Oral Health Behaviors of Elementary School Children In Bandung City
DOI:
https://doi.org/10.46862/interdental.v22i2.14659Keywords:
Tooth brushing, Children, elementary school, Oral healthAbstract
Introduction: Dental health behaviors established from an early age, such as toothbrushing habits, use of fluoride toothpaste, parental supervision, dental visits, and levels of dental treatment anxiety, play a crucial role in preventing caries.
Objective: This study aimed to evaluate five indicators of oral health behavior among elementary school students in Bandung City and to compare behavioral differences between students attending public and private schools.
Methods: A cross-sectional survey was conducted on 4,721 students, aged 6-9 years, from 14 schools. Data were collected using a questionnaire completed with assistance from dental students. Data were analyzed using the chi-square test with SPSS.
Results and Discussion: The majority of students brushed their teeth twice daily (70.7%) and used fluoride toothpaste (86.9%). Parental supervision during toothbrushing was more common in private schools (18% vs. 8%). 35.3% of students had never visited a dentist, with a higher proportion in public schools (38% vs. 27%). Fear of the dentist was reported by 41.9% of students, while 94.9% stated that they were concerned about their oral health. Significant differences between public and private schools were found in toothbrushing frequency, parental assistance, fluoride use, and dental visit frequency (p < 0.05).
Conclusion: Although oral health awareness among elementary school children in Bandung City is relatively high, behavioral gaps remain, particularly regarding dental visits and parental supervision. School-based interventions involving teachers and parents, combined with interactive education and reinforcement of preventive behaviors, are needed to optimize children’s oral health sustainably.
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References
1. Jeong J, Jeong W, Jung Y. Association between self-perceived oral health, stress, and oral symptoms in South Korean University Students: A Cross-Sectional Study. Healthcare (Switzerland). 2025;13(9):984. DOI:10.3390/healthcare13090984.
2. Baiju R, Peter E, Varghese N, Sivaram R. Oral health and quality of life: Current concepts. Journal of Clinical and Diagnostic Research. 2017;11(6):ZE21-ZE26. DOI:10.7860/JCDR/2017/25866.10110.
3. Vallejos D, Coll I, López-Safont N. Association between the oral health status and sociodemographic factors among 5–15-year-old schoolchildren from Mallorca, Spain—A cross-sectional study. Children. 2025;12(4):527. DOI: 10.3390/children12040527.
4. Geraldine Olivia Siahaan J, Erawati S, Dwi Jayanti A. Level of knowledge, oral and dental health status, and the School Dental Health Program. Prima Journal of Oral and Dental Sciences. 2018;1(2):45-49. DOI:10.34012/primajods.v1i2.2679.
5. Soerachman B, Soewondo S, Mauluddin SK. Caries overview in primary school students assisted by Dental School Program Cimahi Public Health Centre. Journal of Health and Dental Sciences. 2021;1(3):299-312. DOI:10.54052/jhds.v1n3.p299.
6. Tanu LO, Adhani R. Comparison of caries index in permanent dentition under active and non-active school dental health program. Dentino Dental Journal. 2017;II:215-220.
7. Maharani DA, Adiatman M, Rahardjo A, Burnside G, Pine C. An assessment of the impacts of child oral health in Indonesia and associations with self-esteem, school performance and perceived employability. BMC Oral Health. 2017;17(1):65. DOI:10.1186/s12903-017-0358-5.
8. Rebelo MAB, Rebelo Vieira JM, Pereira JV, Quadros LN, Vettore MV. Does oral health influence school performance and school attendance? A systematic review and meta-analysis. International Journal of Paediatric Dentistry. 2019;29(2):138-148. DOI:10.1111/ipd.12441.
9. Guarnizo-Herreño CC, Lyu W, Wehby GL. Children’s oral health and academic performance: evidence of a persisting relationship over the last decade in the United States. Journal of Pediatrics. 2019;209:183-189.e2. DOI:10.1016/j.jpeds.2019.01.045.
10. Wijaya Hermawan G, Shaluhiyah Z, Arso SP. Improving Students’ Oral hygiene through school dental health program: A meta-analysis. Journal of Maternal and Child Health. 2024;9(6):857-869. DOI:10.26911/thejmch.2024.09.06.01.
11. Gurav KM, Shetty V, Vinay V, Bhor K, Jain C, Divekar P. Effectiveness of oral health educational methods among school children aged 5–16 years in improving their oral health status: A meta-analysis. Int J Clin Pediatr Dent. 2022;15(3):338-349. DOI:10.5005/jp-journals-10005-2395.
12. Bramantoro T, Santoso CMA, Hariyani N, Setyowati D, Zulfiana AA, Nor NAM, et al. Effectiveness of the school-based oral health promotion programmes from preschool to high school: A systematic review. PLoS One. 2021;16(8):1-16. DOI:10.1371/journal.pone.0256007.
13. Akera P, Kennedy SE, Lingam R, Obwolo MJ, Schutte AE, Richmond R. Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income countries: A systematic review and meta-analysis. BMC Oral Health. 2022;22(1):264. DOI:10.1186/s12903-022-02291-2.
14. Setiawati F, Darwita RR, Fadillah F, Adiatman M, Soekanto SA, Sjarkawi GA. Effectiveness of dental health education intervention using the 16-surface tooth brushing program among 7–9-year-old schoolchildren in Indonesia. Pesquisa Brasileira Odontopediatria Clínica Integrada. 2020;20:1-7. DOI:10.1590/pboci.2020.144.
15. Shirahmadi S, Bashirian S, Soltanian AR, Karimi-shahanjarini A, Vahdatinia F. Effectiveness of theory-based educational interventions of promoting oral health among elementary school students. BMC Public Health. 2024;24(1):130. DOI:10.1186/s12889-023-17528-0.
16. Sowmiya Sree RA, Joe Louis C, Senthil Eagappan AR, Srinivasan D, Natarajan D, Dhanalakshmi V. Effectiveness of parental participation in a dental health program on the oral health status of 8–10-year-old school children. Int J Clin Pediatr Dent. 2022;15(4):417-421. DOI:10.5005/jp-journals-10005-2411.
17. Ministry of Health of the Republic of Indonesia. Indonesian Health Survey (SKI) 2023. Jakarta: Health Policy Agency; 2023.
18. Nurhamsyah D, Mutaqin BK, Maziyya N, Supriat D, Fitri SYR. Enhancing dental health awareness among santri through the role of livestock farming families and local entrepreneurs in supporting sustainable tourism in Pangandaran. Farmers: Journal of Community Services. 2025;6(1):90-96. DOI: 10.24198/fjcs.v6i1.61124.
19. Ministry of Health of the Republic of Indonesia. Indonesia Health Facility Research (Rifaskes) 2019. Published online 2019.
20. Thania L, Fatimah N, Marniati M. Dynamics of oral and dental health issues in Indonesia. Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi. 2025;3(3):156–166. DOI: 10.57213/antigen.v3i3.731.
21. Istiqomah A, Kristiani A, Tiana M. Relationship between parents’ knowledge and behavior in maintaining oral and dental health with permanent dental caries experience among students with hearing impairment at SLB Bahagia Tasikmalaya City. Jurnal Ilmiah Keperawatan Gigi (JIKG). 2024;5(3):111-119. DOI:10.37160/jikg.v5i3.718.
22. Evans GT, Junger ML, Lin M, Wei L, Espinoza L, Aguilar EB. Use of toothpaste and toothbrushing patterns among children and adolescents – United States, 2013-2016. MMWR Morb Mortal Wkly Rep. 2019;68(4):87-90. DOI:10.15585/mmwr.mm6804a3.
23. Marshman Z, Ahern SM, McEachan RRC, Rogers HJ, Gray-Burrows KA, Day PF. Parents’ experiences of toothbrushing with children: A qualitative study. JDR Clinical & Translational Research. 2016;1(2):122-130. DOI:10.1177/2380084416647727.
24. Farzanegan P, Ghasempour M, Massoodi A, Shirafkan H. Correlation between child’s dental fear and anxiety symptoms and evaluating factors associated with dental fear. Health Science Reports. 2025;8(5):e70879. DOI:10.1002/hsr2.70879.
25. Sağlam C, Mojarrab N, Ahlat EM, Çınarcık BŞ, Ersin N, Ertuğrul F, et al. Evaluation of the effectiveness of parental oral health education. Journal of Pediatric Research. 2025;12(1):7-13. DOI:10.4274/jpr.galenos.2025.54765.
26. Slabšinskienė E, Kavaliauskienė A, Žemaitienė M, Vasiliauskienė I, Zaborskis A. Dental fear and associated factors among children and adolescents: A school-based study in Lithuania. International Journal of Environmental Research and Public Health. 2021;18(16):8883. DOI:10.3390/ijerph18168883.
27. Health Research and Development Agency, Ministry of the Republic of Indonesia. National Basic Health Research Report (Riskesdas) 2018; 2018. Accessed December 23, 2021. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
28. Bandung City Statistics. Number of Elementary School Students under the Ministry of Education, Culture, Research, and Technology by Subdistrict in Bandung City, 2023/2024. Accessed December 23, 2021. Available from: https://bandungkota.bps.go.id/id/statistics-table/1/MjE4NCMx/jumlah--murid-sekolah-dasar--sd--di-bawah-kementerian-pendidikan--kebudayaan--riset--dan-teknologi-menurut-kecamatan-di-kota-bandung--2023-2024.html
29. Kawachi I, Ryu JI. Gender gap in tooth brushing among Korean adolescents. BMC Oral Health. 2025;25(1):938. DOI: 10.1186/s12903-025-06323-5.
30. Binmuhana NO, Nayak UA, Nayak PA, Babusail MA, Hassan SJ. Knowledge, attitude and awareness regarding the use of fluoride in caries prevention amongst parents in Jeddah, Saudi Arabia. Advances in Human Biology. 2025;15(3):375–381. DOI: 10.4103/aihb.aihb_197_24.
31. Minervini G, Franco R, Marrapodi MM, Di Blasio M, Ronsivalle V, Cicciù M. Children’s oral health and parents’ education status: A cross-sectional study. BMC Oral Health. 2023;23(1):787. DOI:10.1186/s12903-023-03424-x.
32. Khalid T, Mahdi SS, Khawaja M, Allana R, Amenta F. Relationship between socioeconomic inequalities and oral hygiene indicators in private and public schools in Karachi: An observational study. International Journal of Environmental Research and Public Health. 2020;17(23):8893. DOI:10.3390/ijerph17238893.
33. Gómez SAL, López BSG, Vilchis RJS, Corona MLM, Sánchez MM, Hernández JJN, et al. Factors associated with self-report of type 2 diabetes mellitus in adults seeking dental care in a developing country. International Journal of Environmental Research and Public Health. 2023;20(1):218. DOI:10.3390/ijerph20010218.
34. Kazeminia M, Abdi A, Shohaimi S, Jalali R, Raygani AV, Salari N, et al. Dental caries in primary and permanent teeth in children worldwide, 1995 to 2019: A systematic review and meta-analysis. Head & Face Medicine. 2020;16(1):22. DOI:10.1186/s13005-020-00237-z.
35. Farooq I, Ali S, Farooqi FA, Jalali R, Raygani AV, Salari N, et al. Enamel remineralization competence of a novel fluoride-incorporated bioactive glass toothpaste— a surface micro-hardness, profilometric, and micro-computed tomographic analysis. Tomography. 2021;7(4):752-766. DOI:10.3390/tomography7040063.
36. Fernandes NLS, Silva JGVC, de Sousa EBG, D’Alpino PHP, de Oliveira AFB, de Jong EC, et al. Effectiveness of fluoride-containing toothpastes associated with different technologies to remineralize enamel after pH cycling: an in vitro study. BMC Oral Health. 2022;22(1):489. DOI:10.1186/s12903-022-02429-2.
37. Maudi T, Suryanti N, Setiawan AS. Relationship between mother’s oral health literacy level with oral hygiene behavior and self-reported oral health status in a sociodemographic context. Padjadjaran Journal of Dentistry. 2023;35(1):40. DOI:10.24198/pjd.vol35no1.35411.
38. Walsh T, Worthington HV, Glenny AM, Marinho VCC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database of Systematic Reviews. 2019;3(3):CD007868. DOI:10.1002/14651858.CD007868.pub3.
39. Almugairin S, Alwably A, Alayed N, Algazlan A, Alrowaily H, Eldwakhly E, et al. Parental knowledge, awareness, and attitudes towards children’s oral habits: a descriptive cross-sectional study. Acta Odontologica Scandinavica. 2025;84:65-75. DOI:10.2340/aos.v84.42643.
40. Lopes RT, Neves ÉTB, Dutra LC, Gomes MC, Paiva SM, de Abreu MHNG, et al. Socioeconomic status and family functioning influence oral health literacy among adolescents. Revista Saude Publica. 2020;54:30. DOI:10.11606/S1518-8787.2020054001842.
41. Karam I, Jaffa MA, Ghafari J. Barriers to the use of dental services by children in Lebanon and association with parental perception of oral health care. Eastern Mediterranean Health Journal. 2020;26(11):1420-1424. DOI:10.26719/emhj.20.079.
42. Aqeeli A, Alsharif AT, Kruger E, Tennant M. Factors INFLUENCING CHILDREN’S REGULAR ATTENDANCE AT DENTAL CLINICS IN Al Madinah, Saudi Arabia. Saudi Journal of Health Systems Research. 2021;1(4):140-146. DOI:10.1159/000518640.
43. Panda S, Quadri MFA, Hadi IH, Jably RM, Hamzi AM, Jafer MA. Does dental fear in children predict untreated dental caries? An analytical cross-sectional study. Children. 2021;8(5):382. DOI:10.3390/children8050382.
44. Nydell Helkimo A, Rolander B, Koch G. Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years. BMC Oral Health. 2022;22(1):146. DOI:10.1186/s12903-022-02166-6.
45. Huew RM, Alaskandrani RB, Farag AB, Khalid MM. Influence of parental dental health knowledge and practices on their child’s oral health. GSC Advanced Research and Reviews. 2023;16(3):196-204. DOI:10.30574/gscarr.2023.16.3.0377.
46. Horax S, Jubhari EH, Ayub AA. The level of concern for oral health in children visiting the Dental Hospital of Hasanuddin University. Makassar Dental Journal. 2020;9(3):248-251. DOI:10.35856/mdj.v9i3.366.
47. Abigayl I, Adiatman M. Integration of gamification and Health Belief Model to promote dental health in school children: A narrative review for digital intervention development. Interdental Jurnal Kedokteran Gigi. 2025;21(2):308-318. DOI:10.46862/interdental.v21i2.11888.
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