Mode
Text Size
Log in / Sign up

Cross-sectional study of dental caries awareness among Uttarakhand healthcare professionalsMost doctors don't link kids' liquid medicines to tooth decay

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Consider that awareness of sugar-free paediatric liquid medicines varies by specialty, but many clinicians do not link them to dental caries risk.

This is a descriptive cross-sectional study of 431 healthcare professionals in Uttarakhand, India, including general medicine practitioners, paediatricians, and dental practitioners. The study assessed awareness of sugar-free paediatric liquid medicines, prescribing practices, and oral health advice provision related to dental caries.

Key findings include a statistically significant association between specialty and sugar-free paediatric liquid medicine awareness (p = 0.03), with dental practitioners recording the highest awareness at 90%. Only 20% of participants associated paediatric liquid medicines with dental caries, and 48% routinely provided oral health advice. However, 83% knew of sugar-free alternatives.

The authors note limitations, including the descriptive cross-sectional design that limits causal inference, potential response bias from mixed online and in-person administration, and possible effects from excluding incomplete responses on representativeness.

Practice relevance suggests targeted continuing medical education and policy measures, including sucrose-free labelling promotion, to improve paediatric oral health outcomes in Uttarakhand. Causation cannot be inferred from associations, and generalizability may be limited to the studied population.

It’s easy to forget that the medicine meant to help a child can also harm their teeth. A new survey of 431 healthcare professionals in Uttarakhand, India, found a troubling gap between knowledge and practice. While 83% knew about sugar-free alternatives for kids, only 20% made the connection between regular liquid medicines and dental caries. This matters because many pediatric syrups contain sucrose, a sugar that feeds the bacteria causing cavities.

The study, which included general practitioners, pediatricians, and dentists, also found that only 48% routinely give oral health advice. Dentists were the most aware of sugar-free options, with 90% knowing about them, showing a clear link between specialty and awareness.

These findings are based on self-reported answers from one region, so they can't prove cause and effect or apply everywhere. But they highlight a real-world problem: even informed professionals may not always connect the dots between liquid medicines and a child's dental health.

What this means for you:
Most doctors know about sugar-free kids' medicines but don't always link sugary ones to tooth decay.

Study Details

Sample sizen = 211
EvidenceLevel 5
PublishedApr 2026
View Original Abstract ↓
Background: Paediatric liquid medicines (PLMs) routinely contain sucrose to improve palatability, yet their cariogenic potential is well established. Healthcare professionals' awareness and prescribing practices regarding sugar-free PLMs have received limited study in India, particularly in Uttarakhand. Methods: A descriptive cross-sectional study was conducted among 500 healthcare professionals aged 25 years and above, using a pilot-tested structured questionnaire (Cronbach's alpha = 0.85), administered online and in person across Uttarakhand districts (January to March 2024). After excluding 69 incomplete responses, 431 participants were analysed (response rate: 86.2%), comprising general medicine practitioners (49%, n = 211), paediatricians (27%, n = 116), and dental practitioners (24%, n = 104). Descriptive statistics and chi square tests were applied (p < 0.05). Results: Prescription decisions were primarily driven by child's age and weight (58%), cost (40%), and pharmaceutical brand (37%). While 88% recognised PLM sweetness and 67% were aware of pH and dental harm links, only 20% associated PLMs with dental caries. Overall awareness of hidden sugars was 73%. Eighty three percent knew of sugar free alternatives (50% local availability), yet 80% found them less palatable and 85% costlier. Only 48% routinely provided oral health advice. A statistically significant association was found between specialty and sugar free PLM awareness (p = 0.03), with dental practitioners recording the highest awareness (90%). Conclusions: Healthcare professionals demonstrated variable levels of knowledge, attitudes, and practices regarding PLMs, with critical gaps in caries recognition (20%) and oral health counselling (48%). Despite high sugar free PLM awareness, uptake is constrained by perceived cost and palatability barriers. Targeted continuing medical education and policy measures, including sucrose free labelling promotion, are needed to improve paediatric oral health outcomes in Uttarakhand.
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.