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Alhafi ZM, Hajeer MY, Latifeh Y, Almusawi AOA, Burhan AS, Azizia T, Jaber ST, Rajeh N. The Impact of Non-Extraction Orthodontic Treatment on the Oral-Health-Related Quality of Life between a Modified Aligner Appliance with Ni-Ti Springs and the Traditional Fixed Appliances: A Randomized Controlled Clinical Trial. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:1139. [PMID: 39064568 PMCID: PMC11279390 DOI: 10.3390/medicina60071139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2024] [Revised: 07/09/2024] [Accepted: 07/12/2024] [Indexed: 07/28/2024]
Abstract
Background and Objectives: To compare the oral-health-related quality of life (OHRQoL) outcomes between patients treated with modified Ni-Ti spring-based alignment appliances or conventional fixed appliances using the Oral Health Impact Profile 14 (OHIP-14), as well as the levels of satisfaction with the appliance appearance, treatment progress, and outcomes. Materials and Methods: Thirty-six patients (11 males, 25 females) were randomly divided into two groups: either the modified aligner appliance with Ni-Ti springs group (MAA) or the traditional fixed appliances group (FA). The allocation ratio was 1:1, and the randomization process was carried out by an independent investigator not involved in this study. Mild crowding cases were included in this study. The OHRQoL of patients was evaluated using the short-form Oral Health Impact Profile (OHIP-14) at five time points: before the treatment commencement (T0); 2 weeks (T1), 1 month (T2), and 2 months (T3) after the treatment initiation; and post-treatment (T4). The visual analog scale (VAS) was used to evaluate the patient satisfaction. Blinding was performed only during the outcomes assessment. Results: This randomized controlled trial had no dropouts, and the demographic characteristics of the groups were comparable. The MAA group experienced significantly greater functional limitations compared with the FA group at all three evaluation time points (T1, T2, and T3), as evidenced by the statistically significant p-values (p = 0.004, p = 0.001, and p < 0.001, respectively). The psychological disability in the MAA group was significantly lower than in the FA group at both T2 (p = 0.005) and T3 (p = 0.003). The patient satisfaction with the appliance appearance was significantly higher in the MAA group than in the FA group (p = 0.002). Conclusions: The OHRQoL improved in both the modified aligner appliance with Ni-Ti springs and fixed appliance groups after the treatment. Moreover, the functional limitations during the treatment were less severe in the FA group, while the psychological disability was lower, and the patient satisfaction with the appliance appearance was higher in the MAA group.
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Affiliation(s)
- Ziad Mohamad Alhafi
- Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria; (Z.M.A.); (A.S.B.); (T.A.)
| | - Mohammad Y. Hajeer
- Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria; (Z.M.A.); (A.S.B.); (T.A.)
- Department of Orthodontics, School of Dentistry, University of Jordan, P.O. Box 2212, Amman 11942, Jordan
| | - Youssef Latifeh
- Department of Internal Medicine, Faculty of Medicine, University of Damascus, Damascus P.O. Box 30621, Syria;
| | - Alaa Oudah Ali Almusawi
- Department of Orthodontics, Faculty of Dentistry, Al Knooz University, Basrah AM86 BR9, Iraq;
| | - Ahmad S. Burhan
- Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria; (Z.M.A.); (A.S.B.); (T.A.)
| | - Tareq Azizia
- Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria; (Z.M.A.); (A.S.B.); (T.A.)
| | - Samer T. Jaber
- Department of Orthodontics, Faculty of Dentistry, Al-Wataniya Private University, Hama P.O. Box 1113, Syria;
| | - Nada Rajeh
- Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria; (Z.M.A.); (A.S.B.); (T.A.)
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Chen H, Lin L, Chen J, Huang F. Prevalence of Malocclusion Traits in Primary Dentition, 2010-2024: A Systematic Review. Healthcare (Basel) 2024; 12:1321. [PMID: 38998856 PMCID: PMC11241413 DOI: 10.3390/healthcare12131321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2024] [Revised: 06/23/2024] [Accepted: 06/28/2024] [Indexed: 07/14/2024] Open
Abstract
The present review was aimed to describe the prevalence and the regional distribution of malocclusion among preschool children worldwide. Two independent reviewers performed a systematic literature search to identify English publications from January 2010 to May 2024 using PubMed, ISI Web of Science and Embase. Search MeSH key words were "malocclusion", "primary dentition" and "child, preschool". The reporting quality was assessed by the modified Newcastle-Ottawa Quality Assessment Scale. We identified 2599 publications and recruited 47 articles. Fourteen of the included studies were conducted in Asia, four in Europe, twenty-eight in South America and one in Africa. The prevalence of malocclusion ranged from 28.4% to 83.9%, and half of the reported prevalences were higher than 50%. The highest percentage was in Asia (61.81%), followed by Europe (61.50%), South America (52.69%) and Africa (32.50%). Statistically significant differences existed in deep overbite, anterior open bite, posterior crossbite, edge-to-edge incisor relationship and distal step between continents (p < 0.05). Europe showed the highest prevalence (33.08%) of deep overbite. Africa showed the highest prevalence (18.60%) of anterior open bite. Europe showed the highest prevalence (15.38%) of posterior crossbite. The most common malocclusion traits were increased overjet and deep overbite. To conclude, malocclusion remained prevalent in the primary dentition and varied between countries.
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Affiliation(s)
- Hanyi Chen
- Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
- Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510080, China
- Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510080, China
| | - Lude Lin
- Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
- Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510080, China
- Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510080, China
| | - Jieyi Chen
- Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
- Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510080, China
- Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510080, China
| | - Fang Huang
- Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
- Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510080, China
- Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510080, China
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Bezerra EDFN, Herkrath FJ, Vettore MV, Rebelo MAB, de Queiroz AC, Rebelo Vieira JM, Pereira JV, da Silva Freitas MO, de Queiroz Herkrath APC. Contextual and individual factors associated with traumatic dental injuries in deprived 12-year-old schoolchildren: A cohort study. Dent Traumatol 2024. [PMID: 38590266 DOI: 10.1111/edt.12955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 03/10/2024] [Accepted: 03/11/2024] [Indexed: 04/10/2024]
Abstract
AIM Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12-year-old schoolchildren. MATERIALS AND METHODS A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio-economic indicators) and individual characteristics, including sex, family income, parents/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self-esteem (Rosenberg Self-Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2-year follow-up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling. RESULTS The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2-year follow-up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (β = -.184). Better contextual characteristics (β = -.135) and greater overjet (β = -.203) were directly associated with poor psychosocial status. Higher schooling of parents/guardians directly predicted better psychosocial status (β = .154). Psychosocial status mediated the relationship of greater overjet (β = .036), contextual factors (β = .024) and parental/guardian schooling (β = -.027) with TDIs. CONCLUSIONS Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents/guardians schooling on the incidence of TDIs.
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Affiliation(s)
- Emmanuelle de Fátima Noberto Bezerra
- School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil
- Oswaldo Cruz Foundation, Instituto Leônidas e Maria Deane, Manaus, Amazonas, Brazil
| | - Fernando José Herkrath
- Oswaldo Cruz Foundation, Instituto Leônidas e Maria Deane, Manaus, Amazonas, Brazil
- Superior School of Health Sciences, State University of Amazonas, Manaus, Amazonas, Brazil
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Herndon JB, Rubin MS, Reusch C, Edelstein BL. A scoping review of the economic impact of family oral health: Implications for public health, research, and policy. J Public Health Dent 2024; 84:43-99. [PMID: 38305646 DOI: 10.1111/jphd.12599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 11/07/2023] [Accepted: 11/25/2023] [Indexed: 02/03/2024]
Abstract
OBJECTIVES To summarize evidence on the impact of oral health on individual and family economic outcomes, describe trends in the literature, and identify areas for additional research to inform public health research and practice. METHODS Searches were conducted within PubMed, CINAHL, EconLit, Cochrane Library, PsycInfo, and Web of Science databases. Article review, selection, abstraction, and reporting processes were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. RESULTS Of 2758 unduplicated records identified, 52 met inclusion criteria. Study outcomes included indicators of employment/employability (n = 9), earnings/earnings potential (n = 26), parent missed work and family financial impacts of child oral health (n = 19), and financial loss (n = 3). Dental caries-related variables were the most common predictors of poorer economic outcomes. Other oral health problems, such as poorer dental functioning or poorer self-reported oral health status, also were associated with adverse economic outcomes. Significant associations with employment were found among studies that assessed interventions designed to improve oral health. Only one study estimated the impact of oral health on earnings. One-third of studies conducted multivariable analyses, and 14% incorporated race and ethnicity variables. CONCLUSIONS Although existing evidence suggests associations between oral health problems and poorer economic outcomes, there is a substantial need for more rigorous research to better understand the extent of economic impact of oral health problems and which populations are most affected. Additional high-quality research is needed to inform which interventions are most likely to improve oral health, reduce adverse economic impacts, and promote health and economic equity.
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Affiliation(s)
| | - Marcie S Rubin
- Division of Socio-Behavioral Sciences, College of Dental Medicine, Columbia University, New York, New York, USA
| | - Colin Reusch
- Community Catalyst, Washington, District of Columbia, USA
| | - Burton L Edelstein
- Division of Pediatric Dentistry, College of Dental Medicine, Columbia University, New York, New York, USA
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Del Negro B, Kimura JS, Menezes AN, Mendes FM, Wanderley MT. Traumatic dental injuries in the primary lower incisors. Int J Paediatr Dent 2023; 33:498-506. [PMID: 36695106 DOI: 10.1111/ipd.13052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 12/18/2022] [Accepted: 01/19/2023] [Indexed: 01/26/2023]
Abstract
BACKGROUND Primary lower incisors are susceptible to traumatic dental injury (TDI), which may affect both primary and permanent dentitions. AIM This study aimed to evaluate the prevalence of TDIs in the primary lower incisors and the factors associated with their occurrence and with the incidence of sequelae in the permanent successor teeth. DESIGN Dental files (n = 2926) from patients who attended a reference center for dental trauma in the primary teeth, from 1998 to 2020, were screened. Multilevel Poisson regression analyses were conducted between exploratory variables related to the traumatized teeth and outcome variables: occurrences of severe TDI and sequelae in the permanent successor. Prevalence ratios (PRs), relative risks (RRs), and respective 95% confidence intervals (95% CIs) were calculated. RESULTS One hundred and thirteen (3.9%) children and 208 teeth presented with TDIs in the primary lower incisors. The prevalence of severe TDI was lower in 4-year-olds (PR = 0.43; 95% CI = 0.19-0.94) than in 2-year-olds. Moreover, severe TDI was significantly associated with the occurrence of sequelae in the permanent successors (RR = 3.97; 95% CI = 1.72-9.18), when compared to not severe TDI. CONCLUSIONS The prevalence of TDI in the primary lower incisors is low, with a higher prevalence in children younger than 3 years. Older children also present less frequently with severe TDI, and the risk of sequelae in permanent teeth is higher following severe TDI.
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Affiliation(s)
- Bianca Del Negro
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
| | - Juliana Sayuri Kimura
- Surgery Course in Pediatric Dentistry at the Foundation for the Scientific and Technological Development of Dentistry (FUNDECTO) at the School of Dentistry of the University of São Paulo - USP, São Paulo, Brazil
| | - Andressa Nery Menezes
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
| | - Fausto Medeiros Mendes
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
| | - Marcia Turolla Wanderley
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
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Kaul R, Saha S, Koul R, Saha N, Mukhopadyay S, Sengupta AV, Sarkar S. Prevalence and attributes of traumatic dental injuries to anterior teeth among school going children of Kolkata, India. Med J Armed Forces India 2023; 79:572-579. [PMID: 37719910 PMCID: PMC10499846 DOI: 10.1016/j.mjafi.2021.06.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 06/28/2021] [Indexed: 10/20/2022] Open
Abstract
Background Traumatic Dental Injuries (TDI) have emerged as a very significant public health and social problem, especially among children and adolescents. The aim of this study was to investigate the prevalence and associated risk factors of traumatic dental injuries to permanent anterior teeth in school going children of Kolkata aged 7-14 years. Method A cross-sectional study was conducted among 3762 school going children attending various private and public schools of Kolkata aged 7-14 years. A multistage random clustering sampling technique was adopted to select the children.Type of trauma using Ellis and Davey classification of fractures along with Andresen's Epidemiological Classification of Traumatic Injuries to Anterior Teeth, including WHO codes, was used. All values were considered statistically significant at P < 0.05. Results Prevalence of TDI to anterior teeth was found to be 9.89%. The mean age of children who presented with TDI was 11.06 ± 1.99.years. The most common place of occurrence of TDI was home. Falls were the most common causes of trauma. Children belonging to higher socioeconomic status were observed to have an increased prevalence of TDIs.The highest potential risk factor for the occurrence of trauma was a past history of trauma. Conclusion Present study found a prevalence of 9.89%, and a very low percentage of children had received treatment.
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Affiliation(s)
- Rahul Kaul
- Dental Officer & Pedodontist, 357 Field Hospital, C/o 99 APO, India
| | - Subrata Saha
- Professor (Pedodontics & Preventive Dentistry), Dr. R Ahmed Dental College & Hospital, Kolkata, India
| | - Rishu Koul
- Dental Officer, Military Dental Centre, Gopalpur, India
| | - Nilanjana Saha
- Associate Professor (Pedodontics & Preventive Dentistry), Dr. R Ahmed Dental College & Hospital, Kolkata, India
| | - Santanu Mukhopadyay
- Associate Professor (Pedodontics & Preventive Dentistry), Dr. R Ahmed Dental College & Hospital, Kolkata, India
| | - Ashok Vijoy Sengupta
- Professor (Pedodontics & Preventive Dentistry), Dr. R Ahmed Dental College & Hospital, Kolkata, India
| | - Subir Sarkar
- Professor & Head (Pedodontics & Preventive Dentistry), Dr. R Ahmed Dental College & Hospital, Kolkata, India
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Oliveira TTDV, Menegaz AM, Rocha MA, Costa VPP, Barbosa TDS, Goettems ML, Azevedo MS. Agreement between schoolchildren and their parents on rating the child's oral health-related quality of life. Braz Oral Res 2023; 37:e077. [PMID: 37531513 DOI: 10.1590/1807-3107bor-2023.vol37.0077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 06/02/2022] [Indexed: 08/04/2023] Open
Abstract
The perceptions of parents/caregivers regarding their children's oral health can influence the standard of care and decision-making regarding oral health. The children's perspective on their own oral health-related quality of life (OHRQoL) may differ from the parents/caregivers' views. This cross-sectional study aimed to analyze the agreement between the perceptions of parents/caregivers and schoolchildren regarding OHRQoL. It was conducted with a sample of children between 8 and 11 years old and their parents/caregivers from Pelotas. Children answered the Child Perceptions Questionnaire 8-10 (CPQ), and parents/caregivers answered the short form of the Parental-Caregiver Perceptions Questionnaire (P-CPQ). Socioeconomic data were also collected. Children's dental caries, traumatic dental injuries, and malocclusions were examined. The Spearman's correlation test was performed. A total of 119 parents/caregivers-children pairs were included. There was an agreement between the total scores of parents/caregivers and children (0.2770; p = 0.003), in the oral symptoms (0.1907; p = 0.038), and functional limitations (0.2233; p=0.015) domains. The Bland-Altman graph showed an agreement between children's and parents/caregivers' OHRQoL total score, but there was an underestimation of approximately two points in the parents/caregivers' perception compared to the children's score. There was an agreement between the reports of parents/caregivers and children regarding children's OHRQoL.
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Affiliation(s)
| | | | | | | | | | | | - Marina Sousa Azevedo
- Universidade Federal de Pelotas, Graduate Program of Dentistry, Pelotas, RS, Brazil
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Nagendrababu V, Vinothkumar TS, Rossi-Fedele G, Doğramacı EJ, Duncan HF, Abbott PV, Levin L, Lin S, Dummer PMH. Dental patient-reported outcomes following traumatic dental injuries and treatment: A narrative review. Dent Traumatol 2023. [PMID: 36744323 DOI: 10.1111/edt.12827] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 01/19/2023] [Indexed: 02/07/2023]
Abstract
Dental patient-reported outcomes (dPROs) are self-reported descriptions of a patient's oral health status that are not modified or interpreted by a healthcare professional. Dental patient-reported outcome measures (dPROMs) are objective or subjective measurements used to assess dPROs. In oral healthcare settings, the emphasis on assessing treatment outcomes from the patient's perspective has increased and this is particularly important after traumatic dental injuries (TDIs), as this group of injuries represent the fifth most prevalent disease or condition worldwide. The purpose of this review is to summarize the current use of dPROs and dPROMs in the field of dental traumatology. Oral Health-Related Quality of Life, pain, swelling, aesthetics, function, adverse effects, patient satisfaction, number of clinical visits and trauma-related dental anxiety are the key dPROs following TDIs. Clinicians and researchers should consider the well-being of patients as their top priority and conduct routine evaluations of dPROs using measures that are appropriate, accurate and reflect what is important to the patient. After a TDI, dPROs can assist clinicians and patients to choose the best management option(s) for each individual patient and potentially improve the methodology, design and relevance of clinical studies.
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Affiliation(s)
| | - Thilla Sekar Vinothkumar
- Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia.,Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, India
| | | | - Esma J Doğramacı
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Henry F Duncan
- Division of Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - Paul V Abbott
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Liran Levin
- Faculty of Medicine and Dentistry, University of Alberta, Alberta, Edmonton, Canada
| | - Shaul Lin
- The Israeli National Center for Trauma & Emergency Medicine Research, Gertner Institute, Tel Hashomer, Israel.,Department of Endodontics, Rambam Health Care Campus, Haifa, Israel.,The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel
| | - Paul M H Dummer
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
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Oral Health-Related Quality of Life of 2 to 5-Year-Old Children in Iran. JOURNAL OF RESEARCH IN DENTAL AND MAXILLOFACIAL SCIENCES 2022. [DOI: 10.52547/jrdms.7.4.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Velasco SRM, Moriyama CM, Bonecker M, Butini L, Abanto J, Antunes JLF. Relationship between oral health literacy of caregivers and the oral health-related quality of life of children: a cross-sectional study. Health Qual Life Outcomes 2022; 20:117. [PMID: 35907863 PMCID: PMC9338565 DOI: 10.1186/s12955-022-02019-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 07/13/2022] [Indexed: 11/10/2022] Open
Abstract
Background Oral health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate oral health decisions. However, scientific evidence about the oral health literacy of caregivers and the children’s oral health-related quality of life. The purpose of this study was to verify the relationship between the level of oral health literacy of caregivers and the children's oral health-related quality of life (OHRQOL). Methods This study was conducted with children aged 2 to 4 in Diadema, São Paulo, Brazil. Six hundred thirty children were examined to assess the prevalence of dental caries (dmft index). Parents were interviewed to obtain sociodemographic status, oral conditions, and oral health literacy (OHL). The variable outcome was the children's OHRQOL as assessed by the Early Childhood Oral Health Impact Scale (ECOHIS). We fitted zero-inflated negative binomial regression (ZINB) models to evaluate associations between the study outcome and covariates in terms of PR (Prevalence Ratios), RR (Rate Ratios), and their respective Confidence Intervals (95% CI). Results Children's OHRQOL was not associated with OHL. Dental caries had a negative impact on the children's quality of life (p < 0.05). A reduced impact on OHRQOL is also associated with having siblings (PR = 0.70, 95% CI 0.52–0.95). A higher age of the mother reduced OHRQOL impacts (PR = 0.72, 95% CI 0.52–0.98). Conclusions The factors associated with children's OHRQOL were the number of siblings, the mothers' age, and dental caries. This study observed no association between parental OHL and children's OHRQOL.
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Affiliation(s)
- Sofia Rafaela Maito Velasco
- Public Health School, University of São Paulo, São Paulo, Av. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP, 01246-904, Brazil.
| | - Caroline Moraes Moriyama
- Department of Paediatric and Orthodontic Dentistry, University of Sao Paulo, São Paulo, SP, Brazil.,Department of Postgraduation Program in Dentistry, Metropolitana de Santos University, Santos, SP, Brazil
| | - Marcelo Bonecker
- Department of Paediatric and Orthodontic Dentistry, University of Sao Paulo, São Paulo, SP, Brazil
| | - Luciane Butini
- Oral Radiology in the School of Dentistry, School of Dentistry, São Leopoldo Mandic, Campinas, SP, Brazil
| | - Jenny Abanto
- Public Health School, University of São Paulo, São Paulo, Av. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP, 01246-904, Brazil
| | - José Leopoldo Ferreira Antunes
- Public Health School, University of São Paulo, São Paulo, Av. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP, 01246-904, Brazil
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Evaluation of primary teeth affected by dental trauma in patients visiting a university clinic, Part 1: Epidemiology. Clin Oral Investig 2022; 26:6783-6794. [PMID: 35854135 DOI: 10.1007/s00784-022-04638-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 07/12/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES The retrospective study reported herein was the first of three that investigated dental trauma in primary teeth. This article discusses the study that aimed to reveal the epidemiology of trauma with data such as prevalence, risk factors, and types of injuries, and to highlight prevention. MATERIALS AND METHODS The records of 320 patients aged 0-9 years who visited the Erciyes University Faculty of Dentistry Pedodontics Department due to dental trauma were evaluated according to the age, gender, medical condition, season, oral habits, trauma environment/type/cause, personal characteristics, and number of siblings. The chi-square test was used to compare the categorical variables by group. RESULTS Of the patients, 25.9% were aged 24-35 months at the time of study, 62.8% were male, 38.1% had two siblings, 37.2% had a sucking habit, 93.4% had a healthy medical condition, 41.3% experienced the trauma in summer, and 26.3% were aged 30-34 months at the time they incurred the trauma. Of the traumas, 54.1% were caused by falling, 60% occurred at home, 23% pertained to lateral luxation, and 70% were incurred when the patients were with their mother. CONCLUSION Given the results of this study, mothers with low education levels should be informed about their children's risk of incurring injuries from falling at home, especially in summer. Parents should also be warned that their children's oral habits increase their risk of trauma. CLINICAL RELEVANCE This study can help increase the knowledge level of clinicians, can raise social awareness, and can guide plan formulation for preventing risks.
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Spinas E, Di Giorgio G, Murgia MS, Garau V, Pinna M, Zerman N. Root Fractures in the Primary Teeth and Their Management: A Scoping Review. Dent J (Basel) 2022; 10:dj10050074. [PMID: 35621527 PMCID: PMC9139944 DOI: 10.3390/dj10050074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 03/21/2022] [Accepted: 04/25/2022] [Indexed: 11/28/2022] Open
Abstract
(1) Background: Traumatic dental injuries constitute a major global health problem. Primary deciduous teeth of the upper frontal group are frequently affected by trauma, especially at an early age. It is important to treat primary traumatic injuries because early tooth loss can lead to aesthetic and functional alterations. The most common injuries are extrusion, lateral luxation, and intrusion. Root fracture is a less common complication that can lead to tooth extraction if not properly diagnosed and managed. However, there are a lack of data regarding primary root fracture treatment. The literature was reviewed to study the current knowledge on the treatment of these injuries, and to propose an operative protocol based on the results obtained. (2) Methods: A literature search was performed on Web of Science, PubMed/MEDLINE, and SCOPUS. The research focused on the following features: age of the patient; localization of the root fracture and type of displacement suffered (intrusive, extrusive, or lateral); type of emergency treatment or diagnostic test performed and their compliance with IADT guidelines; follow-up duration. (2) Results: Only 8 articles fully met the inclusion criteria, with a total of 46 patients and 62 root fractures. Out of a total of 62 root fractures, regarding only upper incisors, the most common treatment was splinting (n = 39) for a period ranging from 3 weeks to 3 months (with an average of six weeks). No treatment was performed for 23 of the root fractures. The splinting performed in most of the included cases was semi-rigid, with the splint held in place using a composite resin material. An orthodontic splint using brackets and 0.5 mm stainless steel wire was used in only in one study. (4) Conclusions: We deduced that the root fracture of primary teeth is a rare traumatic dental injury that can cause numerous complications, such as eruptive problems in the permanent teeth. Correct radiological diagnosis, immediate repositioning and semi-rigid splinting could be conservative methods to prevent premature tooth loss in very young patients.
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Affiliation(s)
- Enrico Spinas
- Department of Surgical Sciences, Traumatology and Sport Dental Research Center, University of Cagliari, Via Ospedale, 09124 Cagliari, Italy
| | - Gianni Di Giorgio
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Via Caserta, 6, 00161 Rome, Italy
| | | | - Valentino Garau
- Department of Surgical Sciences, University of Cagliari, Via Ospedale, 09124 Cagliari, Italy
| | - Mara Pinna
- Department of Surgical Sciences, University of Cagliari, Via Ospedale, 09124 Cagliari, Italy
| | - Nicoletta Zerman
- Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, 37134 Verona, Italy
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Das P, Mishra L, Jena D, Govind S, Panda S, Lapinska B. Oral Health-Related Quality of Life in Children and Adolescents with a Traumatic Injury of Permanent Teeth and the Impact on Their Families: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19053087. [PMID: 35270779 PMCID: PMC8910580 DOI: 10.3390/ijerph19053087] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 03/01/2022] [Accepted: 03/03/2022] [Indexed: 11/29/2022]
Abstract
The aim of this systematic review was to evaluate the impact of a traumatic dental injury (TDI) of permanent teeth in children and adolescents on their oral health-related quality of life (OHRQoL) as well as on their families. A bibliographic search in the biomedical databases (PubMed, Cochrane Library, MEDLINE) was limited to studies published between January 2000 and February 2021. The study selection criteria were cross-sectional, case control, or prospective clinical studies, which analyzed TDI before and after the treatment of permanent teeth in healthy children and adolescent, assessed their OHRQoL, and were written in English. The search found 25 eligible articles that were included in the study. The quality assessment of the studies was performed using the quality assessment checklist for survey studies in psychology (Q-SSP). The results indicated that a TDI of permanent teeth strongly influences the OHRQoL of children and adolescents, and the timely-performed dental management of a TDI allows for preventing further biological and socio-psychological impacts. Sociodemographic status, economic status, parent’s education, gender, age group, and type of schooling were determinants of the TDI impact on OHRQoL.
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Affiliation(s)
- Priyankaa Das
- Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, Bhubaneswar 751003, Odisha, India; (P.D.); (D.J.); (S.G.)
| | - Lora Mishra
- Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, Bhubaneswar 751003, Odisha, India; (P.D.); (D.J.); (S.G.)
- Correspondence: (L.M.); (B.L.); Tel.: +91-889-526-6363 (L.M.); +85-42-675-74-61 (B.L.)
| | - Debkant Jena
- Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, Bhubaneswar 751003, Odisha, India; (P.D.); (D.J.); (S.G.)
| | - Shashirekha Govind
- Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, Bhubaneswar 751003, Odisha, India; (P.D.); (D.J.); (S.G.)
| | - Saurav Panda
- Department of Periodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, Bhubaneswar 751003, Odisha, India;
| | - Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland
- Correspondence: (L.M.); (B.L.); Tel.: +91-889-526-6363 (L.M.); +85-42-675-74-61 (B.L.)
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Fernandez MDS, Pauli LA, da Costa VPP, Azevedo MS, Goettems ML. Dental caries severity and oral health-related quality-of-life in Brazilian preschool children. Eur J Oral Sci 2021; 130:e12836. [PMID: 34865258 DOI: 10.1111/eos.12836] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Accepted: 10/04/2021] [Indexed: 12/18/2022]
Abstract
The impact of dental caries on oral health-related quality-of-life (OHRQoL) may be influenced by disease severity. This study evaluated the impact of caries severity on OHRQoL in preschool children. A school-based, cross-sectional study was conducted with 205 children (aged 2-5 years) in Southern Brazil. Parents answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) and provided sociodemographic information. The Caries Assessment Spectrum and Treatment criteria were used to evaluate caries severity, and Poisson regression with robust variance estimation conducted to determine the rate ratio (RR) and 95% confidence intervals (CIs) of the mean OHRQoL scores according to severity level. Most children had at least one tooth in the morbidity (37%) or pre-morbidity (35%) stages, and the prevalence of impacts on OHRQoL was 40%. Caries severity was associated with the impact scores: after adjustments, the mean B-ECOHIS scores were 6.31 (95% CI: 4.24-9.38) higher for children in the morbidity stage, and 10.84 (95% CI: 6.51-18.05) higher in the severe morbidity stage, than for healthy children [RR = 10.84 (95% CI: 6.51-18.05)]. Children with carious lesions into dentine or with pulpally-involved or abscessed teeth had poorer OHRQoL than children without such lesions.
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Affiliation(s)
- Matheus Dos Santos Fernandez
- School of Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Department of Social and Preventive Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
| | - Laís Anschau Pauli
- School of Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Department of Social and Preventive Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
| | - Vanessa Polina Pereira da Costa
- School of Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Department of Social and Preventive Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
| | - Marina Souza Azevedo
- School of Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Department of Social and Preventive Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
| | - Marília Leão Goettems
- School of Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil.,Department of Social and Preventive Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
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15
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de Vasconcelos FMT, Vitali FC, Ximenes M, Dias LF, da Silva CP, Borgatto AF, Bolan M, Cardoso M. Impact of primary dentition malocclusion on the oral health-related quality of life in preschoolers. Prog Orthod 2021; 22:38. [PMID: 34806119 PMCID: PMC8606473 DOI: 10.1186/s40510-021-00384-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 09/10/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Malocclusion is a condition frequently seen in primary dentition due to the interaction of environmental, genetic and behavioural factors. The occurrence of some types of malocclusions can have an impact on oral health-related quality of life in children. Hence, the present study aimed to verify the impact of primary dentition malocclusion on oral health-related quality of life in preschool children. METHODS A population-based cross-sectional study was conducted in Florianopolis, Brazil, with a representative sample of 1050 preschoolers aged between 2 and 5 years, randomly selected. Parents answered the Brazilian version of the Early Childhood Oral Health Impact Scale and also to a questionnaire on socio-economic indicators. Data obtained from the questionnaire were obtained by item response theory based on model of gradual response. The malocclusion assessed was: anterior open bite, increased overjet and posterior crossbite. Poisson regression model was employed for multivariate analysis (P < 0.05). RESULTS Malocclusion was observed in 36.7% of the children. Of these, 11.4% were anterior open bite, 67.2% were increased overjet, and 21.4% were posterior crossbite. Malocclusion's impact on oral health-related quality of life was 28.6%. In children aged 4-5 years, the prevalence of malocclusion's impact on quality of life was 49.5% higher than in children aged 2-3 years. Statistical analysis showed that preschool children with malocclusion showed no significant impact on quality of life. CONCLUSIONS The findings of the present study indicate that the occurrence of primary dentition malocclusion has no impact on the quality of life of children aged 2-5 years.
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Affiliation(s)
| | - Filipe Colombo Vitali
- Postgraduate Program in Dentistry, Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Marcos Ximenes
- Department of Dentistry, University of Southern Santa Catarina, Palhoça, Santa Catarina, Brazil
| | - Loraine Fernandes Dias
- Postgraduate Program in Dentistry, Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Carla Pereira da Silva
- Postgraduate Program in Dentistry, Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Adriano Ferrati Borgatto
- Department of Informatics and Statistics, Federal University of Santa Catarina, Florianopolis,, Santa Catarina, Brazil
| | - Michele Bolan
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Mariane Cardoso
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil.
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Soares MEC, Primo-Miranda EF, Galo R, Mourão LS, Ramos-Jorge J, Ramos-Jorge ML. Association between obesity and traumatic dental injuries in pre-school children-A case-control study. Dent Traumatol 2021; 38:123-128. [PMID: 34783441 DOI: 10.1111/edt.12718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 10/26/2021] [Accepted: 10/27/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Obese children are more prone to accidents due to poorer motor skills which increase the likelihood of falls and the occurrence of traumatic dental injuries (TDIs). The aim of this study was to determine the association between overweight/obesity and TDI in pre-school children. MATERIAL AND METHODS The case group was formed by children with TDI identified during a clinical examination (n = 262). Each pre-school child identified as a case was matched by a peer of the same age, gender and pre-school but without TDI to form the control group (n = 262). TDI was evaluated using the criteria proposed by Andreasen. The weight and height of the children were measured for the calculation of the body mass index which was plotted on the growth curve established by the World Health Organization. Socio-demographic variables were collected through questionnaires sent to the parents/guardians. Data analysis involved the determination of frequency distribution, the chi-square test and logistic regression analysis. RESULTS The sample was composed of 253 children in each group. Among the children in the case group, 15.4% (n = 39) were overweight and 15.8% (n = 40) were obese. In the control group, 13.8% (n = 35) were overweight and 8.3% (n = 21) were obese. Children with trauma were more likely to be obese than children without trauma (OR = 2.05; 95%CI: 1.14 to 3.67; p = .016). In contrast, TDI was not associated with being overweight. A greater odds of TDI was also associated with an open bite (OR = 3.61; 95% CI: 1.64 to 7.96; p = .001) and accentuated overjet (OR = 2.19; 95% CI: 1.37 to 3.50; p = .001). CONCLUSIONS Pre-school children with a history of dental trauma were more likely to be obese than those without a history of dental trauma whereas being overweight was not associated with TDI.
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Affiliation(s)
- Maria E C Soares
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Ednele F Primo-Miranda
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Rodrigo Galo
- Department of Dental Materials and Prosthesis, School of Dentistry, Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Larissa S Mourão
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Joana Ramos-Jorge
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Maria L Ramos-Jorge
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
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Impact of oral diseases on oral health-related quality of life: A systematic review of studies conducted in Latin America and the Caribbean. PLoS One 2021; 16:e0252578. [PMID: 34077473 PMCID: PMC8171960 DOI: 10.1371/journal.pone.0252578] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Accepted: 05/19/2021] [Indexed: 12/23/2022] Open
Abstract
Background We performed a systematic review of studies conducted in Latin America and the Caribbean (LAC) to assess the impact of oral diseases on oral health-related quality of life (OHRQoL). Materials and methods Searches were performed of the following PubMed, EMBASE, CINAHL, Scopus, and LILACS databases. Randomized clinical trials, quasi-experimental studies, cohort studies, case and control studies, and cross-sectional studies which included at least 100 participants evaluating the impact of oral diseases on OHRQoL were included. PROSPERO registry number: CRD42020156098. Results After exclusion of duplicates, 3310 articles were identified, 40 of which were included in this review. 90% of the studies were conducted in Brazil. The most commonly used OHRQoL measuring instruments were CPQ 11–14 (n = 9), ECOHIS (n-8) and B-ECOHIS (n = 8). The study designs included 32 cross-sectional, 2 cohort and 6 case and control studies. Most of the studies were conducted in children (n = 25) and adolescents (n = 9). Most studies identified an impact on OHRQoL in children, adolescents and adults with oral diseases. Moreover, greater oral disease severity had a greater impact on OHRQoL. Conclusions Most studies in LAC report a negative impact of diseases on OHRQoL. More longitudinal studies are required to confirm the results of these studies.
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Prevalence and Etiological Factors of Dental Trauma among 12- and 15-Year-Old Schoolchildren of Lebanon: A National Study. ScientificWorldJournal 2021; 2021:5587431. [PMID: 33746633 PMCID: PMC7960040 DOI: 10.1155/2021/5587431] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 02/06/2021] [Accepted: 02/19/2021] [Indexed: 11/30/2022] Open
Abstract
Background Traumatic dental injuries represent nearly 5% of children and adolescents' injuries leading to serious medical and psychological issues. This current study aims to evaluate the prevalence of dental trauma and its potential association with different predisposing factors among 12-and 15-year-old schoolchildren in Lebanon. Materials and Methods 7902 schoolchildren, 3806 male and 4096 female aged 12 years (n = 3985) and 15 years (n = 3917), were recruited by a stratified multistaged randomized cluster sampling method from public and private schools and were clinically examined in a national cross-sectional study. WHO criteria were used to assess anterior permanent teeth; the nature of trauma, the tooth involved, the size of the incisal overjet, and the type of the lip coverage were furthermore assessed. Data regarding age, sex, and causes of TDI were recorded through a structured questionnaire. Results The prevalence of dental trauma to anterior teeth was 10.9%. Maxillary central incisors (83.7%) were commonly affected. The most common type of injury was enamel fracture (68.3%), falls being the main reason (52.5%). Increased overjet (OR = 2.32, p = 0.034), deficient lip coverage (OR = 5.73, p = 0.019), and gender (OR = 5.36, p ≤ 0.001) were significant predisposing factors for dental trauma. Conclusion This research highlighted many predisposing factors for dental trauma that affect commonly the anterior teeth. Based on these results, the implementation of strategic preventive measurements targeting especially the identified risk groups remains crucial.
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Elyaskhil M, Shafai NAA, Mokhtar N. Effect of malocclusion severity on oral health related quality of life in Malay adolescents. Health Qual Life Outcomes 2021; 19:71. [PMID: 33658030 PMCID: PMC7927387 DOI: 10.1186/s12955-021-01710-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Accepted: 02/17/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The present study aims to determine the impact of malocclusion on oral health related quality of life (OHRQoL) among 13-16 years old Malay school children. METHODS School children aged between 13 and 16 years old were randomly selected from a secondary school in Penang. Malay version of Oral Health Impact Profile-14 (OHIP-14) questionnaires were given to the subjects. This questionnaire has 14 questions with seven domains which are functional limitation, psychological discomfort, physical pain, physical disability, psychological and social disability, and handicap. Index of orthodontic treatment need dental health component was used to assess the orthodontic treatment need. Overjet (reversed overjet), open bite, overbite, cross bite, impeded eruption, crowding, defects of cleft lip and palate, Class II and Class III buccal occlusion, present of supernumerary and hypodontia were assessed. RESULTS 255 students participated in this study. Mean score and standard deviation for OHIP-14 were 8.64 (± 7.32) for males and 11.05 (± 9.41) for females respectively. There was statistically significant difference in mean score of OHIP-14 between male and female (p = 0.023). A weak positive correlation was found between malocclusion severity and OHRQoL (r = 0.186; p < 0.01). Malocclusion had a negative impact on OHRQoL of the students in the present study. This impact was prominent in psychological discomfort and psychological disability domains of OHIP-14 (p < 0.05). CONCLUSION Increase in severity of malocclusion was associated with a negative impact on OHRQoL. Females exhibited more negative impact of malocclusion on their OHRQoL. Psychological domain was the most affected one.
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Affiliation(s)
- Marghana Elyaskhil
- Dentistry Faculty, Kabul University of Medical Science, Ata Turk Avenue, Kabul, Afghanistan.,Dental Simulation and Virtual Learning Research excellence Consortium, Craniofacial and Biomaterial Sciences Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, 13200, Bertam, Kepala Batas, Penang, Malaysia
| | - Noor Ayuni Ahmad Shafai
- Dental Simulation and Virtual Learning Research excellence Consortium, Craniofacial and Biomaterial Sciences Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, 13200, Bertam, Kepala Batas, Penang, Malaysia
| | - Norehan Mokhtar
- Dental Simulation and Virtual Learning Research excellence Consortium, Craniofacial and Biomaterial Sciences Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, 13200, Bertam, Kepala Batas, Penang, Malaysia.
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Esthetic impact of malocclusions in the anterior segment on children in the mixed dentition. Am J Orthod Dentofacial Orthop 2020; 159:53-58. [PMID: 33221094 DOI: 10.1016/j.ajodo.2019.11.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Revised: 10/01/2019] [Accepted: 11/01/2019] [Indexed: 11/20/2022]
Abstract
INTRODUCTION To assess the esthetic subjective effect of malocclusions in the anterior segment on children in the mixed dentition. METHODS A cross-sectional study was carried out with a population-based sample of 787 children aged 8-10 years in the late mixed dentition (n = 787). Orthodontic Aesthetic Subjective Impact Score determined the esthetic subjective effect. For assessing the malocclusions in the anterior segment (anterior crowding, anterior spacing, diastema, anterior open bite, and anterior maxillary overjet), the following Dental Aesthetic Index criteria were used. Sex, family income, and education level were used as control variables. The variables were analyzed using a simple logistic regression model, estimating crude odds ratios. The variables with P <0.20 in the simple analyses were tested in multiple regression models, estimating adjusted odds ratios with the respective 95% confidence intervals. RESULTS Increased overjet was 1.54 (95% CI: 1.08-2.17) times more likely to cause greater esthetic concern (P <0.05), especially in girls (P <0.05). CONCLUSIONS Increased overjet negatively affected children's esthetic self-perception in the mixed dentition.
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Carneiro DPA, Santos PRD, Valdrighi HC, Meneghim MDC, Vedovello SAS. DOES DENTAL TRAUMA IN EARLY CHILDHOOD HAVE THE POTENTIAL TO AFFECT THE QUALITY OF LIFE OF CHILDREN AND FAMILIES? REVISTA PAULISTA DE PEDIATRIA 2020; 39:e2019329. [PMID: 33175003 PMCID: PMC7649858 DOI: 10.1590/1984-0462/2021/39/2019329] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Accepted: 01/24/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To evaluate the influence of dental trauma on oral health-related quality of life (OHRQoL) of children and their families. METHODS A total of 571 children aged five years were randomly selected at public schools. Trauma was clinically evaluated in accordance with the Andreasen classification. Caries experience in the anterior region and increased overjet were determined according to the World Health Organization criteria. The Early Childhood Oral Health Impact Scale (ECOHIS) was answered by the parents and used to evaluate OHRQoL. In addition, this questionnaire has aspects related to socioeconomic status. Simple logistic regression was performed, and the raw Odds Ratios with the respective 95% confidence intervals (95%CI) were estimated. The variables with p<0.20 were tested in multiple logistic regression models, and those with p≤0.05 remained in the model and the adjusted odds ratio with respective 95%CI was estimated. RESULTS Income showed a magnitude of association of 1.56 and 2.70 with the OHRQoL of children and families, respectively. The avulsion variable showed 9.65- and 8.25-times greater chance of influencing the OHRQoL of children and families, respectively. The experience of caries showed 3.80- and 2.42-times greater chance of influencing the OHRQoL of children and families, respectively. CONCLUSIONS Dental trauma did not influence OHRQoL of children and their families negatively. However, avulsion and caries experience in low-income families was associated with a negative perception of OHRQoL.
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Do malocclusion and orthodontic treatment impact oral health? A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2020; 157:738-744.e10. [PMID: 32487303 DOI: 10.1016/j.ajodo.2020.01.015] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Revised: 01/01/2020] [Accepted: 01/01/2020] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Currently, there is limited evidence on the effects of malocclusion on oral health and whether the correction of malocclusion results in an improvement in oral health. In this review, we examined the evidence from randomized controlled trials and prospective cohort studies to provide information on any association between malocclusion and oral health and the effects of orthodontic treatment. METHODS We conducted this review in 2 parts: (1) we looked at the impact of malocclusion on oral health, and (2) we reviewed the evidence on the effect of orthodontic treatment on oral health. We searched for randomized controlled trials and prospective cohort studies. The searches were completed for articles published between January 1, 1990 and October 8, 2018 and covered Medline via Ovid, Embase, and the Cochrane Database of Systematic Reviews. References of included articles and previous systematic reviews were hand-searched. No language restrictions were applied. Two members of the study team assessed the quality of the studies using the Appraisal Tool for Cross-Sectional Studies to appraise the quality of studies in part 1. The assessment was performed at the study level. Two authors assessed each study independently, with a third author consulted when a disagreement occurred. For studies in part 2, we used the Newcastle-Ottawa scale to assess the risk of bias. When studies were included in a Cochrane review, we incorporated the risk of bias assessment. We developed data extraction forms for each area of oral health under investigation (trauma, quality of life, caries, and periodontal disease). Each author piloted the form, and we held discussions to inform any necessary refinements. We extracted data from studies into 2 × 2 tables, which provided a binary analysis of malocclusion vs the outcome of interest. If these data were not available from the published paper, then studies were not included in the meta-analysis. The authors were contacted when possible to request data in this format. RESULTS For part 1 of the study, we identified 87 studies. The overall quality was low. We could not include any of the data into an analysis because of a large variation in the nature of the studies, data collected, and outcome measures that were selected. For part 2 of the study, we found 7 studies; however, there were similar deficiencies in the data as in part 1, and thus, we could not reach any strong conclusions. CONCLUSIONS Overall, there is an absence of published evidence regarding the effects of malocclusion on oral health and the impact of orthodontic treatment on oral health.
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Inclusion of initial caries lesions in a population-based sample of Brazilian preschool children: Impact on estimates and treatment needs. PLoS One 2020; 15:e0234122. [PMID: 32559191 PMCID: PMC7304588 DOI: 10.1371/journal.pone.0234122] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Accepted: 05/19/2020] [Indexed: 12/11/2022] Open
Abstract
This study aimed to assess changes in epidemiological estimates and treatment needed when initial caries lesions are included in a population-based survey of preschool children. A cross-sectional survey was conducted in a Brazilian municipality, collecting data of preschool children in 16 health centers. Caries detection used the merged codes (epi-codes) for ICDAS/ICCMS. An option for treatment, according to ICCMS, was chosen during the examination. Caries experience (dmft/dmfs) and prevalence were estimated considering three thresholds (A- initial, moderate, and severe lesions, B- only moderate and severe lesions and C- severe lesions). Incremental need for non-operative care was also verified. The sample consisted of 663 children aged 2–4 years (response rate of 99.85%). Including initial lesions, a 2-fold increase in dmft was observed (A: 3.36, B: 1.02, p<0.001). With the inclusion, the caries prevalence increased to 75% compared to threshold B only (28%). The majority (76%) of children who required any intervention (56%) should be scheduled for non-operative care. We suggest that including initial caries lesions in an epidemiological survey may significantly impact assessment of population caries experience.
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Souto-Souza D, Soares MEC, Primo-Miranda EF, Pereira LJ, Ramos-Jorge ML, Ramos-Jorge J. The influence of malocclusion, sucking habits and dental caries in the masticatory function of preschool children. Braz Oral Res 2020; 34:e059. [PMID: 32578802 DOI: 10.1590/1807-3107bor-2020.vol34.0059] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Accepted: 04/13/2020] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate the association of malocclusion, nutritive and non-nutritive sucking habits and dental caries in the masticatory function of preschool children. A cross-sectional study was conducted with a sample of 384 children aged 3-5 years. A single examiner calibrated for oral clinical examinations performed all the evaluations (kappa > 0.82). Presence of malocclusion was recorded using Foster and Hamilton criteria. The number of masticatory units and of posterior teeth cavitated by dental caries was also recorded. The parents answered a questionnaire in the form of an interview, addressing questions about the child's nutritive and non-nutritive sucking habits. The masticatory function was evaluated using Optocal test material, and was based on the median particle size in the masticatory performance, on the swallowing threshold, and on the number of masticatory cycles during the swallowing threshold. Data analysis involved simple and multiple linear regression analyses, and the confidence level adopted was 95%. The sample consisted of 206 children in the malocclusion group and 178 in the non-malocclusion group. In the multiple regression analysis, the masticatory performance was associated with age (p = 0.025), bottle feeding (p = 0.004), presence of malocclusion (p = 0.048) and number of cavitated posterior teeth (p = 0.030). The swallowing threshold was associated with age (p = 0.025), bottle feeding (p = 0.001) and posterior malocclusion (p = 0.017). The number of masticatory cycles during the swallowing threshold was associated with the number of cavitated posterior teeth (p = 0.001). In conclusion, posterior malocclusion, bottle feeding and dental caries may interfere in the masticatory function of preschool children.
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Affiliation(s)
- Débora Souto-Souza
- Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, School of Basic Sciences and Health, Department of Dentistry, Diamantina, MG, Brazil
| | - Maria Eliza Consolação Soares
- Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, School of Basic Sciences and Health, Department of Dentistry, Diamantina, MG, Brazil
| | - Ednele Fabyene Primo-Miranda
- Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, School of Basic Sciences and Health, Department of Dentistry, Diamantina, MG, Brazil
| | - Luciano José Pereira
- Universidade Federal de Lavras, School of Medicine, Department of Physiology and Pharmacology, Lavras, Minas Gerais, Brazil
| | - Maria Letícia Ramos-Jorge
- Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, School of Basic Sciences and Health, Department of Dentistry, Diamantina, MG, Brazil
| | - Joana Ramos-Jorge
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry, Belo Horizonte, MG, Brazil
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Risk factors and patterns of traumatic dental injuries among Indian adolescents. J Dent Sci 2020; 15:96-103. [PMID: 32257006 PMCID: PMC7109492 DOI: 10.1016/j.jds.2019.07.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 06/28/2019] [Indexed: 11/25/2022] Open
Abstract
Background/purpose Dental injuries in children have functional, esthetic, and psychological effects, with consequences for the child, parent, and dentist. This study assessed the pattern of traumatic dental injuries and their relationship with predisposing factors among 12- and 15-year-old school children in Kanpur, India. Materials and methods A cross-sectional study was conducted on 1100 boys and girls aged 12 or 15 years. Anterior permanent teeth were examined based on the modified Ellis classification. Type of damage, size of incisal overjet, and adequacy of lip coverage were also recorded. Chi-square tests and multiple regression analysis were used for statistical analysis. Results The prevalence of traumatic dental injuries to anterior teeth was 10.9%. Age and gender distribution indicated that most injuries occurred in 15-year-old age group (11.3%) and among boys (11.5%). The gender-related difference was statistically significant (p < 0.024). Maxillary central incisors (83.7%) were frequently involved. The predominant injury type was enamel fracture (68.3%) mainly due to falls (52.5%). Increased overjet, inadequate lip coverage, type of school, and gender were significant contributing factors for traumatic dental injuries. Conclusion Study reveals the frequency and cause of traumatic injuries to anterior teeth, which assists in identifying risk groups and treatment needs in order to establish effective preventive strategies.
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Antunes LAA, Lemos HM, Milani AJ, Guimarães LS, Küchler EC, Antunes LS. Does traumatic dental injury impact oral health‐related to quality of life of children and adolescents? Systematic review and meta‐analysis. Int J Dent Hyg 2020; 18:142-162. [DOI: 10.1111/idh.12425] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Revised: 09/10/2019] [Accepted: 12/08/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Lívia Azeredo Alves Antunes
- Department of Specific Formation Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
- Dental Trauma Care Program (DTCP) Nova Friburgo Health InstituteFluminense Federal University Nova Friburgo Brazil
- Posgraduate Program in Dentistry Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
- Posgraduate Program in Dentistry School of Dentistry Fluminense Federal University Niterói Brazil
| | - Helena Marins Lemos
- Department of Specific Formation Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
- Dental Trauma Care Program (DTCP) Nova Friburgo Health InstituteFluminense Federal University Nova Friburgo Brazil
| | - Ana Júlia Milani
- Dental Trauma Care Program (DTCP) Nova Friburgo Health InstituteFluminense Federal University Nova Friburgo Brazil
- Posgraduate Program in Dentistry Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
| | - Ludmila Silva Guimarães
- Posgraduate Program in Dentistry School of Dentistry Fluminense Federal University Niterói Brazil
| | - Erika Calvano Küchler
- Department of Pediatric Dentistry School of Dentistry of Ribeirão Preto University of São Paulo Ribeirão Preto Brazil
| | - Leonardo Santos Antunes
- Department of Specific Formation Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
- Dental Trauma Care Program (DTCP) Nova Friburgo Health InstituteFluminense Federal University Nova Friburgo Brazil
- Posgraduate Program in Dentistry School of Dentistry Fluminense Federal University Niterói Brazil
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Perazzo M, Gomes M, Neves É, Firmino R, Barros A, Silva L, Martins C, Paiva S, Granville-Garcia A. Self-Perceptions of the Impact of Oral Problems on the Social Behavior of Preschoolers. JDR Clin Trans Res 2019; 5:342-348. [DOI: 10.1177/2380084419894576] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction: Investigating preschool children’s social behaviors and the association with oral health variables helps to understand child development. Besides that, different perceptions need to be explored regarding the impact of oral problems on the social behavior between the child’s self-report and parent’s/caregiver’s proxy report. Objective: To determine which socioeconomic and oral factors are associated with difficulty sleeping and playing and the avoidance of smiling in preschoolers. Methods: A cross-sectional study was conducted with a representative random sample of 769 pairs of parents/caregivers and 5-y-old preschoolers. The preschoolers answered a questionnaire on difficulty sleeping, difficulty playing, and the avoidance of smiling for reasons related to oral problems. The parents/caregivers answered a questionnaire addressing socioeconomic characteristics as well as the use of dental services. Two calibrated dentists examined the children for the determination of dental caries, traumatic dental injury (TDI), malocclusion, and bruxism. Descriptive and Poisson regression analysis for complex samples with robust variance was used to test the associations (α = 5%). Results: The variables associated with difficulty sleeping were low household income (confidence interval [CI]: 1.40–3.01), number of untreated dental caries (CI, 1.02–1.04), dental pain (CI, 1.76–3.59), TDI (CI, 1.08–2.11), and anterior open bite (CI, 1.11–2.20). Difficulty playing also was associated with the low household income (CI, 1.34–3.15), number of untreated dental caries (CI, 1.01–1.04), dental pain (CI,1.42–3.61), and TDI (CI, 1.13–2.33). The number of untreated dental caries (CI, 1.02–1.05), dental pain (CI, 1.03–2.88), anterior open bite (CI, 1.30–3.26), and not using dental services (CI, 1.13–2.73) were determinant factors for the avoidance of smiling. Conclusion: Socioeconomic, symptomatic, and/or oral esthetic problems exerted an impact on the social behavior of the preschoolers analyzed, such as playing, sleeping, and smiling. Knowledge Transfer Statement: The results of the present study may help parents and clinicians to understand better the association of oral problems with the social behavior of preschool children. Moreover, this study shows the importance of listening to children in clinical decisions. These results also can help in the elaboration of oral health policies.
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Affiliation(s)
- M.F. Perazzo
- Department of Pediatric Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - M.C. Gomes
- Postgraduate Program in Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
| | - É.T.B. Neves
- Postgraduate Program in Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
| | - R.T. Firmino
- Department of Pediatric Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - A.A. Barros
- Postgraduate Program in Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
| | - L.C. Silva
- Postgraduate Program in Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
| | - C.C. Martins
- Department of Pediatric Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - S.M. Paiva
- Department of Pediatric Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - A.F. Granville-Garcia
- Postgraduate Program in Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
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Lopez D, Waidyatillake N, Zaror C, Mariño R. Impact of uncomplicated traumatic dental injuries on the quality of life of children and adolescents: a systematic review and meta-analysis. BMC Oral Health 2019; 19:224. [PMID: 31640671 PMCID: PMC6805369 DOI: 10.1186/s12903-019-0916-0] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Accepted: 09/20/2019] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Traumatic dental injuries (TDIs) are highly prevalent during childhood and adolescence and have a significant effect on their oral health related quality of life (OHRQoL). Uncomplicated TDIs, dental trauma involving enamel, enamel and dentin and tooth discolorations, account for approximately two-thirds of all diagnosed TDIs in children and adolescents. Hence, it may be important to understand the impact of uncomplicated TDIs on OHRQoL, by synthesizing the available literature. METHODS Medline, Embase, Web of Science and Scopus databases were systematically searched from January 1966 to April 2018. Studies that evaluated the effect of TDIs on the OHRQoL of children and adolescents using validated methods were selected for analysis. A narrative synthesis and a meta-analysis were performed. The studies were pooled according to age groups and OHRQoL questionnaire used. A random-effect model was applied to calculate the pooled odds ratios (OR) and their respective 95% confidence intervals. RESULTS There were 712 identified studies. Of these, 26 articles were selected for the review and included in the narrative synthesis, 20 of these articles concluded that uncomplicated TDIs were not associated with a negative impact in OHRQoL. Seventeen were included in the meta-analysis. The estimates were pooled by age groups: children (OR: 1.01; 95%CI; 0.85-1.19; I2 = 51.9%) and adolescents (OR: 1.07; 95%CI; 0.91, 1.26; I2 = 50.2%).When pooling all estimates the OR was 0.96 (95% CI: 0.85-1.10; I2 = 61.4%). CONCLUSIONS Uncomplicated TDIs do not have a negative impact on the OHRQoL of children and adolescents. Further prospective studies are needed to confirm the results of this review. The majority of the studies included were of cross-sectional design, which may have limited the ability to reach conclusions on the nature of this association. The PROSPERO systematic review registry is CRD42018110471.
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Affiliation(s)
- Diego Lopez
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
| | - Nilakshi Waidyatillake
- Allergy and Lung Health Unit, Melbourne, School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Carlos Zaror
- Department of Pediatric Dentistry and Orthodontics, Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile
| | - Rodrigo Mariño
- Melbourne Dental School, University of Melbourne, Melbourne, Australia
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Andrade NS, Dos Santos IT, Lima LMS, Lima CCB, Moura LDFADD, Barros SSLV, Moura MSD, Lima MDDMD. Impact of Developmental enamel defects on quality of life in 5-year-old children. Int J Paediatr Dent 2019; 29:557-565. [PMID: 30912196 DOI: 10.1111/ipd.12498] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Revised: 03/05/2019] [Accepted: 03/15/2019] [Indexed: 12/20/2022]
Abstract
BACKGROUND Developmental enamel defects (DDE) represent one of the prevalent oral problems in childhood; however, few studies have evaluated its impact on quality of life in the children's own perception. AIM To evaluate the DDE impact on quality of life of 5-year-old children. METHODS This cross-sectional observational study assessed 566 children aged 5 years old, in Teresina, Piauí, Brazil, according to their self-perceptions. Children answered the Pediatric Quality of Life Inventory™ Version 4.0 and Oral Health Scale. The dmft index, modified DDE index and Foster and Hamilton criteria were used to diagnose dental caries, DDE and malocclusion, respectively. A single examiner performed the clinical examination. Descriptive analyses and Poisson regression with robust variance were performed. RESULTS The prevalence of DDE was 33.7%. For children's self-reports, the presence of DDE had a negative association with oral health-related quality of life (OHRQoL; PR 1.09, 95% CI 1.02-1.15). Enamel hypoplasia had a negative impact on the physical function (PR 1.05; 95% CI 1.01-1.10) and oral health (PR 1.06, 95% CI 1.01-1.11) domains. Diffuse opacity had a negative impact on the social aspect (PR 1.09, 95% CI 1.02-1.18). CONCLUSIONS Enamel defects had a negative impact on OHRQoL according to the self-reports of the children.
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Affiliation(s)
- Natália Silva Andrade
- Postgraduate Programme in Dentistry, Federal University of Piauí, Teresina, Piauí, Brazil
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Bonfadini I, Pereira JT, Knorst JK, Luz PB, Scapinello M, Hugo FN, de Araujo FB, Hilgert JB. Maternal characteristics, home environment, and other factors associated with traumatic dental injuries in preschool children. Dent Traumatol 2019; 36:33-40. [PMID: 31355995 DOI: 10.1111/edt.12502] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Revised: 07/22/2019] [Accepted: 07/23/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND/AIMS The importance of external factors such as maternal and home characteristics on traumatic dental injuries needs to be investigated. The aim of this study was to evaluate the association between maternal and home characteristics and dental trauma in preschool children. MATERIAL AND METHODS This cross-sectional study using a cluster random sample evaluated children between 3 and 4 years of age from Porto Alegre, Brazil. Mothers completed the Brazilian version of the Beck Depression and Anxiety Inventories (BDI and BAI). They answered questions about sociodemographics, maternal behaviors, and home characteristics. Dental trauma was assessed by the Children's Dental Health Survey criteria. Malocclusion and deleterious habits were also assessed. The multinomial logistic regression model was used to investigate the association of exploratory variables with different categories of dental trauma. Odds ratios (OR) and 95% confidence intervals were calculated. RESULTS A total of 163 pairs of children and mothers agreed to participate (78.4% response rate). The prevalence of dental trauma was 49.8%. Mother's work outside the home, overjet, and anterior crossbite were associated with the occurrence of enamel trauma, while having a younger mother, families having more siblings, and having a mother with university education were associated with increased odds of dentin/pulp trauma. CONCLUSION Depression and anxiety in the mothers were not associated with dental trauma, while malocclusion characteristics were more relevant for less severe, enamel trauma. Socioeconomic and home environment characteristics played a role in more severe, dentin/pulp trauma.
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Affiliation(s)
- Inaiá Bonfadini
- Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Jessica Klöckner Knorst
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Patrícia Blaya Luz
- Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Monique Scapinello
- Institute of Psychology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Fernando Neves Hugo
- Pediatric Dentistry Department, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Juliana Balbinot Hilgert
- Preventive and Social Dentistry Department, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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Gomes MC, Neves ÉTB, Perazzo MF, Martins CC, Paiva SM, Granville-Garcia AF. Association between psychological factors, socio-demographic conditions, oral habits and anterior open bite in five-year-old children. Acta Odontol Scand 2018; 76:553-558. [PMID: 29764280 DOI: 10.1080/00016357.2018.1472294] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The aim of the present study was to evaluate association between psychological factors, socio-demographic conditions, oral habits and anterior open bite in five-year-old preschool children. MATERIALS AND METHODS A cross-sectional study was conducted with 764 pairs of children and parents/caregivers in preschools. The parents/caregivers answered questionnaires addressing oral health-related quality of life (OHRQoL), sense of coherence, locus of control, oral habits and socio-demographic characteristics. The children answered a self-report questionnaire addressing OHRQoL and were submitted to a clinical examination for the anterior open bite by examiners. Descriptive analysis was conducted, followed by Poisson's regression analysis. RESULTS The prevalence of anterior open bite was 15.2%. The following variables remained significantly associated with anterior open bite: pacifier use (PR = 7.09; 95% CI: 4.06-12.39), attending a public preschool (PR = 2.40; 95% CI: 1.68-3.43), digit sucking (PR = 2.15; 95% CI: 1.27-3.62), greater number of residents in the home (PR = 1.67; 95% CI: 1.18-2.36) and impact on OHRQoL according to child's report (PR = 1.56; 95% CI: 1.11-2.20). CONCLUSIONS Anterior open bite was associated with OHRQoL according to the children's reports. Moreover, attending a public preschool, a greater number of residents in the home, digit sucking and pacifier sucking were associated with this type of malocclusion.
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Affiliation(s)
- Monalisa Cesarino Gomes
- Postgraduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Brazil
| | | | - Matheus França Perazzo
- Department of Pediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Carolina Castro Martins
- Department of Pediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
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Khoun T, Malden PE, Turton BJ. Oral health-related quality of life in young Cambodian children: a validation study with a focus on children with cleft lip and/or palate. Int J Paediatr Dent 2018; 28:326-334. [PMID: 29504675 DOI: 10.1111/ipd.12360] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Oral Health-Related Quality-of-Life (OHRQoL) measures have been developed and cross-culturally validated for use in many populations in recent years. Their use in children with cleft lip and/or palate (CLP), however, is not as well established. AIM This study aimed to validate two OHRQoL instruments for use with Cambodian children and to describe the OHRQoL of a sample of Cambodian children with CLP, compared with other children in the same cohort. METHODS A convenience sample of 133 children aged 2-8 years and their families was recruited from two NGO health services in urban and rural areas of Cambodia. Children were assigned into clinical groups of cleft, malocclusion, severe caries (PUFA ≥ 1), and dentine caries. OHRQoL was measured using the Parental-Caregivers Perception Questionnaire (P-CPQ-16) and Family Impact Scale (FIS-8). RESULTS The validity of the instruments was acceptable with an expected gradient in both scale scores being evident across self-reported oral health ratings. Children with CLP and their families experienced significantly greater impacts on OHRQoL, and the pattern of these impacts differed among the clinical groups. CONCLUSIONS This study has confirmed the validity of the P-CPQ-16 and FIS-8 for use with young Cambodian children. The results impart advocacy for needed improvements in the care of children with CLP and provide a foundation for future epidemiological research of oral health in Cambodia.
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Affiliation(s)
- Tola Khoun
- International University, Phnom Penh, Cambodia
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Świątkowska M, Kargol J, Turska-Szybka A, Olczak-Kowalczyk D. What do polish parents know about dental trauma and its management in children's treatment? A questionnaire study. Acta Odontol Scand 2018; 76:274-278. [PMID: 29278007 DOI: 10.1080/00016357.2017.1420225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVES To evaluate the knowledge of Polish parents concerning traumatic dental injuries (TDIs) and their management in children and to assess the influence of TDI experience on parents' knowledge. METHODS A questionnaire study conducted from May 2014 to February 2015 involved 741 randomly selected individual parents of children aged 1-17 receiving treatment at the Department of Pediatric Dentistry at the Medical University of Warsaw. The questionnaire consisted of 28 questions concerning TDI management. RESULTS The study included 600 questionnaires subjected to statistical analysis using a χ2 independence test and Spearman's rank correlation (p < .05). Results show that 68% of parents have never received information about TDI management. As many as 80.5% were unaware of the possibility of immediate replantation of an avulsed tooth; over 60% would not be capable of choosing a suitable transport medium for such a tooth. Over 12% of TDI-experienced parents were unaware of a suitable transport medium for an avulsed tooth. Three times as many inexperienced parents as parents with TDI experience would place an avulsed tooth in saline solution. The independence test presented a strong correlation between parents' education and their knowledge about TDI management. As many as 80% of parents assessed their knowledge about TDI as inadequate. CONCLUSIONS It appears necessary to introduce programmes for parents to raise their level of awareness concerning this topic.
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Affiliation(s)
- Magdalena Świątkowska
- Students’ Association by the Department of Pediatric Dentistry, Medical University of Warsaw, Warsaw, Poland
| | - Joanna Kargol
- Students’ Association by the Department of Pediatric Dentistry, Medical University of Warsaw, Warsaw, Poland
| | - Anna Turska-Szybka
- Department of Pediatric Dentistry, Medical University of Warsaw, Warsaw, Poland
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Antunes LAA, Ornellas G, Fraga RS, Antunes LS. Oral health outcomes: the association of clinical and socio-dental indicators to evaluate dental caries in preschool children. CIENCIA & SAUDE COLETIVA 2018; 23:491-500. [DOI: 10.1590/1413-81232018232.21022015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Accepted: 01/22/2016] [Indexed: 05/29/2023] Open
Abstract
Abstract Dental caries is a public health problem that impacts oral health related to quality of life (OHRQoL). This study aimed to evaluate the outcome of dental caries in children by associating clinical and socio-dental indicators. A cross-sectional study was carried out with 2 to 6-year-old children who attended public day care centers in a city in the Southeast Region of Brazil. After sample calculation, 446 children were randomly selected by eligibility criteria. Two professionals evaluated dental caries using WHO (2013) criteria and classified subjects according to early childhood caries (ECC) severity. Parents/care- givers answered a characterization questionnaire and self-reported socio-dental indicator (B-ECO-HIS). The prevalence of dental caries was 33.7%. The children with high severity of ECC had 5 times higher chance of suffering an impact on OHRQoL. The one way ANOVA test showed that the impact on OHRQoL (ECOHIS scores) was associated with ECC. The outcome dental caries in oral health presented high prevalence as clinical indicator and high impact on OHRQoL as socio dental indicator. Clinical and socio-dental indicators should be evaluated together.
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Abanto J, Panico C, Bönecker M, Frazão P. Impact of demographic and clinical variables on the oral health-related quality of life among five-year-old children: a population-based study using self-reports. Int J Paediatr Dent 2018; 28:43-51. [PMID: 28370564 DOI: 10.1111/ipd.12300] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND Although SOHO-5 has been validated, there is no study testing this instrument in population-based samples. AIMS To evaluate the impact of demographic and oral clinical variables on the oral health-related quality of life (OHRQoL) in 5-year-old children from a socially deprived Brazilian area using selfreports. DESIGN Data from 588 children were analyzed. Examinations included untreated dental caries and occlusal deviations. Children answered the Brazilian SOHO-5 version and interviewers collected demographic characteristics of the child (sex and skin color). Robust Poisson regression associated outcome and exposures. RESULTS General, the oral impacts were reported by 71.1% of children. The mean and standard deviation total score of the Brazilian SOHO-5 were 3.51 and 3.82, respectively. Children with untreated dental caries (PR = 1.28; P = 0.004) and increased overjet (PR = 1.35; P = 0.002) experienced a worse OHRQoL. Dark and mixed skin color children did not have a good impact on their OHRQoL (PR = 1.53; P = 0.006 and PR = 1.44; P < 0.000, respectively) compared to light ones. CONCLUSIONS Untreated dental caries and increased overjet were independently associated with worst OHRQoL in 5-year-old children. As an indication of social deprivation, dark and mixed skin color children compared to light ones presented higher probability for reporting worst OHRQoL independently of the oral clinical conditions.
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Affiliation(s)
- Jenny Abanto
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Claudia Panico
- Brazilian Health Ministry Collaborating Centre for Oral Health Surveillance, São Paulo, Brazil
| | - Marcelo Bönecker
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Paulo Frazão
- Public Health School, University of São Paulo, São Paulo, Brazil
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Carvalho TS, Abanto J, Pinheiro ECM, Lussi A, Bönecker M. Early childhood caries and psychological perceptions on child's oral health increase the feeling of guilt in parents: an epidemiological survey. Int J Paediatr Dent 2018; 28:23-32. [PMID: 28514517 DOI: 10.1111/ipd.12306] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To assess whether parents feel guilty for their children's oral problems, associating this feeling with socio-economic, demographic, and psychological factors. DESIGN We included 1313 parent-and-child pairs in this study. The children were 2-4 years old. Parents answered questionnaires on socio-economic and demographic data, and on psychological variables. Sixteen trained dentists (κ > 0.8) examined the children for oral hygiene (the presence and absence of plaque), early childhood caries (ECC; no caries, low and high severity), malocclusion (the presence and absence), and traumatic dental injuries (TDI; the presence and absence). We analysed the data with a hierarchical regression. RESULTS Twenty-four percentage of parents reported feeling guilty for the oral problems in their children; 26.3% of the children presented with caries, 39.8% malocclusion, 22.9% TDI. Of the parents who felt guilty, 54% thought that their children had problems in their teeth, and most of them (82%) thought that the problem could have been avoided. The feeling of guilt in parents was significantly associated with ECC and the psychological variables: the thought that the child had problems in his/her teeth and the thought that the problem could have been avoided. CONCLUSION Parents feel more guilty with increased caries severity in their children, and the likelihood of feeling guilty increases when parents believe that their child has an oral problem or that this problem could have been avoided.
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Affiliation(s)
- Thiago Saads Carvalho
- Department of Preventive, Restorative and Pediatric Dentistry, University of Bern, Bern, Switzerland
| | - Jenny Abanto
- Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil
| | | | - Adrian Lussi
- Department of Preventive, Restorative and Pediatric Dentistry, University of Bern, Bern, Switzerland
| | - Marcelo Bönecker
- Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil
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Gonçalves BM, Dias LF, Pereira CDS, Ponte MX, Konrath AC, Bolan MDS, Cardoso M. IMPACT OF DENTAL TRAUMA AND ESTHETIC IMPAIRMENT ON THE QUALITY OF LIFE OF PRESCHOOL CHILDREN. REVISTA PAULISTA DE PEDIATRIA 2017; 35:448-455. [PMID: 28977132 PMCID: PMC5737261 DOI: 10.1590/1984-0462/;2017;35;4;00011] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/09/2016] [Accepted: 03/12/2017] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To evaluate the impact of dental trauma and impaired esthetics on the quality of life (QoL) of preschool children and their relatives. METHODS Study conducted with 192 children aged 2 to 5 years in 11 preschools in Florianópolis, Santa Catarina, South of Brazil. Parents/caregivers completed a questionnaire on quality of life (Brazilian version of the Early Childhood Oral Health Impact Scales - B-ECOHIS), a socioeconomic survey, and then answered specific questions related to dental trauma. The subjects were examined by three accordant examiners (Kappa>0.7). Dental trauma was evaluated on the basis of indexes adopted by the World Health Organization, and esthetic impairment was then classified. Data were descriptively analyzed and put to bivariate analysis by chi-square and Fisher tests, with significance level at 5%. RESULTS The prevalence of dental trauma was 62.5% with 15.6% of esthetic impairment. Almost 12% of parents reported impact on the quality of life of their children. Dental trauma was not significantly associated with gender, age or QoL. Crown color change by trauma was associated with esthetic impairment. Also esthetic impairment had a negative impact on QoL (p<0.05) and was associated with oral limitations (p<0.05). CONCLUSIONS Esthetic impairment had a negative impact on children's quality of life, while dental trauma was not associated to it.
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Affiliation(s)
| | | | | | | | | | | | - Mariane Cardoso
- Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil
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Burgette JM, Preisser JS, Weinberger M, King RS, Lee JY, Rozier RG. Enrollment in early head start and oral health-related quality of life. Qual Life Res 2017; 26:2607-2618. [PMID: 28455640 PMCID: PMC6077996 DOI: 10.1007/s11136-017-1584-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2017] [Indexed: 10/19/2022]
Abstract
PURPOSE Dental problems in young children are widespread and can negatively impact quality of life. We examined the effect of enrollment in North Carolina Early Head Start (EHS)-a federally funded early education program for children under three years of age and their families-on oral health-related quality of life (OHRQoL). METHODS In this quasi-experimental study, we interviewed 479 EHS and 699 Medicaid matched parent-child dyads at baseline (children's average age 10 months) and 24 months later. Parents reported OHRQoL using the Early Childhood Oral Health Impact Scale (ECOHIS), a 0-52 point scale with higher scores representing more negative impacts. We used a marginalized semicontinuous two-part model to estimate: (1) the effect of EHS on the probability of reporting any follow-up impacts (ECOHIS ≥ 1), and (2) the difference in overall mean ECOHIS follow-up scores. We controlled for baseline ECOHIS, language, and EHS and non-EHS group imbalances using a propensity score. RESULTS At follow-up, negative OHRQoL impacts were more often reported by parents of non-EHS than EHS children (45 versus 37%, P < .01). In the adjusted model, EHS parents reported a lower odds of negative OHRQoL impacts (OR 0.70; 95% CI 0.52, 0.94). Mean adjusted ECOHIS scores were not significantly different (EHS: 1.59 ± 3.34 versus non-EHS: 2.11 ± 3.85, P > 0.05). CONCLUSIONS This study is the first to demonstrate that families of young children enrolled in EHS report improved OHRQoL compared to their non-enrolled peers. These results highlight the potential effectiveness of improving the quality of life of low-resource families through early childhood education.
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Affiliation(s)
- Jacqueline M Burgette
- Department of Pediatric Dentistry, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
- Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
| | - John S Preisser
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Morris Weinberger
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Rebecca S King
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Jessica Y Lee
- Department of Pediatric Dentistry, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - R Gary Rozier
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Zaror C, Martínez-Zapata MJ, Abarca J, Díaz J, Pardo Y, Pont À, Ferrer M. Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta-analysis. Community Dent Oral Epidemiol 2017; 46:88-101. [DOI: 10.1111/cdoe.12333] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Accepted: 08/06/2017] [Indexed: 11/27/2022]
Affiliation(s)
- Carlos Zaror
- Department of Pediatric Dentistry and Orthodontics; Faculty of Dentistry; Universidad de La Frontera; Temuco Chile
- Center for Research in Epidemiology; Economics and Oral Public Health (CIEESPO); Faculty of Dentistry; Universidad de La Frontera; Temuco Chile
- Universitat Autònoma de Barcelona; Barcelona Spain
| | - María José Martínez-Zapata
- Iberoamerican Cochrane Centre; Biomedical Research Institute Sant Pau (IIB Sant Pau); Barcelona Spain
- CIBER Epidemiología y Salud Pública (CIBERESP); Barcelona Spain
| | - Jaime Abarca
- Faculty of Dentistry; Universidad San Sebastian; Puerto Montt Chile
| | - Jaime Díaz
- Department of Pediatric Dentistry and Orthodontics; Faculty of Dentistry; Universidad de La Frontera; Temuco Chile
| | - Yolanda Pardo
- Universitat Autònoma de Barcelona; Barcelona Spain
- CIBER Epidemiología y Salud Pública (CIBERESP); Barcelona Spain
- Health Services Research Group; IMIM (Hospital del Mar Medical Research Institute); Barcelona Spain
| | - Àngels Pont
- CIBER Epidemiología y Salud Pública (CIBERESP); Barcelona Spain
- Health Services Research Group; IMIM (Hospital del Mar Medical Research Institute); Barcelona Spain
| | - Montse Ferrer
- Universitat Autònoma de Barcelona; Barcelona Spain
- CIBER Epidemiología y Salud Pública (CIBERESP); Barcelona Spain
- Health Services Research Group; IMIM (Hospital del Mar Medical Research Institute); Barcelona Spain
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Borges TS, Vargas-Ferreira F, Kramer PF, Feldens CA. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis. PLoS One 2017; 12:e0172235. [PMID: 28245226 PMCID: PMC5330474 DOI: 10.1371/journal.pone.0172235] [Citation(s) in RCA: 61] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Accepted: 02/01/2017] [Indexed: 11/17/2022] Open
Abstract
Background Observational studies have suggested that traumatic dental injuries (TDI) can lead to pain, loss of function and esthetic problems, with physical, emotional and social consequences for children and their families. However, population-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among preschool children are scarce and offer conflicting results. The aim of the systematic review and meta-analysis was to evaluate the impact of TDI on OHRQoL among preschool children (PROSPERO-CRD42015032513). Methods An electronic search of six databases was performed in PubMed (MEDLINE), ISI Web of Science, Scopus, Science Direct, EMBASE and Google Scholar, with no language or publication date restrictions. The eligibility criteria were TDI as the exposure variable, OHRQoL as the outcome and a population of children up to six years of age. RevMan software was used for data analysis. Results are expressed as odds ratios with 95% confidence intervals for the total score of the Early Childhood Oral Health Impact Scale (ECOHIS) as well as the scores of the Child Impact Section (CIS) and Family Impact Section (FIS). The random effect model was chosen and heterogeneity was evaluated using the I2 test. Results 2,013 articles were initially retrieved; 1,993 articles were excluded based on title and abstracts; 10 articles excluded after full-text analysis. Ten studies comprising a population of 7,461 preschool children were included in the systematic review and nine studies were included in the meta-analysis. TDI caused a negative impact on OHRQoL based on the overall ECOHIS (OR: 1.24; 95% CI: 1.08–1.43) and CIS (OR: 1.23; 95% CI: 1.07–1.41), but not the FIS (OR: 1.09; 95% CI: 0.90–1.32). Conclusions TDI negatively impacted on OHRQoL of preschool children. The present findings indicate the need for TDI prevention and treatment programs in early childhood.
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Firmino RT, Gomes MC, Vieira-Andrade RG, Martins CC, Paiva SM, Granville-Garcia AF. Case-control study examining the impact of oral health problems on the quality of life of the families of preschoolers. Braz Oral Res 2016; 30:e121. [PMID: 27901203 DOI: 10.1590/1807-3107bor-2016.vol30.0121] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Accepted: 08/30/2016] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate the impact of dental caries, traumatic dental injuries (TDI), toothaches, and malocclusion on the oral health-related quality of life (OHRQoL) of the families of Brazilian preschool children. A population-based, matched case-control study involving 415 pre-schoolers aged 3-5 years was conducted. The case (impact on OHRQoL) and control groups (no impact on OHRQoL) were matched for age, gender, and family income at an 1:4 ratio. Impact on the OHRQoL of a family was assessed using the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). Dental caries, TDI, and malocclusion were diagnosed by three calibrated dentists (Kappa: 0.85-0.90). Data analysis involved descriptive statistics and conditional logistic regression analysis (p ≤ 0.05; 95%CI). There were no differences between the cases and controls regarding age, gender, and family income (p > 0.05). The most frequent responses on the B-ECOHIS among cases were "felt guilty" (68.6%) and "been upset" (48.2%). The following variables were significantly associated with negative impacts on family OHRQoL (cases): caries severity (OR = 6.680; 95%CI = 2.731-16.349), a history of toothache (OR = 2.666; 95%CI = 1.492-4.765), parental rating of the child's oral health as poor (OR: 1.973; 95%CI = 1.072-3.634), and parent's/caregiver's age (OR = 2.936; 95%CI = 1.077-3.478). Anterior open bite was positively associated with OHRQoL (OR = 4.050; 95%CI = 1.333-12.314). Caries severity, a history of toothache, parental rating of the child's oral health as poor, and younger parents/caregivers were associated with impact on the OHRQoL of the families of preschoolers.
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Affiliation(s)
- Ramon Targino Firmino
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Belo Horizonte, MG, Brazil
| | - Monalisa Cesarino Gomes
- Universidade Estadual da Paraíba - UEPB, Department of Dentistry, Campina Grande, PB, Brazil
| | - Raquel Gonçalves Vieira-Andrade
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Belo Horizonte, MG, Brazil
| | - Carolina Castro Martins
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Belo Horizonte, MG, Brazil
| | - Saul Martins Paiva
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Belo Horizonte, MG, Brazil
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Agostini BA, Pinto LT, Koehler M, Emmanuelli B, Piovesan C, Ardenghi TM. Trend of traumatic crown injuries and associated factors in preschool children. Braz Oral Res 2016; 30:e112. [PMID: 27737365 DOI: 10.1590/1807-3107bor-2016.vol30.0112] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2015] [Accepted: 08/08/2016] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to assess trends in traumatic crown injuries (TCIs), their prevalence, and association with socioeconomic and clinical factors in preschool children over a 5-year period. A series of cross-sectional surveys was conducted in Santa Maria, Brazil, on children attending a National Day of Children's Vaccination. The same protocol was used in all surveys conducted in 2008, 2010, and 2013. Clinical examinations were performed to evaluate types of traumatic crown injuries using the O'brien index. A semi-structured questionnaire was answered by the parents. It provided information about several socioeconomic factors as well as the parents' perception of their child's oral health. The chi-square for trends test was used to verify changes in TCI prevalence throughout the years. The association between socioeconomic and clinical factors with TCI was assessed by the Poisson regression analysis. A total of 1,640 children were examined. The prevalence of TCIs decreased significantly from 2008 to 2013 (10.12%; p < 0.001). Central incisors were the most vulnerable to injury, independent of the year. Moreover, older children and those with inadequate lip coverage were more likely to present with some traumatic dental injury (p < 0.001). prevalence of traumatic crown injuries decreased following the years, however TCI remain an important subject to consider when planning oral health policies.
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Affiliation(s)
| | - Lisara Tosatto Pinto
- Unviersidade Federal de Santa Maria - UFSM, Program in Dental Science, Santa Maria, RS, Brazil
| | - Mariangélica Koehler
- Universidade Federal de Santa Maria- UFSM, Faculty of Dentistry, Santa Maria, RS, Brazil
| | - Bruno Emmanuelli
- Unviersidade Federal de Santa Maria - UFSM, Program in Dental Science, Santa Maria, RS, Brazil
| | | | - Thiago Machado Ardenghi
- Unviersidade Federal de Santa Maria - UFSM, Faculty of Dentistry, Department of Stomatology, Santa Maria, RS, Brazil
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Firmino RT, Gomes MC, Clementino MA, Martins CC, Paiva SM, Granville-Garcia AF. Impact of oral health problems on the quality of life of preschool children: a case-control study. Int J Paediatr Dent 2016; 26:242-9. [PMID: 26147122 DOI: 10.1111/ipd.12182] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND There is a need for investigations into the impact of oral problems on OHRQoL with study designs that offer greater strength of evidence. AIM To evaluate the impact of dental caries and traumatic dental injury (TDI) on the OHRQoL of Brazilian preschool children. DESIGN A population-based, matched, case-control study was conducted involving 415 children aged 3-5 years enrolled at public and private preschools. The case group (impact on OHRQoL) and control group (no impact on OHRQoL) were matched for age, sex, and monthly household income at a 1 : 4 ratio (83 cases and 332 controls). Impact on OHRQoL was assessed using the B-ECOHIS. Dental caries and TDI were determined through clinical oral examinations. Data analysis involved descriptive statistics and conditional logistic regression analysis (P ≤ 0.05; 95% CI). RESULTS The most frequent responses on the B-ECOHIS were 'felt pain' (79.7%) and 'difficulty in eating' (35.0%). The following variables were significantly associated with impact on OHRQoL: caries severity (OR = 12.58; 95% CI: 5.31-29.79) and TDI (OR: 2.11; 95% CI: 1.23-3.62). CONCLUSIONS Caries severity and TDI impacted the OHRQoL of preschool children.
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Affiliation(s)
| | | | | | - Carolina Castro Martins
- Department of Paediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Saul Martins Paiva
- Department of Paediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
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Feldens CA, Borges TS, Vargas-Ferreira F, Kramer PF. Risk factors for traumatic dental injuries in the primary dentition: concepts, interpretation, and evidence. Dent Traumatol 2016; 32:429-437. [PMID: 27140525 DOI: 10.1111/edt.12281] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2016] [Indexed: 12/16/2022]
Abstract
The purpose of this comprehensive review is to explore the main concepts related to quantification and interpretation of risk factors and investigate characteristics associated with traumatic dental injuries (TDI) in the primary dentition. Initially, the main concepts related to causality and risk factors were summarized, including how to measure, express, and compare risk as well as interpret statistical significance. Based on a structured search through PubMed, original research articles regarding TDI and associated factors in the primary dentition were then reviewed by two examiners. Studies with a sample size of at least 300 children aged between 0 and 6 years were summarized according to journal, country, study design, and type of statistical analysis. Variables associated with TDI in primary teeth were identified from studies with multivariable analysis. Measures of effect size and P values were presented. Thirty-two studies were retrieved: most were cross-sectional in design and only 17 (53.1%) performed multivariable analysis. Most investigations did not find an association between gender and socioeconomic variables with TDI. Increased overjet was the only factor consistently identified as an associated factor. Behavioral characteristics have been recently investigated and suggested as potential risk factors for TDI in the primary dentition. In conclusion, increased overjet is undoubtedly associated with TDI in the primary dentition. As behavioral factors may be targeted by preventive strategies, their role on TDI occurrence should be clarified in future cohort studies. Clinicians should understand the terms and measures described in studies on risk factors to properly apply knowledge and benefit patients.
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Corrêa-Faria P, Paixão-Gonçalves S, Paiva SM, Martins-Júnior PA, Vieira-Andrade RG, Marques LS, Ramos-Jorge ML. Dental caries, but not malocclusion or developmental defects, negatively impacts preschoolers' quality of life. Int J Paediatr Dent 2016; 26:211-9. [PMID: 26173864 DOI: 10.1111/ipd.12190] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND Oral diseases can negatively influence the quality of life causing harm in the development of routine activities, child development and their well-being. AIM To investigate the impact of dental caries, malocclusion and developmental defects of enamel (DDE) on the oral health-related quality of life of preschool children and their parents. DESIGN A cross-sectional study was carried out with 646 children aged 2-6 years in Diamantina, Brazil. Calibrated dental examiners performed the oral examinations. Parents answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) and a questionnaire on socio-economic indicators. Statistical analyses involved the chi-square test and Poisson regression. RESULTS Malocclusion and DDE did not cause a negative impact on the children's quality of life. Children with dental caries (PR: 1.92; 95%CI: 1.56-2.35) and those aged 5 (PR: 1.51; 95%CI: 1.13-2.02) and 6 years (PR: 1.51; 95%CI: 1.02-2.23) were more likely to have a negative quality of life impact on the total B-ECOHIS. CONCLUSIONS Dental caries was associated with a negative impact on the quality of life of children. Malocclusion and DDE did not cause a negative impact on the children's quality of life. Older children had higher frequency of negative impact on OHRQoL.
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Affiliation(s)
- Patrícia Corrêa-Faria
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Suzane Paixão-Gonçalves
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Paulo Antonio Martins-Júnior
- Department of Morphology, Biological Sciences Institute, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Raquel Gonçalves Vieira-Andrade
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Leandro Silva Marques
- Department of Pediatric Dentistry and Orthodontics, Federal University of Vales do Jequitinhonha and Mucuri, Diamantina, MG, Brazil
| | - Maria Leticia Ramos-Jorge
- Department of Pediatric Dentistry and Orthodontics, Federal University of Vales do Jequitinhonha and Mucuri, Diamantina, MG, Brazil
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Corrêa-Faria P, Martins CC, Bönecker M, Paiva SM, Ramos-Jorge ML, Pordeus IA. Clinical factors and socio-demographic characteristics associated with dental trauma in children: a systematic review and meta-analysis. Dent Traumatol 2016; 32:367-78. [DOI: 10.1111/edt.12268] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2016] [Indexed: 10/22/2022]
Affiliation(s)
- Patrícia Corrêa-Faria
- Department of Pediatric Dentistry and Orthodontics; School of Dentistry; Federal University of Minas Gerais; Belo Horizonte MG Brazil
| | - Carolina C. Martins
- Department of Pediatric Dentistry and Orthodontics; School of Dentistry; Federal University of Minas Gerais; Belo Horizonte MG Brazil
| | - Marcelo Bönecker
- Department of Orthodontics and Pediatric Dentistry; School of Dentistry; Federal University of São Paulo; São Paulo SP Brazil
| | - Saul M. Paiva
- Department of Pediatric Dentistry and Orthodontics; School of Dentistry; Federal University of Minas Gerais; Belo Horizonte MG Brazil
| | - Maria Letícia Ramos-Jorge
- Department of Pediatric Dentistry; Federal University of Vales do Jequitinhonha and Mucuri; Diamantina MG Brazil
| | - Isabela A. Pordeus
- Department of Pediatric Dentistry and Orthodontics; School of Dentistry; Federal University of Minas Gerais; Belo Horizonte MG Brazil
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Born CD, Divaris K, Zeldin LP, Rozier RG. Influences on preschool children's oral health-related quality of life as reported by English and Spanish-speaking parents and caregivers. J Public Health Dent 2016; 76:276-286. [PMID: 26990804 DOI: 10.1111/jphd.12152] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 01/20/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This study examined young, preschool children's oral health-related quality of life (OHRQoL) among a community-based cohort of English and Spanish-speaking parent-child dyads in North Carolina, and sought to quantify the association of parent/caregiver characteristics, including spoken language, with OHRQoL impacts. METHODS Data from structured interviews with 1,111 parents of children aged 6-23 months enrolled in the Zero-Out Early Childhood Caries study in 2010-2012 were used. OHRQoL was measured using the overall score (range: 0-52) of the Early Childhood Oral Health Impact Scale (ECOHIS). We examined associations with parents' sociodemographic characteristics, spoken language, self-reported oral and general health, oral health knowledge, children's dental attendance, and dental care needs. Analyses included descriptive, bivariate, and multivariate methods based upon zero-inflated negative binomial regression. To determine differences between English and Spanish speakers, language-stratified model estimates were contrasted using homogeneity χ2 tests. RESULTS The mean overall ECOHIS score was 3.9 [95% confidence interval (CI) = 3.6-4.2]; 4.7 among English-speakers and 1.5 among Spanish speakers. In multivariate analyses, caregivers' education showed a positive association with OHRQoL impacts among Spanish speakers [prevalence ratio (PR) = 1.12 (95% CI = 1.03-1.22), for every added year of schooling], whereas caregivers' fair/poor oral health showed a positive association among English speakers (PR = 1.20; 95% CI = 1.02-1.41). CONCLUSIONS The overall severity of ECOHIS impacts was low among this population-based sample of young, preschool children, and substantially lower among Spanish versus English speakers. Further studies are warranted to identify sources of these differences in - actual or reported - OHRQoL impacts.
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Affiliation(s)
- Catherine D Born
- Department of Orthodontics, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA
| | - Kimon Divaris
- Department of Pediatric Dentistry, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.,Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
| | - Leslie P Zeldin
- Department of Oral and Craniofacial Health Sciences, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA
| | - R Gary Rozier
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
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Granville-Garcia AF, Gomes MC, Dantas LR, Dantas LR, da Silva BRC, Perazzo MDF, Siqueira MBLD. Parental influence on children's answers to an oral-health-related quality of life questionnaire. Braz Oral Res 2016; 30:S1806-83242016000100230. [PMID: 26981749 DOI: 10.1590/1807-3107bor-2016.vol30.0014] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2015] [Accepted: 09/24/2015] [Indexed: 12/15/2022] Open
Abstract
The aim of the study was to evaluate parental influence on children's answers to an oral health-related quality of life (OHRQoL) questionnaire. A cross-sectional study was conducted with a non-probabilistic sample of 84 pairs of 5-year-olds and parents/guardians. The participants were selected from a primary family healthcare center in Campina Grande, Brazil. First, the children and parents answered respective versions of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5). Seven days later, the children answered their version of the SOHO-5, without the presence of their parents/guardians, and underwent a clinical exam of dental caries, traumatic dental injury and malocclusion, by a previously calibrated researcher. Statistical analysis involved a comparison of mean scores and the calculation of the intraclass correlation coefficient (ICC). Poisson regression models were used to associate the variables (α = 5%). No significant differences were found between the mean SOHO-5 scores of the children when alone or accompanied by parents/guardians (p > 0.05). The ICC between the answers of the children alone or accompanied was 0.84. White spot (PR = 6.32; 95%CI: 1.36 - 29.40) and cavitated lesions (PR = 9.81; 95%CI: 3.22 - 29.85) had an impact on OHRQoL, according to the children's self-report, whereas cavitated lesions (PR = 90.52; 95%CI: 13.26 - 617.74) and anterior open bite (PR = 1.95; 95%IC: 1.07 - 3.53) remained on the final model, according to the parents' version of the SOHO-5. In conclusion, parents did not influence the children's responses, and dental caries are the oral health problem exerting the greatest impact on the children's OHRQoL.
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Affiliation(s)
| | | | - Laíza Rocha Dantas
- Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil
| | - Lívia Rocha Dantas
- Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil
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Tello G, Bonini GC, Murakami C, Abanto J, Oliveira LB, Bönecker M. Trends in the prevalence of traumatic crown injuries and associated factors in Brazilian preschool children: 10-year observational data. Dent Traumatol 2016; 32:274-80. [PMID: 26799156 DOI: 10.1111/edt.12255] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2015] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To assess trends in the prevalence of traumatic crown injuries (TCI) in children aged 1-4 years living in Diadema city (Brazil) and to investigate whether TCI were associated with socio-demographic and clinical variables. METHODS Six cross-sectional surveys with representative samples were carried out from 2002 to 2012 following the same criteria and methodology. A total of 6389 children were evaluated and systematically selected on the National Children's Vaccination day. Calibrated examiners performed the children's oral examination for TCI according to Andreasen's criteria. Chi-square test for trends was used to perform comparative analysis. Poisson regression was used to associate TCI to socio-demographic and clinical variables. RESULTS The prevalence of TCI in 2002 for preschool children aged 1, 2, 3 and 4 years was 4.5%, 11.4%, 14% and 13.9%, respectively, and the prevalence in 2012 for the same age groups was 10.4%, 15.9%, 25.7% and 28.1%, respectively. There was a significant increase in the prevalence of TCI for all age groups and for the total sample (P < 0.05). Children's age was associated with TCI in all the surveys. Male gender, presence of anterior open bite and inadequate lip coverage were associated with TCI in some surveys along the years (P < 0.05). CONCLUSION This study has shown an increase of TCI prevalence in Brazilian preschool children in the last 10 years and its association with children's age, male gender, presence of anterior open bite and inadequate lip coverage. However, this increase does not seem to be relevant to decisions on public policy.
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Affiliation(s)
- Gustavo Tello
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Christiana Murakami
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Jenny Abanto
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Marcelo Bönecker
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
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Ribeiro GL, Gomes MC, de Lima KC, Martins CC, Paiva SM, Granville-Garcia AF. Work absenteeism by parents because of oral conditions in preschool children. Int Dent J 2015; 65:331-7. [PMID: 26397722 DOI: 10.1111/idj.12184] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE The aim of the present study was to evaluate the influence of oral conditions in preschool children and associated factors on work absenteeism experienced by parents or guardians. METHODS A preschool-based, cross-sectional study was conducted of 837 children, 3-5 years of age, in Campina Grande, Brazil. Parents or guardians answered the Brazilian version of the Early Childhood Oral Health Impact Scale. The item 'taken time off work' was the dependent variable. Questionnaires addressing sociodemographic variables, history of toothache and health perceptions (general and oral) were also administered. Clinical examinations for dental caries and traumatic dental injury (TDI) were performed by three dentists who had undergone training and calibration exercises. Cohen's kappa (κ) was 0.83-0.88 for interexaminer agreement and 0.85-0.90 for intra-examiner agreement. Descriptive, analytical statistics were conducted, followed by logistic regression for complex samples (α = 5%). RESULTS The prevalence of parents' or guardians' work absenteeism because of the oral conditions of their children was 9.2%. The following variables were significantly associated with work absenteeism: mother's low schooling [odds ratio (OR) = 2.31; 95% confidence interval (95% CI): 1.31-4.07]; history of toothache (OR = 6.33; 95% CI: 3.18-12.61); and avulsion or luxation types of TDI (OR = 8.54; 95% CI: 1.80-40.53). CONCLUSION Other oral conditions that do not generally cause pain, such as dental caries with a low degree of severity or inactive dental caries and uncomplicated TDI, were not associated with parents' or guardians' work absenteeism of preschool children. It is concluded that toothache, avulsion, luxation and a low degree of mother's schooling are associated with work absenteeism.
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Affiliation(s)
- Gustavo Leite Ribeiro
- Postgraduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, PB, Brazil
| | - Monalisa Cesarino Gomes
- Postgraduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, PB, Brazil
| | - Kenio Costa de Lima
- Department of Dentistry, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
| | - Carolina Castro Martins
- Department of Paediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Saul Martins Paiva
- Department of Paediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
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