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Bijle MN, Naseer TK, Yiu C. Physical properties and enamel remineralization potential of arginine-fluoride varnishes. J Dent 2024; 148:104965. [PMID: 38548164 DOI: 10.1016/j.jdent.2024.104965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 03/22/2024] [Accepted: 03/23/2024] [Indexed: 07/20/2024] Open
Abstract
OBJECTIVE The study objectives were to examine the physical properties and enamel remineralization potential of fluoride (F) varnishes incorporated with arginine (Arg). METHODS Four commercial F varnishes: 1) Duraphat®; 2) Flúor Protector®, 3) Fluor Protector S®, and 4) Fluorimax™ were supplemented with 2% w/v. Arg. The control/experimental varnishes underwent rheometric analysis to assess varnish density (δ), velocity (ν), and associated viscosity, both quantitatively (ν/δ) and qualitatively based on determined mass, volume, distance flow, and time under experimentation. The varnish wet/dry weights (at 2 h) were also analysed. Further, sound enamel specimens (T0) with artificial incipient caries-like lesions (T1) were treated with control/experimental varnishes and subjected to remineralization assay with artificial saliva for 6 h. Thereafter (T2), the specimens were characterized to estimate precipitated Ca and net enamel F uptake. Additionally, mineral density (MD) was assessed using micro-CT at T0, T1, and T2 to derive mineral gain (MG) and % remineralization for the treatment groups. RESULTS When Arg is incorporated, the physical properties of the F-containing varnishes undergo a significant transformation, resulting in higher density, varnish weight, dry varnish weight, and viscosity compared to their respective control varnishes (p < 0.05). Incorporating Arg-in Duraphat®, Fluor Protector S®, and Fluorimax™ significantly improved both enamel Ca precipitation and F uptake compared to the respective controls (p < 0.05). Additionally, the enamel F uptake was significantly higher with all the tested varnishes when enriched with Arg (p < 0.05). The combined data for MD, MG, and % remineralization suggests that the remineralization potential of F-varnishes significantly increased when enriched with Arg (p < 0.05). CONCLUSION Incorporating Arg in inorganic F varnishes improves their physical properties and enhances the enamel remineralization potential of the varnishes. CLINICAL SIGNIFICANCE This study highlights the possibility of incorporating Arg in distinct F-source varnishes. The synergism between active components (Arg-F) aids in enhanced remineralization and superior varnish physical properties, demonstrating a promising approach for high caries-risk patients.
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Affiliation(s)
- Mohammed Nadeem Bijle
- Post-doctoral Fellow in Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, Hong Kong.
| | - Tiba Kahtan Naseer
- Intern/Research Assistant, Paediatric Dentistry, Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates
| | - Cynthia Yiu
- Clinical Professor in Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, Hong Kong
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Yang L, Zhao S, Zhu Y, Lai G, Wang J. Oral health-related quality of life and associated factors among a sample from East China with severe early childhood caries: a cross-sectional study. BMC Oral Health 2023; 23:837. [PMID: 37936111 PMCID: PMC10629075 DOI: 10.1186/s12903-023-03560-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 10/20/2023] [Indexed: 11/09/2023] Open
Abstract
BACKGROUND To investigate the oral health-related quality of life (OHRQoL) and associated factors among a sample from East China with severe early childhood caries (S-ECC). METHODS A total of 316 children with S-ECC and their parents were recruited to participate in a cross-sectional study. Children were examined for caries status using criteria proposed by World Health Organization (WHO). The accompanying parent was required to provide demographic information and complete two validated questionnaires in Chinese: the early childhood oral health impact scale (ECOHIS) and the 5-item oral health impact profile (OHIP). RESULTS The study had a 98.1% response rate. Finally, the data of 300 children and their parents were analyzed. Mothers cared for their children far more than fathers in the included family (78.7% mother, 21.3% father). The mean age of children was 4.1 ± 0.7 years, ranging from 3 to 5. The mean dmft score was 13.8 ± 3.8. Few (13.7%) children never had a toothache. ECOHIS scores ranged from 0 to 38, with a mean score of 16.2 ± 7.2. The mean OHIP score was 2.9 ± 2.7. The parental age, family income, residence, history of pain, the dmft scores and parents' OHIP showed associations with ECOHIS scores or domain scores (P < 0.05). The multiple regression analysis showed that the history of pain, accompanying parents' OHIP, and the dmft scores were mainly associated with ECOHIS and child impact (P < 0.05); parental age was associated with family impact (P = 0.024). CONCLUSIONS The parent's OHRQoL was associated with the children's OHRQoL, indicating that policymakers and clinical practitioners should improve both children's and their parents' oral health. Furthermore, the caries severity and the history of dental pain impacted children's OHRQoL.
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Affiliation(s)
- Lianyi Yang
- Department of Pediatric Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, National Clinical Research Center for Oral Diseases, No. 500 Quxi Road, Huangpu District, Shanghai, China
| | - Shimin Zhao
- Department of Pediatric Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, National Clinical Research Center for Oral Diseases, No. 500 Quxi Road, Huangpu District, Shanghai, China
| | - Yuanbing Zhu
- Department of Pediatric Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, National Clinical Research Center for Oral Diseases, No. 500 Quxi Road, Huangpu District, Shanghai, China
| | - Guangyun Lai
- Department of Pediatric Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, National Clinical Research Center for Oral Diseases, No. 500 Quxi Road, Huangpu District, Shanghai, China.
| | - Jun Wang
- Department of Pediatric Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, National Clinical Research Center for Oral Diseases, No. 500 Quxi Road, Huangpu District, Shanghai, China.
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Feldens CA, Alvarez L, Acevedo AM, Cepeda V, Chirife MT, Gálvez CA, Dezan-Garbelini C, Gudiño-Fernández S, Martignon S, Pérez V, Paiva SM, Zambrano O, Zelada D, Villena R. Early-life sugar consumption and breastfeeding practices: a multicenter initiative in Latin America. Braz Oral Res 2023; 37:e104. [PMID: 38055522 DOI: 10.1590/1807-3107bor-2023.vol37.0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 06/03/2023] [Indexed: 12/08/2023] Open
Abstract
The aim of this multicenter study was to explore the early-life sugar consumption and dietary practices in Latin America as well as to investigate the association between breastfeeding duration and the age at which foods and beverages with added sugars are introduced. A cross-sectional study was conducted with 805 1- to 3-year-old children from 10 Latin American countries, as a complementary study to the Research Observatory for Dental Caries of the Latin American Region (OICAL). A Food Frequency Questionnaire previously tested in different countries was applied to children's mothers and data on breastfeeding and age at introduction of sugary foods and beverages was collected. Statistical analysis included the Kruskal-Wallis test and Poisson regression with robust variance, with the calculation of crude and adjusted mean ratios (MR) and 95% of confidence intervals (CI). The average age at introduction of sugary foods and beverages was 10.1 months (95%CI 9.7-10.4) and 9.6 (95%CI 9.2-9.9) months, respectively, with a significant variation between countries (p < 0.001). The average daily frequency of sugary foods-beverages was 3.3 times per day (95%CI 3.1-3.5) and varied significantly between countries (p = 0.004). Breastfeeding duration of over six months was associated with an increase in the age of introduction of sweet drinks (16%; MR 1.16; 95%CI 1.05-1.28) and foods (21%; MR 1.21; 95%CI 1.10-1.33). In conclusion, most children from vulnerable settings in Latin America start consuming sugary products in the first year of life and a high frequency of consumption was reported through early childhood. Additionally, breastfeeding contributes to a delay in the introduction of sugary products.
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Affiliation(s)
- Carlos Alberto Feldens
- Universidade Luterana do Brasil - Ulbra, Department of Pediatric Dentistry, Porto Alegre, RS, Brazil
| | - Licet Alvarez
- Universidad de la República Uruguay - Udelar, Department of Pediatric Dentistry, Montevideo, Uruguay
| | - Ana María Acevedo
- Universidad Central de Venezuela, Faculty of Dentistry, Institute of Dental Research, Caracas, Venezuela
| | - Veronica Cepeda
- Universidad Internacional del Ecuador - Uide, Faculty of Dentistry, Quito, Ecuador
| | - Maria Teresa Chirife
- Universidad Autónoma del Paraguay, Department of Pediatric Dentistry, Asunción, Paraguay
| | | | | | - Sylvia Gudiño-Fernández
- Universidad de Costa Rica, Pediatric Dentistry Master, San José Postgraduate Study Sistem, San José, Costa Rica
| | | | - Vidal Pérez
- Universidad de Talca, Department of Pediatric Dentistry, Talca, Chile
| | - Saul Martins Paiva
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry, Belo Horizonte, MG, Brasil
| | - Olga Zambrano
- Universidad del Zulia, Institute of Dental Research, Maracaibo, Zulia, Venezuela
| | - Diana Zelada
- Universidad San Martin de Porres - USMP, Department of Pediatric Dentistry. Lima, Perú
| | - Rita Villena
- Universidad San Martin de Porres - USMP, Department of Pediatric Dentistry, Lima, Perú
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Angelhoff C, Faresjö T, Sundell AL. Measuring hair cortisol concentration, insomnia symptoms and quality of life in preschool children with severe early childhood caries - a case-control pilot study. Acta Odontol Scand 2023; 81:508-516. [PMID: 37119174 DOI: 10.1080/00016357.2023.2203228] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 04/11/2023] [Indexed: 05/01/2023]
Abstract
OBJECTIVE This study aimed to 1) investigate the relationships between hair cortisol concentration (HCC), insomnia symptoms, Health-Related Quality of Life (HRQoL) and Oral Health-Related Quality of Life (OHRQoL) in preschool children with severe early childhood caries, 2) compare HCC, insomnia symptoms, HRQoL and OHRQoL in preschool children with severe early childhood caries with these factors in children without clinical signs of dental caries, and 3) explore correlations between caries scores and HCC, insomnia symptoms, HRQoL and OHRQoL. MATERIAL AND METHODS A case-control pilot study, including 12 children with severe early childhood caries and 28 controls, aged 3-5 years. Dental examination was performed and hair samples for cortisol were taken. Parents filled out questionnaires about their child's insomnia symptoms, HRQoL and OHRQoL. Interpreters were used in families with language difficulties. RESULTS The key findings in this pilot study were tendencies that children with severe early childhood caries had more insomnia symptoms, and poorer OHRQoL than the controls. Caries scores was correlated with insomnia symptoms and OHRQoL. CONCLUSIONS Dentists should include questions about the child's sleep when they see the child, as insomnia related to dental caries may lead to several physical, mental, and social problems.
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Affiliation(s)
- Charlotte Angelhoff
- Crown Princess Victoria's Child and Youth Hospital, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
| | - Tomas Faresjö
- Department of Health, Medicine and Caring Sciences, Community Medicine, Linköping University, Linköping, Sweden
| | - Anna Lena Sundell
- Department of Pediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping, Sweden
- Centre of Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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5
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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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Suprabha BS, Shenoy R, Mahabala KY, Nayak AP, Rao A, D'Souza V. Early Feeding and Weaning Practices of Indian Children with Early Childhood Caries: A Qualitative Exploration. JDR Clin Trans Res 2023; 8:131-138. [PMID: 35302409 DOI: 10.1177/23800844221083645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To describe the early feeding, weaning, and oral hygiene practices of children with early childhood caries (ECC), their parents' knowledge and attitudes regarding infant feeding, and the feeding-related challenges faced by the parents. METHODS This descriptive qualitative study involved parents of children with ECC who sought dental treatment at an academic dental college in India. Data were collected though focus groups conducted with the 27 parents of children with ECC, using a focus group discussion guide. Data were analyzed using the content analysis method. RESULTS Community norms, such as learning from the older women in the families or neighborhoods, guided the feeding method, duration of feeding, and weaning. Breastfeeding or bottle-feeding at bedtime beyond 12 mo of age and feeding sugary drinks during weaning were standard practices, despite knowing the risk for dental caries. Parents faced multiple challenges regarding weaning and were unaware of the significance of infant oral hygiene practices. CONCLUSION In children with ECC, infant feeding practices included prolonged breastfeeding or bottle-feeding beyond the required age, feeding at bedtime, and feeding sugary drinks. Although the parents knew that these feeding habits could increase the risk for caries, they lacked the self-efficacy to translate their knowledge into action during weaning. Also, they lacked awareness regarding infant oral hygiene practices. KNOWLEDGE TRANSFER STATEMENT The study provides information on the feeding habits of infants that can increase the risk for caries, the challenges faced by the parents of these children in altering these risky habits, and their lack of knowledge on infant oral hygiene practices. Policy/decision makers can advocate for pediatricians and pediatric dentists to incorporate anticipatory guidance or motivational interviewing techniques to tailor the preventive program for ECC for Indian children.
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Affiliation(s)
- B S Suprabha
- Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - R Shenoy
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - K Y Mahabala
- Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - A P Nayak
- Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - A Rao
- Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - V D'Souza
- Department of Dental Clinical Sciences, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
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7
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Oliveira TTDV, Menegaz AM, Rosário AMD, Romano AR, Schardosim LR, Mendes FM, Göettems ML, Azevedo MS. Impact of dental caries severity and activity on oral health-related quality of life among children aged 8-11 years. Braz Oral Res 2023; 37:e41. [PMID: 37132728 DOI: 10.1590/1807-3107bor-2023.vol37.0041] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 08/15/2022] [Indexed: 05/04/2023] Open
Abstract
Caries disease can lead to strong impact in terms of pain and suffering, to functional impairment, and to negative effects on quality of life. Studies have demonstrated that the impact on quality of life increases with dental caries severity, and few studies have assessed the relationship between caries activity and children's oral health-related quality of life (OHRQoL). This cross-sectional study aimed to assess the impact of dental caries severity and activity on the OHRQoL of schoolchildren. The study was conducted with a sample of children aged 8 to 11 years from Pelotas, southern Brazil. Children answered the Child Perceptions Questionnaire 8-10, and socioeconomic data were collected. Children's dental caries (Kappa value of 0.95), PUFA, traumatic dental injuries, and malocclusion were examined. The Mann-Whitney, Kruskal-Wallis, and Poisson regression tests were performed. A total of 119 children were included. Children with initial (mean ratio (MR) of 1.92; 95% confidence interval (95% CI) of 1.05-3.48), moderate (MR: 2.66; 95%CI: 1.44-4.90), and severe carious lesions (MR: 2.65; 95%CI: 1.46-4.79) had a greater impact on OHRQoL compared with those without carious lesions (p =0 .047). Children with active carious lesions exhibited a greater impact on OHRQoL (MR:1.53 and 95%CI: 1.11-2.11) when compared to those without active lesions (p = 0.019). The findings demonstrate an association between dental caries severity and activity and the OHRQoL of school-aged children.
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Affiliation(s)
| | - Aryane Marques Menegaz
- Universidade Federal de Pelotas - UFPel, Graduate Program of Dentistry, Pelotas, RS, Brazil
| | - Andreza Montelli do Rosário
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Department of Social and Preventive Dentistry, Pelotas, RS, Brazil
| | - Ana Regina Romano
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Department of Social and Preventive Dentistry, Pelotas, RS, Brazil
| | - Lisandrea Rocha Schardosim
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Department of Social and Preventive Dentistry, Pelotas, RS, Brazil
| | - Fausto Medeiros Mendes
- Universidade Federal de Pelotas - UFPel, Graduate Program of Dentistry, Pelotas, RS, Brazil
| | - Marília Leão Göettems
- Universidade Federal de Pelotas - UFPel, Graduate Program of Dentistry, Pelotas, RS, Brazil
| | - Marina Sousa Azevedo
- Universidade Federal de Pelotas - UFPel, Graduate Program of Dentistry, Pelotas, RS, Brazil
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El-Housseiny AA, Alsadat FA, Alamoudi NM, Felemban OM, Mosli RH, Saadah OI. Oral health-related quality of life in children with celiac disease. Qual Life Res 2022; 31:3413-3421. [PMID: 35918470 DOI: 10.1007/s11136-022-03179-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2022] [Indexed: 10/16/2022]
Abstract
PURPOSE There is limited knowledge about oral health-related quality of life (OHRQoL) in children with celiac disease (CD). This study aimed to assess OHRQoL in children with CD compared to healthy controls. METHODS This case-control study included children with CD and healthy controls. Three scales were used to assess OHRQoL in different age groups: 6-7 years, 8-10 years, and 11-14 years. The OHRQoL scores were compared between cases and controls to examine the possible associations between OHRQoL and demographics, socioeconomic status, and oral health. RESULTS Overall, 104 children with CD and 104 healthy children (controls) were included. The mean age was 10.67 ± 2.39 years in CD patients and 10.69 ± 2.36 in controls (P = 0.971). Male and female children constituted 50% of each group. Children with CD had significantly higher OHRQoL scores than controls (P = 0.003). Low education levels of parents of children with CD and a higher number of siblings in controls were associated with high OHRQoL scores (P = 0.002, P < 0.020, and P = 0.010, respectively). Recurrent aphthous stomatitis (RAS) increased the OHRQoL scores by 7.5 on average (P = 0.016). CONCLUSION Children with CD had poor OHRQoL compared with healthy controls. Poor OHRQoL in children with CD was associated with RAS and with lower parental income and education. RAS was an independent predictor of poor OHRQoL in children with CD.
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Affiliation(s)
- Azza A El-Housseiny
- Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University Hospital, P.O Box 80205, Jeddah, 21589, Saudi Arabia
- Pediatric Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Farah A Alsadat
- Dental Department, Jubail General Hospital, Al Jubail, Saudi Arabia
| | - Najlaa M Alamoudi
- Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University Hospital, P.O Box 80205, Jeddah, 21589, Saudi Arabia.
| | - Osama M Felemban
- Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University Hospital, P.O Box 80205, Jeddah, 21589, Saudi Arabia
| | - Rana H Mosli
- Clinical Nutrition Department, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Omar I Saadah
- Gastroenterology Unit, Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
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Paiva SM, Martins LP, Bittencourt JM, Alvarez L, Acevedo AM, Cepeda V, Galvez CA, Gaberllini C, Gudiño S, Martignon S, Pérez V, Zambrano O, Zelada D, Villena RS, Salgado P, Squassi A, Bordoni NE. Impact on oral health-quality of life in infants: Multicenter study in Latin American countries. Braz Dent J 2022; 33:61-67. [PMID: 35508037 PMCID: PMC9645153 DOI: 10.1590/0103-6440202204929] [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: 02/17/2022] [Accepted: 03/07/2022] [Indexed: 11/24/2022] Open
Abstract
To assess the impact of oral conditions on oral health-related quality of life
(OHRQoL) in infants in ten Latin America countries (LAC). A cross-sectional
study was conducted with 930 pairs of 1-to-3-year-old children/parents from 10
LAC, as a complementary study of the Research Observatory for Dental Caries of
the Latin American Region. The scale ECOHIS, previously tested and valid in ten
countries, was applied to parents/caregivers of children to measure OHRQoL.
Statistical analysis included descriptive data analysis and one-way analysis of
variance (ANOVA-One-Way) were performed to compare age groups with OHRQoL.
Bootstrapping procedures (1000 re-samplings; 95%CI Bca) were performed. The mean
scores of the ‘Child Impact’ section in the LAC was 4.0(±8.3), in the ‘Family
Impact’ section was 2.0(±4.0), and in overall ECOHIS score was 6.0(±12.0). In
the ‘Child Impact’ section, Argentina 10.0(+2.4) and Venezuela 17.8(±17.5)
demonstrated mean scores higher than the LAC total data. In the ‘Family Impact’
section, the countries with higher mean scores were Argentina 4.9(±2.0), Ecuador
2.1(±3.1) and Venezuela 7.9(±7.8). In the overall ECOHIS score, Argentina 15.1
(±4.1) and Venezuela 25.7(±25.2) has higher mean scores than the values of LAC.
There is an association between children's age and parents' report of impact on
the OHRQoL (p<0.001). Three-year-olds had a higher mean when compared to one-
and two-year-olds, both in the Impact on the Child and Impact on the Family
(p<0.001) sections, as well as in the overall ECOHIS (p<0.001). In
conclusion, there are differences in OHRQoL among Latin American countries,
impacting older children more significantly.
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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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Zaror C, Matamala-Santander A, Ferrer M, Rivera-Mendoza F, Espinoza-Espinoza G, Martínez-Zapata MJ. Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis. Int J Dent Hyg 2021; 20:120-135. [PMID: 33825317 DOI: 10.1111/idh.12494] [Citation(s) in RCA: 48] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 02/22/2021] [Accepted: 03/16/2021] [Indexed: 12/11/2022]
Abstract
OBJECTIVES The aim of this study was to conduct a systematic review in order to assess the impact of early childhood caries (ECC) and its severity on Oral health-related quality of life (OHRQoL). MATERIALS AND METHODS An electronic search was conducted in MEDLINE, EMBASE, Cochrane, SciELO and Lilacs databases. The study eligibility criteria were primary studies published in English, Spanish or Portuguese that assessed OHRQoL in preschool children with dental caries using validated instruments. Two researchers independently performed the selection process and data extraction. The Effective Public Health Practice Project's Quality Assessment Tool was used for the quality assessment. Random effects models were used to estimate the pooled effect for continuous and categorical data. RESULTS Of 2,037 identified articles, thirty-five studies (37 articles) met the inclusion criteria. The methodological quality was judged mainly as moderate. Children with ECC were more likely to report any impact on OHRQoL than children without caries (OR: 1.99; 95% CI: 1.51-2.62; 6 studies). Severe ECC (dmft > 5) presented a higher effect (OR: 5.00; 95% CI: 3.70-6.74; 8 studies). Sensitivity analysis including only population studies showed uncertain results on the impact of ECC on OHRQoL (OR: 1.67; 95% CI: 0.99-2.82; I2 = 95%). The symptom and psychological domains were the most affected (SMD: 0.60, 95% CI: 0.38-0.81 and SMD: 0.61, 95% CI: 0.37-0.85 respectively). CONCLUSIONS ECC has a negative impact on the OHRQoL of both preschoolers and their families. However, its impact on OHRQoL is diluted when it is evaluated at population level.
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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
| | - Andrea Matamala-Santander
- Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.,Grupo de Investigación en Gestión y Docencia Odontológica (GIDGO), Universidad Autónoma de Chile, Temuco, Chile
| | - Montse Ferrer
- Health Services Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.,CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Fernando Rivera-Mendoza
- Forensic Dentistry Lab, Centro de Investigación en Odontología Legal y Forense -CIO-, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile
| | - Gerardo Espinoza-Espinoza
- Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.,Department of Public Health, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile
| | - María José Martínez-Zapata
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.,Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
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Incisor Molar Hypomineralization and Quality of Life: A Population-Based Study with Brazilian Schoolchildren. Int J Dent 2021; 2021:6655771. [PMID: 33763131 PMCID: PMC7946480 DOI: 10.1155/2021/6655771] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 02/10/2021] [Accepted: 02/23/2021] [Indexed: 12/17/2022] Open
Abstract
Aim To assess the impact of incisor molar hypomineralization (MIH) on oral health-related quality of life (OHRQoL) according to the perception of students and their parents/caregivers. Materials and Methods This is a cross-sectional population-based study with 463 Brazilian students aged 11-14 years. OHRQoL was measured using the Child Perceptions Questionnaire (B-CPQ11-14ISF: 16) applied to students and the short version of the Parental-Caregiver Perceptions Questionnaire (B-P-CPQ) applied to parents/caregivers. The diagnosis of MIH followed the European Academy of Paediatric Dentistry criteria modified in 2019. Caries experience (ICDAS II), malocclusion (DAI), and socioeconomic and demographic factors were assessed as confounding factors for impact on OHRQoL. Cluster analysis was carried out to dichotomize the negative impact into greater and lesser impact. The chi-square test and Poisson regression were performed (p < 0.05) to verify associations between quality of life and MIH, adjusted for confounding variables. Results The prevalence of MIH was 10.8%. Multivariate regression demonstrated that caries experience was the only oral disease that impacted OHRQoL according to students' self-perception in the functional limitation domain (PR = 1.82; 95% CI = 1.20-2.77) and in the total questionnaire score (PR = 1.59; 95% CI = 1.00-2.51). However, according to the perception of parents/caregivers, in addition to caries experience, which affected OHRQoL in the oral symptoms (PR = 3.57; 95% CI = 1.71-7.414) and emotional well-being domains (PR = 1.71; 95% CI = 1.08-2.69), as well as in the total B-P-CPQ score (PR = 1.67; 95% CI = 1.01-2.76), malocclusion also affected OHRQoL in the social well-being domain (PR = 1.50; 95% CI = 1.07-2.10) and in the total questionnaire score (PR = 1.54; 95% CI = 1.11-2.15). Conclusion According to students and their parents/caregivers' perception, incisor molar hypomineralization did not influence OHRQoL of the studied sample.
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Carvalho KRJ, Ribeiro APDJ, Carrada CF, Scalioni FAR, Devito KL, Paiva SM, Machado FC, Ribeiro RA. Association Between Dental Caries Experience and Socioeconomic Determinants on Oral Health-Related Quality of Life among Children and their Families. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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14
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Vidigal EA, Abanto J, Haddad AE, Porta G, Alves FA, BÖnecker M. Oral health-related quality of life among pediatric liver transplant candidates. Braz Oral Res 2020; 34:e100. [PMID: 32876120 DOI: 10.1590/1807-3107bor-2020.vol34.0100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 06/16/2020] [Indexed: 11/22/2022] Open
Abstract
To assess the impact of oral conditions on the oral health-related quality of life (OHRQoL) of pediatric liver transplant candidates. This cross-sectional study included 60 children aged 13 to 48 months who were liver transplant candidates that attended the AC Camargo Cancer Center, São Paulo, Brazil. On the day of oral examinations, the children's mothers were invited to answer two questionnaires; one related to children's OHRQoL using the B-ECOHIS and another related to socioeconomic/demographic characteristics. Thereafter, a single, adequately trained dentist carried out children's oral examinations for gingival inflammation (Silness-Löe index), dental plaque (Green-Vermillion Simplified index), dental caries (dmft index), developmental defects of enamel (DDE index), tooth discoloration, oral mucosal/lip alterations. The data collected also included socioeconomic/demographic characteristics and liver disease. The adjusted Poisson regression model was used to associate children's socioeconomic/demographic characteristics and clinical conditions to the outcome. The adjusted regression model showed that children with untreated caries lesions (RR = 3.35, p < 0.0001) and tooth discoloration (RR = 1.74, p = 0.04) had poorer total B-ECOHIS scores. Dental discoloration and untreated caries lesions had a negative impact on the OHRQoL in pediatric liver transplant candidates.
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Affiliation(s)
- Evelyn Alvarez Vidigal
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Jenny Abanto
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Ana Estela Haddad
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Gilda Porta
- Department of Liver Transplantation, A. C. Camargo Cancer Center, São Paulo, SP, Brazil
| | - Fábio Abreu Alves
- Stomatology Department, A. C. Camargo Cancer Center, São Paulo, SP, Brazil
| | - Marcelo BÖnecker
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
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Oral Health Related Quality of Life and its Association with Dental Caries of Preschool Children in Urban and Rural Areas of India. J Clin Pediatr Dent 2020; 44:154-160. [PMID: 32644895 DOI: 10.17796/1053-4625-44.3.4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background: In early childhood due to dental neglect, children suffer from multiple decayed teeth and experience pain, interfering with their daily activities. This study aimed to assess Oral Health Related Quality of Life (OHRQoL) of preschool children in urban and rural Bangalore, and to correlate it with their dental caries status. Study design: Oral health examination of 1545 preschool children, aged 3 to 5 years were selected from urban and rural Bangalore. The parents answered the Oral Health-Related Early Childhood Quality of Life OH-ECQOL proforma on OHRQoL of their children. Results: The mean OHRQoL of urban preschool children was 17.86 and was significantly different from 20.42 of rural preschool children. (p<0.001). The mean deft score was 2.60±2.26 in rural preschool children and it was significantly higher than 1.92±2.05 seen in urban preschool children (p< 0.001). A significant correlation was seen between dental caries (deft) and OHRQoL in urban preschool children (p=0.04). Their OHRQoL was significantly associated with the 'decayed' component.(p=0.03) Multiple regression analysis showed OHRQoL to be significantly associated with dental caries. Conclusion: OHRQoL among preschool children living in urban Bangalore was found to be better than those in rural Bangalore.
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Carrada CF, Scalioni FAR, Abreu LG, Ribeiro RA, Paiva SM. Impact of oral conditions of children/adolescents with Down syndrome on their families’ quality of life. SPECIAL CARE IN DENTISTRY 2020; 40:175-183. [DOI: 10.1111/scd.12444] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2019] [Revised: 11/29/2019] [Accepted: 11/30/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Camila Faria Carrada
- Department of Paediatric Dentistry and OrthodonticsSchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte MG Brazil
- Department of Paediatric DentistrySchool of DentistrySchool of Medical Sciences – SUPREMA Juiz de Fora MG Brazil
| | - Flávia Almeida Ribeiro Scalioni
- Department of Paediatric Dentistry and OrthodonticsSchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte MG Brazil
- Department of Paediatric DentistrySchool of DentistrySchool of Medical Sciences – SUPREMA Juiz de Fora MG Brazil
| | - Lucas Guimarães Abreu
- Department of Paediatric Dentistry and OrthodonticsSchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte MG Brazil
| | - Rosangela Almeida Ribeiro
- Department of Social and Paediatric DentistrySchool of DentistryUniversidade Federal de Juiz de Fora Juiz de Fora MG Brazil
| | - Saul Martins Paiva
- Department of Paediatric Dentistry and OrthodonticsSchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte MG Brazil
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Pereira JT, Knorst JK, Luz PB, Bonfadini I, Scapinello M, Hugo FN, Araujo FBD. Impact of Early Childhood Caries and Maternal Behaviors on Oral Health-Related Quality of Life of Children. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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18
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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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Lai SHF, Wong MLW, Wong HM, McGrath CPJ, Yiu CKY. Factors influencing the oral health-related quality of life among children with severe early childhood caries in Hong Kong. Int J Dent Hyg 2019; 17:350-358. [PMID: 31278830 DOI: 10.1111/idh.12414] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Revised: 05/09/2019] [Accepted: 06/30/2019] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To assess the oral health-related quality of life among Hong Kong preschool children with severe early childhood caries. METHODS A total of 315 Hong Kong preschool children diagnosed with severe early childhood caries (S-ECC) were recruited. Their caries and plaque status were evaluated. Their parents were asked to complete the Early Childhood Oral Health Impact Scale (ECHOIS) and a sociodemographic background questionnaire. RESULTS There was a 98.7% response rate. The mean age was 4.7 ± 0.8 years. The mean decayed, missing and filled teeth (dmft) score was 10.2 ± 4.5. Almost all the children (98.7%) had decayed teeth. More than half of the children (61.4%) had a visible plaque index (VPI) score of above 90%. About one quarter (28.9%) were experiencing symptoms of pain. The dmft score of the child was significantly associated with the ECOHIS child impact, child function, family impact and family distress domains (P < .001). The presence of pain was significantly associated with increased ECOHIS child and family impact scores (P < .001). In the multiple regression analyses, the dmft score and presence of pain showed a significant association with the ECOHIS scores (P < .001). CONCLUSION The OHRQoL of children with S-ECC was worsened with the presence of pain and severity of the disease. More measures need to be placed to decrease the prevalence of children with S-ECC.
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Affiliation(s)
| | | | - Hai Ming Wong
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong
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Zaror C, Atala-Acevedo C, Espinoza-Espinoza G, Muñoz-Millán P, Muñoz S, Martínez-Zapata MJ, Ferrer M. Cross-cultural adaptation and psychometric evaluation of the early childhood oral health impact scale (ECOHIS) in chilean population. Health Qual Life Outcomes 2018; 16:232. [PMID: 30554568 PMCID: PMC6296046 DOI: 10.1186/s12955-018-1057-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Accepted: 11/28/2018] [Indexed: 11/10/2022] Open
Abstract
Background The Early Childhood Oral Health Impact Scale (ECOHIS) measures the impact of dental diseases on Oral Health-Related Quality of Life both in children and their families. The aim of this study was to develop a Chilean Spanish version of the ECOHIS that is conceptually equivalent to the original and to assess its acceptability, reliability and validity in the preschool population of Chile. Methods The Chilean version of the ECOHIS was obtained through a process including forward and back-translation, expert panel, and cognitive debriefing interviews. To assess metric properties, a cross-sectional study was carried out in Carahue, Southern Chile (April–October 2016). Children younger than six years old without systemic diseases, disabilities or chronic medication from eleven public preschools were included. Parents were invited to complete the Chilean version of the ECOHIS, PedsQL™4.0 Generic Core and PedsQL Oral Health scales, and to answer global questions about their children’s general and oral health. A subsample was administrated ECOHIS a second time 14–21 days after. A clinical examination was performed to assess dental caries, malocclusion, and traumatic dental injuries. Reliability was evaluated using measures of internal consistency (Cronbach’s alpha) and reproducibility (Intraclass correlation coefficient - ICC). Construct validity was assessed by testing hypotheses based on available evidence about known groups and relationships between different instruments. Results The content comparison of the back-translation with the original ECOHIS showed that all items except one were conceptually and linguistically equivalent. The cognitive debriefing showed a suitable understanding of the Chilean version by the parents. In the total sample (n = 302), the ECOHIS total score median was 1 (IQR 6), floor effect was 41.6%, and ceiling effect 0%. Cronbach’s alpha was 0.89 and the ICC was 0.84. The correlation between ECOHIS and PedsQL™4.0 Generic Core was weak (r = 0.21), while it was strong-moderate (r = 0.64) with the PedsQL Oral Health scale. In the known groups comparison, the ECOHIS total score was statistically higher in children with poor than excellent/very good oral health (median 11.6 vs 0, p < 0.01), and in the high severity than in the caries-free group (median 8 vs 0.5, p < 0.01). No differences were found according to malocclusion and traumatic dental injuries groups. Conclusions These results supported the feasibility, reliability and validity of the Chilean version of ECOHIS questionnaire for preschool children through proxy.
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Affiliation(s)
- Carlos Zaror
- Department of Pediatric Dentistry and Orthodontic, Faculty of Dentistry, Universidad de La Frontera, Manuel Montt, 112, 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.
| | - Claudia Atala-Acevedo
- Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile
| | - Gerardo Espinoza-Espinoza
- Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.,Department of Public Health, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile
| | - Patricia Muñoz-Millán
- Department of Pediatric Dentistry and Orthodontic, Faculty of Dentistry, Universidad de La Frontera, Manuel Montt, 112, Temuco, Chile.,Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile
| | - Sergio Muñoz
- Department of Public Health, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile
| | - María José Martínez-Zapata
- Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.,CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Montse Ferrer
- Universitat Autònoma de Barcelona, Barcelona, Spain. .,CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. .,Health Services Research Group, IMIM (Hospital del Mar Medical Research Institute), Doctor Aiguader, 88, 08003, Barcelona, Spain.
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Corrêa-Faria P, Daher A, Freire MDCM, de Abreu MHNG, Bönecker M, Costa LR. Impact of untreated dental caries severity on the quality of life of preschool children and their families: a cross-sectional study. Qual Life Res 2018; 27:3191-3198. [PMID: 30097914 DOI: 10.1007/s11136-018-1966-5] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2018] [Indexed: 12/11/2022]
Abstract
PURPOSE Untreated dental caries is a persistent oral problem among preschool children. Although there is vast evidence regarding the impact of dental caries on oral health-related quality of life (OHRQoL) in this age group, evidence on the impact of untreated caries severity is scarce. The purpose of this study was to investigate the impact of untreated caries severity on the OHRQoL of preschool children and their families. METHODS A cross-sectional study was conducted with 563 individuals in the city of Goiania, Brazil. Data were collected through interviews with parents/caregivers and clinical examinations of their children. The OHRQoL was measured by the Brazilian version of the Early Childhood Oral Health Impact Scale. Untreated dental caries severity was assessed using validated indices. Other independent variables were socioeconomic, toothache prevalence, and the questionnaire respondent. Statistical analysis involved bivariate comparisons and Poisson regression analyses. RESULTS A higher prevalence of impact on OHRQoL was found among preschool children with untreated dental caries with clinical consequences (PR 1.31; 95% CI 1.01-1.70) compared to those without caries; those aged 5 years (PR 1.47; 95% CI 1.18-1.82), compared to those aged two; and those with a toothache (PR 1.54; 95% CI 1.34-1.76), compared to those without toothache. Moreover, fathers (PR 0.71; 95% CI 0.55-0.92) and other respondents (PR 0.70; 95% CI 0.52-0.96) perceived less impact on the OHRQoL in comparison to mothers. CONCLUSIONS Severe untreated dental caries with clinical consequences had a negative impact on the children's OHRQoL, regardless of toothache and socioeconomic factors.
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Affiliation(s)
- Patrícia Corrêa-Faria
- Dentistry Graduate Program, Faculdade de Odontologia, Universidade Federal de Goiás, Av. Universitária Esquina com 1ª Avenida s/n, Setor Universitário, Goiânia, GO, 74605-220, Brazil.
| | - Anelise Daher
- Dentistry Graduate Program, Faculdade de Odontologia, Universidade Federal de Goiás, Av. Universitária Esquina com 1ª Avenida s/n, Setor Universitário, Goiânia, GO, 74605-220, Brazil
| | - Maria do Carmo Matias Freire
- Dentistry Graduate Program, Faculdade de Odontologia, Universidade Federal de Goiás, Av. Universitária Esquina com 1ª Avenida s/n, Setor Universitário, Goiânia, GO, 74605-220, Brazil
- Department of Oral Health, Faculdade de Odontologia, Universidade Federal de Goiás, Goiânia, GO, 74605-220, Brazil
| | | | - Marcelo Bönecker
- Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Luciane Rezende Costa
- Dentistry Graduate Program, Faculdade de Odontologia, Universidade Federal de Goiás, Av. Universitária Esquina com 1ª Avenida s/n, Setor Universitário, Goiânia, GO, 74605-220, Brazil
- Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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Tourino LFP, Zarzar PM, Corrêa-Faria P, Paiva SM, Vale MPPD. Prevalence and factors associated with enamel defects among preschool children from a southeastern city in Brazil. CIENCIA & SAUDE COLETIVA 2018; 23:1667-1674. [DOI: 10.1590/1413-81232018235.19672016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Accepted: 07/27/2016] [Indexed: 11/22/2022] Open
Abstract
Abstract This study sought to determine the prevalence of developmental defects of enamel (DDE) among preschool children and investigate associations with sociodemographic and socioeconomic factors and weight status. A cross-sectional study was conducted with 118 children aged 3 to 5 years. Data were collected via clinical examinations and a self-administered questionnaire completed by the parents. The diagnosis of DDE was performed using the modified DDE Index. Information on socioeconomic indicators (mother's schooling, monthly income per capita), child's sex and age, and age of mother at the birth of the child were obtained by questionnaire. The children's weight status was determined based on weight-for-age at the time of the exam. Statistical analysis involved the chi-squared test and Poisson regression with robust variance. The prevalence of DDE was 50.0%. DDE were more frequent in males (p = 0.025) and children whose families were classified as being at poverty line (p = 0.040). In the Poisson model controlled for child's sex and mother's schooling, children whose families were classified as being at the poverty line had a greater prevalence rate of DDE. In conclusion, the prevalence of DDE was high in the present sample and associated with lower household income. Weight status was not associated with DDE.
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Brondani B, Emmanuelli B, Alves LS, Soares CJ, Ardenghi TM. The effect of dental treatment on oral health-related quality of life in adolescents. Clin Oral Investig 2018; 22:2291-2297. [DOI: 10.1007/s00784-017-2328-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 12/21/2017] [Indexed: 10/18/2022]
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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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Feldens CA, Rodrigues PH, de Anastácio G, Vítolo MR, Chaffee BW. Feeding frequency in infancy and dental caries in childhood: a prospective cohort study. Int Dent J 2017; 68:113-121. [PMID: 28868798 DOI: 10.1111/idj.12333] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES Feeding patterns in infancy are plausible contributors to dental caries later in childhood, yet relatively few cohort studies have examined potential dietary risk factors at this age. This study aimed to investigate the associations between feeding frequency at age 12 months and caries prevalence at age 3 years. METHODS In this prospective birth cohort of 345 Brazilian children, all foods and drinks consumed at age 12 months, including bottle-use and breastfeeding, were recorded using two 24-hour infant dietary recalls with mothers. The prevalence of early childhood caries (ECC) and severe ECC (S-ECC) at age 38 months were compared in groups defined according to 12-month feeding frequency, using regression models to adjust for sociodemographic characteristics and total carbohydrate intake. RESULTS Independent of other variables, compared with children with infrequent bottle-use and breastfeeding at 12 months, at 38 months the ECC prevalence was 1.8-times higher in children breastfed more than three times/day (P = 0.001), 1.4-times higher in children bottle-fed more than three times/day (P = 0.07) and 1.5-times higher with combined high frequency of bottle and breastfeeding together (P = 0.04), but the association with consumption of other foods or drinks more than five times/day [risk ratio (RR) = 1.2; P = 0.10] was not statistically significant. Prevalence of S-ECC was significantly associated with frequent breastfeeding (RR = 2.4; P < 0.001) and with greater frequency of consumption of other foods or drinks (RR = 1.7, P = 0.001). CONCLUSIONS High-frequency feeding in late infancy, including both bottle use and breastfeeding, were positively associated with dental caries in early childhood, suggesting possible early-life targets for caries prevention.
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Affiliation(s)
| | | | - Gislaine de Anastácio
- Department of Nutrition, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
| | - Márcia Regina Vítolo
- Department of Nutrition, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
| | - Benjamin W Chaffee
- Department of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, CA, USA
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Arrow P. Dental enamel defects, caries experience and oral health-related quality of life: a cohort study. Aust Dent J 2017; 62:165-172. [PMID: 27539008 DOI: 10.1111/adj.12449] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/14/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND The impact of enamel defects of the first permanent molars on caries experience and child oral health-related quality of life was evaluated in a cohort study. METHODS Children who participated in a study of enamel defects of the first permanent molars 8 years earlier were invited for a follow-up assessment. Consenting children completed the Child Perception Questionnaire and the faces Modified Child Dental Anxiety Scale, and were examined by two calibrated examiners. ANOVA, Kruskal-Wallis, negative binomial and logistic regression were used for data analyses. RESULTS One hundred and eleven children returned a completed questionnaire and 91 were clinically examined. Negative binomial regression found that oral health impacts were associated with gender (boys, risk ratio (RR) = 0.73, P = 0.03) and decayed, missing or filled permanent teeth (DMFT) (RR = 1.1, P = 0.04). The mean DMFT of children were sound (0.9, standard deviation (SD) = 1.4), diffuse defects (0.8, SD = 1.7), demarcated defects (1.5, SD = 1.4) and pit defects (1.3, SD = 2.3) (Kruskal-Wallis, P = 0.05). Logistic regression of first permanent molar caries found higher odds of caries experience with baseline primary tooth caries experience (odds ratio (OR) = 1.5, P = 0.01), the number of teeth affected by enamel defects (OR = 1.9, P = 0.05) and lower odds with the presence of diffuse enamel defects (OR = 0.1, P = 0.04). CONCLUSIONS The presence of diffuse enamel defects was associated with lower odds of caries experience.
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Affiliation(s)
- P Arrow
- Department of Health, Dental Health Services, Perth, Western Australia, Australia.,Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, South Australia, Australia
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Massignan C, Ximenes M, da Silva Pereira C, Dias L, Bolan M, Cardoso M. Prevalence of enamel defects and association with dental caries in preschool children. Eur Arch Paediatr Dent 2016; 17:461-466. [PMID: 27848202 DOI: 10.1007/s40368-016-0254-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2016] [Accepted: 09/21/2016] [Indexed: 11/25/2022]
Abstract
AIM This was to evaluate the prevalence of the developmental defects of enamel (DDE) in primary teeth and its association with dental caries. METHODS A cross-sectional study with a randomised representative sample was carried out with 1101 children aged 2-5 years enrolled in public preschools (50% prevalence of DDE in primary teeth, a standard error of 3%, and a confidence level of 95%). Three calibrated dentists (K > 0.62) performed clinical examination. Data collected were: sex, age, DDE (Modified DDE Index) and dental caries (WHO). Descriptive analysis, Chi-square test and multinomial logistic regression were applied for data analysis. RESULTS Among children, 565 (51.3%) were boys; mean age was 3.7 (±0.9 years). The prevalence of enamel defect was 39.1%; the prevalence of diffuse opacities, demarcated opacities and enamel hypoplasia was 25.3, 19.1 and 6.1%, respectively. The prevalence of dental caries was 31.0%, with mean def-t 1.14 (±2.44). Primary teeth with enamel hypoplasia had three times the odds of having dental caries than those with absence of enamel defects (OR = 3.10; 95% CI: 1.91, 5.01). CONCLUSION The presence of enamel defects was moderate and associated with dental caries.
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Affiliation(s)
- C Massignan
- Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS-ODT-Trindade, Florianópolis, SC, 88040-900, Brazil
| | - M Ximenes
- Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS-ODT-Trindade, Florianópolis, SC, 88040-900, Brazil
| | - C da Silva Pereira
- Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS-ODT-Trindade, Florianópolis, SC, 88040-900, Brazil
| | - L Dias
- Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS-ODT-Trindade, Florianópolis, SC, 88040-900, Brazil
| | - M Bolan
- Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS-ODT-Trindade, Florianópolis, SC, 88040-900, Brazil
| | - M Cardoso
- Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS-ODT-Trindade, Florianópolis, SC, 88040-900, Brazil.
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Kragt L, van der Tas JT, Moll HA, Elfrink MEC, Jaddoe VWV, Wolvius EB, Ongkosuwito EM. Early Caries Predicts Low Oral Health-Related Quality of Life at a Later Age. Caries Res 2016; 50:471-479. [PMID: 27585185 DOI: 10.1159/000448599] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Accepted: 07/21/2016] [Indexed: 12/15/2022] Open
Abstract
Oral health-related quality of life (OHRQOL) is the perceived impact of one's own oral health on daily life. Oral diseases influence children's OHRQOL directly, but OHRQOL might also be related to oral health experiences from the past. We investigate the relation between dental caries at the age of 6 with OHRQOL assessed at the age of 10. This study was conducted within the Generation R Study, a population-based prospective cohort study. Caries experience was assessed with the decayed, missing, and filled teeth index (dmft) at a median age of 6.09 years (90% range: 5.73-6.80). OHRQOL was assessed with a short form of the Child Oral Health Impact Profile at the children's age of 9.79 years (9.49-10.44). In total, 2,833 children participated in this study, of whom 472 (16.6%) had mild caries (dmft 1-3) and 228 (8.0%) had severe caries (dmft >3). The higher the dmft score at the age of 6, the lower the OHRQOL at the age of 10 (p < 0.001). The children with severe caries at the age of 6 had significantly higher odds of being in the lowest OHRQOL quartile at the age of 10 (OR = 1.69; 95% CI: 1.17-2.45). Our study highlights the importance of oral health during childhood, because those who get a compromised start to oral health are much more likely to follow a trajectory which will lead to poor oral health (-related QOL) later. OHRQOL is not only related to current oral health experiences but also to oral health experiences from the past.
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Affiliation(s)
- Lea Kragt
- The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands
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Smith L, Blinkhorn A, Moir R, Brown N, Blinkhorn F. An assessment of dental caries among young Aboriginal children in New South Wales, Australia: a cross-sectional study. BMC Public Health 2015; 15:1314. [PMID: 26715325 PMCID: PMC4696270 DOI: 10.1186/s12889-015-2673-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 12/21/2015] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Limited research has been undertaken in Australia to assess the dental status of pre-school Aboriginal children. This cross-sectional study records the number of decayed, missing and filled teeth (dmft) and surfaces (dmfs) of pre-school Aboriginal children living in different locations in New South Wales (NSW), Australia. METHODS A convenience sample of young children from seven Aboriginal communities in rural, remote and metropolitan areas of NSW, was recruited. One calibrated examiner recorded the dmft/s of children with written parental consent. RESULTS 196 children were invited to participate and 173 children aged two to five years were examined, a response rate of 88.3%. Forty percent (n = 69) of the children were diagnosed with dental caries with a mean of 2.1 (SD = 3.6). The dmft scores were significantly higher in remote locations when compared to rural (p = <0.0001) and metropolitan areas (p = 0.0155). Children 4-5 years old living in remote NSW had a mean dmft of 3.5 and mean dmfs of 8.0 compared with children living in rural areas who had a dmft and dmfs of 1.5 and 4.2 respectively. Untreated dental caries was the primary contributor to the scores, and children who had previously received dental treatment still had active carious lesions. CONCLUSION There was a high prevalence of untreated dental caries among the Aboriginal children, particularly for those in remote locations.
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Affiliation(s)
- Leanne Smith
- The University of Newcastle, Faculty of Health and Medicine, School of Health Sciences, 10 Brush Road, Ourimbah, NSW, 2258, Australia.
| | - Anthony Blinkhorn
- The University of Sydney, Faculty of Dentistry Westmead Centre for Oral Health, C24A 1 Mons Road, Westmead, NSW, 2145, Australia.
| | - Rachael Moir
- The University of Newcastle, Faculty of Health and Medicine, School of Health Sciences, 10 Brush Road, Ourimbah, NSW, 2258, Australia.
| | - Ngiare Brown
- Department of Indigenous Health and Education, The University of Wollongong, Northfields Avenue, Wollongong, NSW, 2522, Australia.
- National Aboriginal Community Controlled Health Organisation, 3 Garema Pl, Canberra, 2601, ACT, Australia.
| | - Fiona Blinkhorn
- The University of Newcastle, Faculty of Health and Medicine, School of Health Sciences, 10 Brush Road, Ourimbah, NSW, 2258, Australia.
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