Referral Patterns of Paediatricians and General Medical Practitioners to Paediatric Dental Clinics and Oral Health Knowledge in Riyadh, Saudi Arabia: A cross-sectional survey

Background: The single most chronic disease impacting children on an international scale is dental caries; there are alerts to deaths of children as a result of the complications caused by dental caries, despite the fact that this disease is completely preventable. This study aims to evaluate physicians’ dental knowledge, preventive measures they would provide and their referral patterns to paediatric dentists.Methods: A cross-sectional survey was conducted in Riyadh, Saudi Arabia. Certified paediatricians and general practitioners (GPs) from different sectors were invited to participate. The survey comprised 24 questions, distributed into 5 sections; demographic data, dental knowledge, participation in oral preventive measures, case scenarios and one question about participants’ opinion in implementing oral health rotations in the paediatric residency program. Results: 406 physicians participated in the study. Only 4.4 % of the participants answered all the knowledge questions correctly, the mean correct knowledge score was 2.95 ± 0.9937 out of 5. No significant difference was detected in the total knowledge score according to gender (P= 0.315), specialty and years of experience (P= 0.463 and 0.985 respectively). Common causes for referral were dental pain or swelling (67%) followed by a child with dental caries (43.6%). Less than 60% of the respondents would refer children to any dentist in the same hospital, while only 28 % only advise parents to consult a dentist. Most physicians suggested the addition of an oral health rotation in the medical residency program.Conclusions: The current level of oral health knowledge is not satisfactory to provide effective paediatric patients referrals to dentists, although their attitude towards providing oral preventive measures is good. Oral health knowledge and engagement should be emphasized in medical schools. Early and correct referral can be effective in preventing oral disease. The integration of oral health in undergraduate and specialty training curricula is vital to achieve disease prevention goals.