing caries prevention for pediatric patients.

Materials and Methods A total of 362 general dentists were included in this cross-sectional study. The participants were asked to complete a self-administered online questionnaire of dentist characteristics and perceived barriers in multiple domains (children, parents, dentists, and healthcare system-related barriers). The frequency of responses to items of the questionnaire was presented. The Mann–Whitney U test was used to compare perceived barriers by gender, Kruskal–Wallis by practice sector, and Spearman analysis was used to assess the correlation between perceived barrier with age, years of practice experience, weekly practice hours, percentage of pediatric patients, percentage of pediatric preventive care, and percentage of insured patients. A multivariate analysis was conducted through structural equation modeling.

Results The highest perceived barrier was found to be healthcare system-related, followed by parents, children, and dentists themselves. Most participants thought parents have poor knowledge of pediatric caries prevention (n = 290; 80%), and dental care for young children emphasizes curative treatment over prevention (n = 257; 70%). The multivariate analysis showed that dentists' practice sector and age affect perceived barriers and pediatric preventive care the most.

Conclusions Factors and barriers identified in this study must be the main focus of oral health programs, and dentists, as service providers, need proper training to address these barriers to optimize caries prevention in Indonesia.

Institutional Review Board Statement

The study was conducted in accordance with the Declaration of Helsinki, and approved by the Ethics Committee of the Faculty of Dentistry, Universitas Indonesia (protocol No. 031101022; November 9th 2022)

Informed Consent Statement

Informed consent was obtained from all subjects involved in the study

Data Availability Statement

The raw data are not publicly available due to ethical restrictions but are available from the corresponding author to any author who wishes to collaborate with us.

Authors' Contributions

R.R., D.A.M., F.S. supervised the study and contributed to the conception of the study. SK contributed to the acquisition of data. S.K., R.R., D.A.M., and F.S. contributed to the statistical analysis and data interpretation. S.K. drafted the manuscript and R.R., D.A.M., F.S. revised the manuscript critically. All authors contributed in finalizing the manuscript and give final approval of the article.

Publication History

Article published online:
17 August 2023

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