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Riyaz MM, Sivasamy S, Chaly PE. Development and validation of Tamil version of CARIES-QC questionnaire among socially marginalized school children in Chennai City. Int J Paediatr Dent 2024. [PMID: 39228108 DOI: 10.1111/ipd.13262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 07/19/2024] [Accepted: 08/24/2024] [Indexed: 09/05/2024]
Abstract
BACKGROUND The Caries Impacts and Experiences Questionnaire for Children (CARIES-QC), which was developed to assess dental caries-specific Child Oral Health Related Quality of Life (COHRQoL), has been translated into few world languages. AIM To develop and validate the Tamil version of Caries Impacts and Experience Questionnaire for Children (CARIES-QC). DESIGN This cross-sectional study was conducted among socially marginalized school children in Chennai City. The initial translation of the English CARIES-QC questionnaire to Tamil was made by two independent translators followed by an expert committee discussion to derive a prefinal version of the Tamil questionnaire. Subsequently, content validation was performed by bilingual subject experts followed by preliminary pilot testing among 30 school children aged 8-10 years studying in Adidravidar Welfare High School, Chennai, to produce the final version of the questionnaire. Convergent validity, discriminant validity, and test-retest reliability of the translated questionnaire were tested among 191 children. RESULTS The content validation process revealed that the translated version had relevant questions and content coverage (Scale-wise Content Validity Index score = .91). The children with and without dental caries had mean CARIES-QC scores of 5.39 + 3.7 and 3.71 + 5.1, respectively, and their statistically significant difference (p-value = .04) between them indicates the scale's satisfactory discriminant validity. The Cronbach's alpha was .87 indicating the questionnaire's good internal consistency. CONCLUSION The newly developed Tamil CARIES-QC questionnaire is a valid and reliable tool for assessing COHRQoL among Tamil-speaking school children.
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Affiliation(s)
- Mohammed Meera Riyaz
- Department of Public Health Dentistry, Sathyabama Dental College and Hospital, Sathyabama Institute of Science and Technology (Deemed to be University), Chennai, India
| | - Shyam Sivasamy
- Department of Public Health Dentistry, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, India
| | - Preetha Elizabeth Chaly
- Department of Public Health Dentistry, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, India
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2
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Alwattban RR, Alkhudhayr LS, Al-Haj Ali SN, Farah RI. Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs. J Clin Med 2021; 10:jcm10214811. [PMID: 34768328 PMCID: PMC8584947 DOI: 10.3390/jcm10214811] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 10/14/2021] [Accepted: 10/18/2021] [Indexed: 12/21/2022] Open
Abstract
This study aimed to assess the impact of dental caries’ severity, body mass index (BMI), and sociodemographic factors on oral health-related quality of life (OHRQoL) for special health care needs (SHCN) children and the suitability of their caregivers as proxies to determine OHRQoL. This cross-sectional study recruited 107 pairs of SHCN children and their caregivers and asked them to complete a questionnaire on sociodemographic issues as well as the Arabic version of the early childhood oral health impact scale (A-ECOHIS). This was followed by a dental examination. Dental caries was measured using the dmft/DMFT index, while caries’ severity was also determined. The children’s height and weight were measured, and BMI (kg/m2) was recorded. Data were analyzed statistically using t-test, one-way ANOVA, and Poisson regression models. Our results revealed that the A-ECOHIS score was 10.93, while the OHRQoL was affected in 95.3% of children. The most-reported item was ‘pain in the teeth, mouth, or jaws’ (48.7%). By regression analysis, caries-free children (Odds Ratio (OR): 0.650) or those who had moderate caries (OR: 0.551) were less likely to have a negative impact on their OHRQoL than those with severe caries. Additionally, those whose caregivers had a maximum primary education (OR: 0.656) or whose occupation was in the health sector (OR: 0.721) were less likely to have a negative impact on their OHRQoL. Those who were ≤ 6 years old (OR: 1.188) were more likely to have a negative impact. BMI did not have a significant impact on the OHRQoL of the children. Further, we detected a significant positive correlation between children’s dmft/DMFT scores and the A-ECOHIS scores reported by the mothers. Given these variables, which included dental caries’ severity, but not BMI, and caregivers’ education level and occupation, plus the child’s age group, we found a significant impact on the OHRQoL. However, we found that mothers were better proxies for their children’s OHRQoL.
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Affiliation(s)
- Rawan Rasheed Alwattban
- Dental Intern, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia; (R.R.A.); (L.S.A.)
| | - Lama Saleh Alkhudhayr
- Dental Intern, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia; (R.R.A.); (L.S.A.)
| | - Sanaa Najeh Al-Haj Ali
- Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia
- Correspondence: or ; Tel.: +966-504-603-339; Fax: +966-016-380-1762
| | - Ra’fat Ibrahim Farah
- Department of Prosthetic Dental Sciences, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia; or
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Mulla M. Impact of Oral Diseases and Conditions on Oral Health-Related Quality of Life: A Narrative Review of Studies Conducted in the Kingdom of Saudi Arabia. Cureus 2021; 13:e18358. [PMID: 34646711 PMCID: PMC8481104 DOI: 10.7759/cureus.18358] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/23/2021] [Indexed: 11/11/2022] Open
Abstract
Oral health-related quality of life (OHRQoL) is a novel concept that has evolved over the past two decades. The World Health Organization (WHO) has also recognized it as a significant part of the Global Oral Health Program (2003). Information on OHRQoL gives better understanding about feelings and perceptions on an individual level. It also helps us to understand the impact of oral health on the lives on the patients and their family. It is now well documented that oral diseases and conditions impact people’s life. Some of the oral diseases/conditions like caries, dental fluorosis, tooth loss, periodontal disease, dental injuries, oral cancer, dental anomalies, craniofacial disorders, and many more have got negative impact on QoL. This paper identifies the various literatures published on the impact of oral diseases and conditions on OHRQoL in the population of Saudi Arabia. Although numerous researches can be found in other countries, the data on Saudi Arabian population are limited, leading to the need for carrying out more research in this area.
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Affiliation(s)
- Mushir Mulla
- Department of Oral and Dental Health, College of Applied Health Sciences, Qassim University, Ar Rass, SAU
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4
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Can dental pain be a cause of irritability in children and family distress? J Public Health (Oxf) 2020. [DOI: 10.1007/s10389-019-01025-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Yazdani R, Mohebbi SZ, Fazli M, Peighoun M. Evaluation of protective factors in caries free preschool children: a case-control study. BMC Oral Health 2020; 20:177. [PMID: 32586302 PMCID: PMC7318423 DOI: 10.1186/s12903-020-01154-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Accepted: 06/01/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Increasing the proportion of caries-free children following the WHO's global target has led to more desirable welfare and a higher level of quality of life for children. In the present study, we aimed to evaluate the factors contributing to a caries-free condition in preschool children as a basic action towards the global goals of children's oral health. METHODS This was a case-control study evaluating the protective factors contributing to dental caries free in 4-6-year-old children in Tehran/Iran in 2017. 500 preschool children and their mothers were selected from 22 randomly selected preschools and were enrolled in the study. The participants were divided into two case (caries-free) and control (with dental caries) groups. The data were collected using two data gathering tools; the child oral examination form and the mother's valid questionnaire. The latter included three domains; socio-demographic factors, behavioral oral health measures, and feeding practices and dietary habits. The criteria for caries detection were cavities in the enamel and dentine. A logistic regression model was applied to identify caries-free protective factors (P < 0.05). RESULTS Among 230 caries-free and 270 non-caries-free children who participated in the study, boys were more caries-free (P = 0.001). The protective factors against dental caries that were identified in the study were dental check-up as the cause of dental visit, being the first child in the family, the fewer sessions night feeding of the child's, family's house ownership, and parent's university education (P < 0.05). CONCLUSIONS Dental health can be achieved by considering protective factors like the regular dental check-up and socio-economic factors. Communities are invited to pay close attention to these important protective factors as far as they can increase the proportion of caries-free among preschool children especially in countries with developing oral health care systems.
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Affiliation(s)
- Reza Yazdani
- Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Simin Zahra Mohebbi
- Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Fazli
- Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Peighoun
- Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Hope B, Zaror C, Sandoval P, Garay M, Streiner DL. Cross-cultural adaptation and validation in spanish of the malocclusion impact questionnaire (MIQ). Health Qual Life Outcomes 2020; 18:146. [PMID: 32429932 PMCID: PMC7236967 DOI: 10.1186/s12955-020-01385-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Accepted: 04/29/2020] [Indexed: 11/17/2022] Open
Abstract
Background The Malocclusion Impact Questionnaire (MIQ) is a condition-specific measure that assesses the impact of malocclusion on Oral Health-Related Quality of Life (OHRQoL). The aim of this study was to cross-culturally adapt the original version of MIQ into Spanish and to assess the acceptability, reliability and validity of this version in the Chilean population. Methods The MIQ was cross-culturally adapted for the Spanish language for Chile using recommended standards for the linguistic validation of instruments. To assess its psychometric properties, a cross-sectional study was carried out with 219 children aged 10 to 16 years from public schools in Puerto Montt, Chile, who completed the Chilean versions of the MIQ (MIQCh) and the Child Perceptions Questionnaire 11–14 (CPQ11–14). The presence and severity of malocclusions was determined through the Dental Aesthetic Index by a trained dentist. The MIQ was administrated a second time two weeks later. The reliability of the scale was assessed by analysis of its internal consistency (Cronbach’s alpha) and reproducibility (Intraclass correlation coefficient – ICC). The validity of the construct was assessed by confirmatory factor analysis and known groups method. Criterion validity was assessed by calculating the Spearman correlation with the CPQ11–14. Results The content comparison of the back-translation with the original MIQ showed that all items except two were conceptually and linguistically equivalent. The cognitive debriefing showed a suitable understanding of the Chilean version. The MIQCh demonstrated good reliability, with Cronbach’s alpha coefficient of 0.85 and ICC of 0.91. A moderate correlation was found between the MIQCh and CPQ11–14 (0.58). In the known groups comparison, children who felt that their teeth bothered them and/or affected their life obtained significantly higher scores on the MIQCh. The OHRQoL was worse when the severity of the malocclusion was greater (p = 0.03). Conclusions The results support the applicability, reliability and validity of the Spanish version of MIQ for assessing OHRQoL in Chilean children with malocclusions.
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Affiliation(s)
- Bárbara Hope
- Master's Program in Dentistry, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.,Universidad San Sebastián, Facultad de Odontología, Puerto Montt, Chile
| | - Carlos Zaror
- Department of Pediatric Dentistry and Orthodontics, 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.
| | - Paulo Sandoval
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La Frontera, Manuel Montt #112, Temuco, Chile
| | - Mario Garay
- Universidad San Sebastián, Facultad de Odontología, Puerto Montt, Chile
| | - David L Streiner
- Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, ON, Canada
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Atala-Acevedo C, Zaror C, Espinoza-Espinoza G, Muñoz-Millán P, Muñoz S, Martínez-Zapata MJ, Ferrer M. Adaptation and validation of the PEDSQL™ oral health scale for toddlers in Chilean population. BMC Oral Health 2020; 20:6. [PMID: 31906940 PMCID: PMC6945426 DOI: 10.1186/s12903-019-0984-1] [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: 07/09/2019] [Accepted: 12/10/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Pediatric Quality of Life Inventory™ (PedsQL™) Oral Health Scale was developed to measure oral health-related quality of life (OHRQoL). The aim of this study was to cross-culturally adapt the parent-reported version for toddlers of PedsQL™ Oral Health Scale into Spanish and to assess the acceptability, reliability and validity of this version in Chilean preschool population. METHODS The PedsQL™ Oral Health Scale for toddlers was cross-culturally adapted for the Spanish language using the recommended standards. To assess metric properties, a cross-sectional study was carried out with 301 children aged 2 to 5 years in Carahue, Chile. Chilean versions of the PedsQL™ Oral Health Scale, PedsQL™ 4.0 Generic Core Scales, and Early Childhood Oral Health Impact Scale (ECOHIS) were completed by the children's parents. Dental caries, malocclusion and dental trauma were examined by trained dentists. The PedsQL™ Oral Health Scale was administrated a second time 14-21 days after. The reliability of the scale was verified by analysis of internal consistency (Cronbach's alpha) and reproducibility (Intraclass correlation coefficient - ICC). The validity of the construct was assessed by confirmatory factor analysis and known groups method. The convergent validity was assessed by calculating the Spearman's correlation with the ECOHIS questionnaire. RESULTS The PedsQL™ Oral Health Scale demonstrated good reliability, with Cronbach's alpha coefficient of 0.79 and ICC of 0.85. A moderate-to-strong correlation was found between the PedsQL™ Oral Health Scale and the ECOHIS questionnaire (- 0.64); the PedsQL™ Oral Health Scale score was lower in children with poor than those with excellent/very good oral health (median 100 vs 85, p < 0.001); it also was lower in children with caries than in those caries-free (median 100 vs 90, p < 0.001). No statistically significant differences were found among groups according to malocclusion and traumatic dental injuries. CONCLUSIONS The PedsQL™ Oral Health Scale for toddlers in Spanish showed to be equivalent to the original version, and its psychometric properties were satisfactory for application in a Chilean pre-school population.
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Affiliation(s)
- Claudia Atala-Acevedo
- 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
| | - 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. .,Centro de Excelencia CIGES, 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 Frontera, Temuco, Chile
| | - Patricia Muñoz-Millán
- 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
| | - Sergio Muñoz
- Centro de Excelencia CIGES, Universidad de la Frontera, Temuco, Chile.,Department of Public Health, Faculty of Medicine, Universidad de 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
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. .,Health Services Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.
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8
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He S, Wang J. Validation of the Chinese version of the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC). Int J Paediatr Dent 2020; 30:50-56. [PMID: 31520572 DOI: 10.1111/ipd.12576] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 08/31/2019] [Accepted: 09/11/2019] [Indexed: 01/20/2023]
Abstract
BACKGROUND The Caries Impacts and Experiences Questionnaire for Children (CARIES-QC) is a newly developed child-centred caries-specific quality of life measure. AIM We aimed to translate and adapt the CARIES-QC into Chinese and to validate the Chinese version of the CARIES-QC (CARIES-QC/C). DESIGN The CARIES-QC/C was first produced according to international guidelines. Then, the CARIES-QC/C was distributed to children with active dental caries to evaluate its psychometric properties. Reliability of the CARIES-QC/C was investigated by internal consistency and test-retest reliability. Cross-cultural validity and convergent validity were performed to analyse the validity of the CARIES-QC/C. Cross-cultural validity was investigated using confirmatory factor analysis (CFA). RESULTS A total of 206 children were recruited. Cronbach's alpha value of the CARIES-QC/C was .942, and the intraclass correlation coefficient (ICC) of the measure was .830. The CARIES-QC/C had an acceptable fit to the data in the one-factor model as confirmed by the CFA. The model fit parameters were chi-square/DF = 2.15, RMSEA = 0.07, GFI = 0.92, CFI = 0.98, and TLI = 0.96. For the convergent validity of the CARIES-QC/C, the measure evidenced good relationship with the global question. CONCLUSION The CARIES-QC/C displays good reliability and validity through strict performance tests. This measure may be used as an effective tool in future clinical trials.
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Affiliation(s)
- Songlin He
- College of Stomatology, Chongqing Medical University, Chongqing, China.,Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China.,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Jinhua Wang
- College of Stomatology, Chongqing Medical University, Chongqing, China.,Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China.,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
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Dolah S, Eusufzai SZ, Alam MK, Ahmad WMAW. Factors Influencing Oral Health-Related Quality of Life Among Preschool Children in District of Kota Bharu, Malaysia: A Cross-Sectional Study. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Naseri N, Baherimoghadam T, Rasooli R, Hamzeh M, Merikh F. Validity and reliability of the Persian version of the psychosocial impact of dental aesthetics questionnaire. Health Qual Life Outcomes 2019; 17:126. [PMID: 31319871 PMCID: PMC6637563 DOI: 10.1186/s12955-019-1188-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Accepted: 06/26/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The psychosocial impact of dental aesthetics questionnaire (PIDAQ) is an efficient tool for assessment of oral health-related quality of life (OHRQoL). It evaluates the effect of dental esthetics on the psychosocial status of young adults. This questionnaire has been translated to many languages so far. However, it has not yet been translated to Persian. This study aimed to assess the validity and reliability of the Persian version of PIDAQ for use among the young adults. MATERIAL AND METHOD The questionnaire was translated to Persian, back-translated to English and underwent cultural adaptation and pretesting. It was then filled out by 398 young adults (215 females and 183 males) between 18 to 30 years in Shiraz, Iran. The Persian version of PIDAQ along with the index of orthodontic treatment need-aesthetic component (IOTN-AC) and the perception of occlusion (POS) index were administered among participants to assess its discriminant validity. RESULTS Factor analysis extracted four domains and the factor loading of domains ranged from 0.479 to 0.837. The Cronbach's alpha for the Persian version of PIDAQ ranged from 0.809 to 0.886. The mean score for each of the domains and the total score for PIDAQ, classified according to IOTN-AC and POS, showed a significant difference. The mean score acquired by subjects requiring orthodontic treatment was significantly higher than the score acquired by those not requiring orthodontic treatment (P = 0.00). CONCLUSION The Persian version of PIDAQ has optimal validity, reliability and responsiveness for assessment of the psychosocial impact of malocclusion on the Iranian young adults.
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Affiliation(s)
- Navid Naseri
- Department of Orthodontic, School of Dentistry, Shiraz Branch, Islamic Azad University, Shiraz, Iran
| | - Tahereh Baherimoghadam
- Department of Orthodontic, School of Dentistry, Shiraz Branch, Islamic Azad University, Shiraz, Iran.
| | - Reza Rasooli
- Department of Orthodontic, School of Dentistry, Shahed University of Medical Sciences, Tehran, Iran
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Paixão-Gonçalves S, Corrêa-Faria P, Ferreira FM, Ramos-Jorge ML, Paiva SM, Pordeus IA. Risk of Dental Caries in Primary Teeth with Developmental Defects of Enamel: A Longitudinal Study with a Multilevel Approach. Caries Res 2019; 53:667-674. [PMID: 31291628 DOI: 10.1159/000501029] [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: 01/25/2019] [Accepted: 05/19/2019] [Indexed: 02/01/2023] Open
Abstract
The risk of dental caries seems to be greater in the presence of developmental defects of enamel (DDE). The aim was to determine whether the presence of DDE in the primary teeth of preschool children increases the risk of dental caries in the primary dentition after a period of approximately 2 years. This study was conducted in two stages: baseline (T0) and follow-up (T1). At T0, examinations were conducted for the diagnosis of enamel defects using the DDE index (FDI, 1992), dental caries, and oral hygiene. The participants were allocated to two groups according to the presence (affected) or absence (unaffected) of DDE. At the second evaluation (T1), examinations were performed for the diagnosis of dental caries. Poisson regression analysis with a multilevel approach was used to determine the association between DDE and dental caries. The two levels of the analysis were tooth and child. Among the 339 children (113 affected and 226 unaffected) examined at baseline (T0), 325 were re-examined at follow-up (T1). According to the multilevel analysis, teeth with enamel hypoplasia had a greater risk of having dental caries (RR: 1.99; 95% CI: 1.19-3.33). The risk of caries was greater on posterior teeth (RR: 2.59; 95% CI: 2.18-3.07) and maxillary teeth (RR: 1.48; 95% CI: 1.26-1.75) that had DDE at T0. On the child level, dental caries at T1 was associated with having dental caries at T0 (RR: 1.38; 95% CI: 1.32-1.46). In conclusion, enamel hypoplasia and previous dental caries are risk factors for carious lesions in the primary dentition.
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Affiliation(s)
| | - Patrícia Corrêa-Faria
- Postgraduate Program in Dentistry, School of Dentistry, Universidade Federal de Goiás, Goiânia, Brazil
| | - Fernanda Morais Ferreira
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Maria Letícia Ramos-Jorge
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Belo Horizonte, Brazil
| | - Saul Martins Paiva
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Isabela Almeida Pordeus
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Butten K, Johnson NW, Hall KK, Toombs M, King N, O’Grady KAF. Impact of oral health on Australian urban Aboriginal and Torres Strait Islander families: a qualitative study. Int J Equity Health 2019; 18:34. [PMID: 30777079 PMCID: PMC6378750 DOI: 10.1186/s12939-019-0937-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Accepted: 02/11/2019] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND The oral health of a child not only impacts the physical well-being of the child, but can have quality of life implications for parents and families as they endeavour to provide care and support their child's oral health needs. Within Australia, Aboriginal and Torres Strait Islander children are thought to experience a disproportionate burden of poor oral heath compared to non-Indigenous children. Despite the prevalence of oral health challenges, there are limited qualitative studies investigating the oral health experiences of families. The objective of the study was to explore 'from the perspective of urban, Aboriginal and Torres Strait Islander parents and carers' the impact child oral health has on families. METHODS Yarning circles and face-to-face interviews were used to document the experiences of (N = 20) parents of urban, Aboriginal and Torres Strait Islander children. Participants were recruited from an Aboriginal-owned and operated primary health clinic in northern Brisbane, Australia and through word of mouth. Information collected was transcribed and analysed thematically. Codes and themes were confirmed by the researcher and two participants. RESULTS The findings indicate that oral health is an important issue for urban Indigenous families and maintaining oral health to a desired standard is having emotional, physical and financial impacts. Themes identified were financial concerns, worry about the future and juggling multiple priorities, all of which were inter-related and cyclical. CONCLUSIONS Families in this study have demonstrated that with the current policy arrangements, oral health is impacting their quality of life, contributing to stress, financial challenges and at times affecting their physical health. To address these challenges, oral health education and promotion needs a multidisciplinary approach that reaches families before children are school-aged.
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Affiliation(s)
- Kaley Butten
- Queensland University of Technology, Institute of Health & Biomedical Innovation, Centre for Children’s Health Research, 62 Graham Street, South Brisbane, Qld, 4101 Australia
| | - Newell W. Johnson
- Menzies Health Institute Queensland and School of Dentistry and Oral Health, Gold Coast Campus, Griffith University, Gold Coast, Qld, 4222 Australia
- Dental Institute, King’s College London, London, UK
| | - Kerry K. Hall
- Griffith University, 170 Kessels Road, Nathan Campus, Qld, 4111 Australia
| | - Maree Toombs
- Rural Clinical School, The University of Queensland, 152 West St, South Toowoomba, Qld, Toowoomba, 4350 Australia
| | - Neil King
- Faculty of Health, Queensland University of Technology, Queensland, Victoria Park Road Kelvin Grove, Qld 4509 Australia
| | - Kerry-Ann F. O’Grady
- Queensland University of Technology, Institute of Health & Biomedical Innovation, Centre for Children’s Health Research, 62 Graham Street, South Brisbane, Qld, 4101 Australia
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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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14
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Shirzad A, Bijani A, Mehryari M, Motallebnejad M, Mohsenitavakoli S. Validity and reliability of the persian version of the chronic oral mucosal diseases questionnaire. CASPIAN JOURNAL OF INTERNAL MEDICINE 2018; 9:127-133. [PMID: 29732029 PMCID: PMC5912219 DOI: 10.22088/cjim.9.2.127] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background: Chronic oral mucosal disease questionnaire (COMDQ) is used to evaluate the quality of life in patients with chronic conditions of the oral mucosa. The aim of the present study was to evaluate the validity and reliability of the Persian version of this questionnaire. Methods: A total of 135 subjects were selected in two groups; group 1 consisted of 95 patients with chronic oral mucosal conditions, including recurrent aphthous stomatitis, oral lichen planus and pemphigus and mucous membrane pemphigoid and group 2 consisted of 40 patients with other oral diseases. The subjects completed the demographic data sheets and COMDQ and then underwent examinations to determine disease severity. After 14 days, the questionnaire was completed again by the group 1subjects only. Results: Cronbach’s α coefficient for COMDQ was estimated at 0.969 and the interclass correlation coefficient was estimated at 0.997. There was a significant relationship between the mean COMDQ scores and disease and pain severity. There was a clear correlation between the patients’ self-report about their general health and mean COMDQ scores and also between their opinions about their oral health and the mean COMDQ scores. Conclusions: The Persian version of COMDQ exhibited proper levels of reliability and validity. It is suggested that this questionnaire be used for the evaluation of the effect of treatment on the oral health-related quality of life (OHQoL).
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Affiliation(s)
- Atena Shirzad
- Department of Oral Medicine, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
| | - Ali Bijani
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Mahsa Mehryari
- Department of Oral Medicine, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
| | - Mina Motallebnejad
- Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Saman Mohsenitavakoli
- Department of Oral Medicine, School of Dentistry, Babol University of Medical Sciences, Babol, Iran
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15
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Administrative Challenges to the Integration of Oral Health With Primary Care: A SWOT Analysis of Health Care Executives at Federally Qualified Health Centers. J Ambul Care Manage 2018; 40:204-213. [PMID: 27218701 PMCID: PMC5585172 DOI: 10.1097/jac.0000000000000151] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Supplemental Digital Content is Available in the Text. Inadequate access to preventive oral health services contributes to oral health disparities and is a major public health concern in the United States. Federally Qualified Health Centers play a critical role in improving access to care for populations affected by oral health disparities but face a number of administrative challenges associated with implementation of oral health integration models. We conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis with health care executives to identify strengths, weaknesses, opportunities, and threats of successful oral health integration in Federally Qualified Health Centers. Four themes were identified: (1) culture of health care organizations; (2) operations and administration; (3) finance; and (4) workforce.
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Yazıcıoğlu İ, Jones J, Doğan C, Rich S, Garcia RI. Validity and reliability of a Turkish pediatric oral health-related quality of life measure. Eur Oral Res 2018; 52:27-35. [PMID: 30574596 PMCID: PMC6300126 DOI: 10.26650/eor.2018.53923] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Revised: 06/11/2017] [Accepted: 08/16/2017] [Indexed: 11/23/2022] Open
Abstract
Purpose This study aimed to develop Turkish measures for Pediatric Oral Health-related Quality of Life (POQL) and evaluate their reliability and validity for use in Turkish children aged 8–14 years (Child Self-Report measure; CSR) and their caregivers (Parent Report-on-Child measure; PRC). Materials and methods The English POQL was translated into Turkish, adapted for the Turkish culture, and tested in 149 children and their caregivers attending the Çukurova University Pediatric Dentistry clinics to assess the reliability, internal consistency, and discriminant and convergent validity of the Turkish version. Results The internal consistency of the Turkish POQL evaluated using Cronbach’s alpha was 0.905 for CSR and 0.887 for PRC. To determine the test–retest reliability, the Turkish POQL was administered to a sub-sample (n=16) a second time 2 weeks after the first survey administration. Intraclass correlation coefficient values of the individual items were 0.895 for CSR and 0.992 for PRC. For total scores, there was a significant difference based on clinical caries status and perceived oral health in both CSR and PRC. Conclusion The Turkish POQL is a valid and reliable measure of the perceived impact of oral conditions on children’s lives.
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Affiliation(s)
- İffet Yazıcıoğlu
- Department of Pediatric Dentistry, Çukurova University, Faculty of Dentistry, Adana, Turkey
| | - Judith Jones
- Department of General Dentistry, Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA, USA
| | - Cem Doğan
- Department of Pediatric Dentistry, Çukurova University, Faculty of Dentistry, Adana, Turkey
| | - Sharon Rich
- Department of Health Policy and Health Services Research, Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA, USA
| | - Raul I Garcia
- Department of Health Policy and Health Services Research, Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA, USA
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17
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Sischo L, Wilson-Genderson M, Broder HL. Quality-of-Life in Children with Orofacial Clefts and Caregiver Well-being. J Dent Res 2017; 96:1474-1481. [PMID: 28813183 DOI: 10.1177/0022034517725707] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Quality of life is a valid patient-reported parameter that provides an assessment of treatment need or outcomes complementary to standard clinical measures. Such patient-reported assessments are particularly salient when examining chronic conditions with prolonged treatment trajectories, such as cleft lip and palate. This critical review identifies key questions related to ongoing research on the oral health-related quality of life (OHRQoL) in children with cleft and caregiver well-being. Details of the design and results from 2 longitudinal multicenter studies are presented. This article also provides an update on recent published reports regarding OHRQoL in individuals with cleft. Methodological issues in OHRQoL research are discussed, including condition-specific versus generic instruments, incorporating positive items in OHRQoL instruments, calculating minimally important differences in OHRQoL, implementing mixed methods design, and utilizing validated short assessment forms in OHRQoL research. Finally, new directions for research in cleft as a chronic condition are identified and discussed.
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Affiliation(s)
- L Sischo
- 1 NYU College of Dentistry, New York, NY, USA
| | | | - H L Broder
- 1 NYU College of Dentistry, New York, NY, USA
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18
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Wang X, Wei Z, Li Q, Mei L. A longitudinal study of early childhood caries incidence in Wenzhou preschool children. BMC Oral Health 2017; 17:105. [PMID: 28676047 PMCID: PMC5496385 DOI: 10.1186/s12903-017-0394-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Accepted: 06/19/2017] [Indexed: 12/03/2022] Open
Abstract
Background Early childhood caries (ECC) is a serious public health problem in China. Few studies, however, have described the incidence of ECC in China. The purpose of this study was to assess the prevalence and incidence of ECC among preschool children in Wenzhou China. Methods Preschool children aged 3–4 years old were surveyed and followed up when they reached 5–6 years of age in the city of Wenzhou in southeast China. The rates of dental caries were determined with prevalence, and incidence density for risk of caries of a person (IDp) and of a tooth surface (IDs). Results The prevalence and decayed, missing, and filled primary teeth (dmft) score of 3–4, 4–5, and 5-6 years old children were 59.8% and 2.9, 71.8% and 4.2, and 76.4% and 4.6, respectively. The IDp was 29.7 and 14.8 persons/100 person-year during the first and second year. The IDs was 5.9 and 2.7 newly affected surfaces/100 surface-year, respectively. The percentage of molars with caries experience increased obviously; the percentage of maxillary central incisors and mandibular incisors with caries experience increased during the first follow-up, whereas it declined during the second follow-up; the others increased gradually. Conclusions The prevalence and incidence of dental caries in Wenzhou preschool children were very high with most of the carious teeth left untreated. The molars were the most affected teeth during the observation period.
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Affiliation(s)
- Xiping Wang
- Department of Preventive and Pediatric Dentistry, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Zhiyuan Wei
- Department of Preventive and Pediatric Dentistry, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Qiao Li
- Department of Preventive and Pediatric Dentistry, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Liqin Mei
- Department of Preventive and Pediatric Dentistry, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China.
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19
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Fernandes IB, Sá-Pinto AC, Silva Marques L, Ramos-Jorge J, Ramos-Jorge ML. Maternal identification of dental caries lesions in their children aged 1–3 years. Eur Arch Paediatr Dent 2017; 18:197-202. [PMID: 28374326 DOI: 10.1007/s40368-017-0286-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Accepted: 03/02/2017] [Indexed: 10/19/2022]
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20
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Kabil NS, Eltawil S. Prioritizing the Risk Factors of Severe Early Childhood Caries. Dent J (Basel) 2017; 5:E4. [PMID: 29563410 PMCID: PMC5806985 DOI: 10.3390/dj5010004] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2016] [Revised: 12/15/2016] [Accepted: 12/20/2016] [Indexed: 11/21/2022] Open
Abstract
Severe early childhood caries remains the most common chronic disease affecting children. The multifactorial etiology of caries has established a controversy about which risk factors were more significant to its development. Therefore, our study aimed through meticulous statistical analysis to arrange the "well agreed upon" common risk factors in order of significance, to aid the clinician in tailoring an adequate preventive program. The study prioritized or reshuffled the risk factors contributing to severe early childhood caries and placed them in the order of their significance as follows: snacking of sugary food several times a day, increased number of siblings to three or more, night feeding, child self-employed brushing, mother's caries experience, two siblings, on demand feeding, once/day sugary food, sharing utensils, one sibling, male gender, father's education, late first dental visit, brushing time, mother's education, no dental visit, decreased brushing frequency, and no night brushing.
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Affiliation(s)
- Noha Samir Kabil
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Ain Shams University, Cairo 11566, Egypt.
| | - Sherif Eltawil
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Oral & Dental Medicine, Cairo University, Giza 12613, Egypt.
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21
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FERREIRA MC, RAMOS-JORGE ML, MARQUES LS, FERREIRA FDO. Dental caries and quality of life of preschool children: discriminant validity of the ECOHIS. Braz Oral Res 2017; 31:e24. [DOI: 10.1590/1807-3107bor-2017.vol31.0024] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Accepted: 03/03/2017] [Indexed: 11/21/2022] Open
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22
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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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Okumus O, Kalkan S, Keser G, Pekiner FN. Awareness assessment in Turkish subpopulation with chronic oral mucosal diseases. Eur J Dent 2016; 9:564-572. [PMID: 26929697 PMCID: PMC4745240 DOI: 10.4103/1305-7456.172633] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Objectives: The aim of this study was to evaluate the awareness of group Turkish patients with chronic oral mucosal diseases by chronic oral mucosal diseases questionnaires (COMDQ). Materials and Methods: Eighty patients with chronic oral mucosal diseases were participated in the study. A detailed medical history of each patient was taken, and all the COMDQ questions, which were translated from English version, were filled out. The data were analyzed with the IBM Statistical Package for Social Sciences Statistics 22.0. Results: The mean ages of patients were 48.91 ± 13.36 years. Of the total 80 cases of chronic oral mucosal diseases identified 52 (65%) were female and 28 (35%) male. The standardized mean scores for COMDQ were 1.72 ± 1.11 for “pain and functional limitation,” 1.09 ± 0.94 for “medication and treatment,” 2.31 ± 1.06 for “social and emotional,” and 2.27 ± 0.83 for “patient support,” respectively. Conclusions: The results of this study indicate that the Turkish version of the COMDQ has the profitable psychometric peculiarity and comfortable to patients with chronic oral mucosal diseases in Turkey.
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Affiliation(s)
- Ozlem Okumus
- Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
| | - Sevda Kalkan
- Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
| | - Gaye Keser
- Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
| | - Filiz Namdar Pekiner
- Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
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CORRÊA-FARIA P, PAIXÃO-GONÇALVES S, PAIVA SM, PORDEUS IA. Incidence of dental caries in primary dentition and risk factors: a longitudinal study. Braz Oral Res 2016; 30:S1806-83242016000100254. [DOI: 10.1590/1807-3107bor-2016.vol30.0059] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2015] [Accepted: 01/20/2016] [Indexed: 11/22/2022] Open
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Caregiver reported oral health-related quality of life in young American Indian children. J Immigr Minor Health 2015; 16:951-8. [PMID: 23857123 DOI: 10.1007/s10903-013-9870-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
American Indian/Alaska Native (AI/AN) children experience high rates of dental decay, yet their pediatric oral health-related quality of life (POQL) has not been described. We measured POQL in AI children and compared it in children with reported excellent/very good/good versus fair/poor oral health status (OHS) and assessed association of OHS, child's age, dental service utilization, and dental insurance on POQL scores. Caregivers of 143 AI (100 %), young (mean age 25.1 months) children reported their POQL score as 4.2 (scale 0-100, lower score indicates better POQL); OHS as excellent (35 %), very good (27 %), good (21 %), fair (14 %), and poor (3 %); and utilization of urgent dental services (12 %). Worse POQL was associated with worse OHS (p = 0.01). After adjustment, worse POQL was associated with increased reported use of urgent dental services (p = 0.004). POQL of young AI children was generally favorable but worsened with increased utilization of urgent dental services.
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26
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Gomes MC, Clementino MA, Pinto-Sarmento TCDA, Costa EMMDB, Martins CC, Granville-Garcia AF, Paiva SM. Parental Perceptions of Oral Health Status in Preschool Children and Associated Factors. Braz Dent J 2015; 26:428-34. [DOI: 10.1590/0103-6440201300245] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2014] [Accepted: 04/26/2015] [Indexed: 11/22/2022] Open
Abstract
<p>The aim of the present study was to evaluate parental perceptions of oral health status in preschool children. A cross-sectional study was carried with 843 Brazilian children between 3 and 5 years of age. Parents/guardians answered a self-administered questionnaire on the health of their children and sociodemographic data. Parental perceptions of their child's oral health were determined by the responses to the following question: "How would you describe your child's oral health?" The Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) was answered by parents/guardians and used to measure the impact of oral health-related quality of life (OHRQoL) on preschool children and their families. Three examiners performed oral exams on the children (K= 0.85-0.90). Descriptive analytical statistics were carried out, followed by logistic regression for complex samples (α=5%). The following variables were significantly associated with parental perceptions of children's oral health: parental perception of general health as poor (OR=18.25; 95% CI: 3.36-98.96), negative impact on family's OHRQoL (OR=13.82; 95% CI: 4.27-44.72), child aged five years (OR=7.40; 95% CI: 1.49-36.63) and the interaction between history of toothache and dental caries (OR=10.02; 95% CI: 1.17-85.61). Thus, parental perceptions of oral health are influenced only by clinical conditions with symptoms, such as dental caries with toothache. Other oral conditions, such as malocclusion or traumatic dental injury, were not associated with parental perceptions of their child's oral health.</p>
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Ghazal T, Levy SM, Childers NK, Broffitt B, Cutter GR, Wiener HW, Kempf MC, Warren J, Cavanaugh JE. Factors associated with early childhood caries incidence among high caries-risk children. Community Dent Oral Epidemiol 2015; 43:366-74. [PMID: 25777317 PMCID: PMC4911172 DOI: 10.1111/cdoe.12161] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2014] [Accepted: 02/09/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To assess the relationships between different behavioral factors and Early Childhood Caries (ECC) in African-American pre-school children. METHODS Ninety-six African-American children aged 3-22 months old at baseline were recruited from a high caries risk, non-fluoridated African-American community in Uniontown, Alabama. The children had dental examinations annually following World Health Organization (WHO) criteria at mean ages 1.1, 2.0, 3.1 and 4.0 years. All children received fluoride varnish application at each study visit. Parents provided oral hygiene and dietary information semiannually by completing questionnaires. Area-under-the-curve (AUC) with the trapezoidal rule was used to summarize longitudinal exposure data. Bivariate and multivariable relationships between ECC incidence and behavioral risk factors were assessed using logistic regression and negative binomial modeling for dichotomous and count dependent variables, respectively, with the independent variables defined at age 1, age 3 and as the AUC. RESULTS Greater frequency of toothbrushing and greater AUC composite of daily frequency of consumption of 100% juices were associated with lower incidence of dental caries (P-values = 0.01 and 0.049, ORs = 0.34 and 0.37, respectively). Greater AUC of daily frequency of consumption of sweetened foods and history of a previous visit to a dentist by age 3 were associated with greater incidence of ECC (ORs = 9.22 and 4.57, P-values = 0.002 and 0.03, respectively). CONCLUSION For these children living in a non-fluoridated community, more frequent consumption of sweetened food, less frequent consumption of 100% juice, less frequent toothbrushing, and reporting a previous visit to a dentist were significantly associated with greater ECC incidence.
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Affiliation(s)
- Tariq Ghazal
- Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA, USA
| | - Steven M Levy
- Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA, USA
- Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA
| | - Noel K Childers
- Department of Pediatric Dentistry, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Barbara Broffitt
- Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA, USA
| | - Gary R Cutter
- Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Howard W Wiener
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Mirjam C Kempf
- School of Nursing and Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
| | - John Warren
- Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA, USA
| | - Joseph E Cavanaugh
- Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USA
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Clementino MA, Gomes MC, Pinto-Sarmento TCDA, Martins CC, Granville-Garcia AF, Paiva SM. Perceived Impact of Dental Pain on the Quality of Life of Preschool Children and Their Families. PLoS One 2015; 10:e0130602. [PMID: 26090927 PMCID: PMC4474672 DOI: 10.1371/journal.pone.0130602] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2014] [Accepted: 05/21/2015] [Indexed: 11/19/2022] Open
Abstract
The aim of the present study was to evaluate the perceived impact of dental caries and dental pain on oral health-related quality of life (OHRQoL) among preschool children and their families. A cross-sectional study was conduct with 843 preschool children in Campina Grande, Brazil. Parents/caregivers answered a questionnaire on socio-demographic information, their child's general/oral health and history of dental pain. The Brazilian version of the Early Childhood Oral Health Impact Scale was administered to determine the perceived impact of caries and dental pain on OHRQoL. The children underwent an oral examination. Logistic regression for complex sample was used to determine associations between the dependent and independent variables (OR: Odds ratio, α = 5%). The independents variables that had a p-value <0.20 in the bivariate analysis were selected for the multivariate model. The prevalence of dental caries and dental pain was 66.3% and 9.4%, respectively. Order of birth of the child, being the middle child (OR: 10.107, 95%CI: 2.008-50.869) and youngest child (OR: 3.276, 95%CI: 1.048-10.284) and dental pain (OR: 84.477, 95%CI: 33.076-215.759) were significant predictors of the perceived impact on OHRQOL for children. Poor perception of oral health was significant predictor of the perceived impact on OHRQOL for family (OR=7.397, 95%CI: 2.190-24.987). Dental caries was not associated with a perceived impact on the ORHQoL of either the children or their families. However, order of child birth and dental pain were indicators of impact of OHRQoL on preschool children and poor perception of oral health was indicators of impact on families.
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Affiliation(s)
| | | | | | - Carolina Castro Martins
- Department of Pediatric Dentistry and Orthodontics, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | | | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Paula JS, Meneghim MC, Pereira AC, Mialhe FL. Oral health, socio-economic and home environmental factors associated with general and oral-health related quality of life and convergent validity of two instruments. BMC Oral Health 2015; 15:26. [PMID: 25888507 PMCID: PMC4344795 DOI: 10.1186/s12903-015-0009-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Accepted: 02/12/2015] [Indexed: 11/23/2022] Open
Abstract
Background The objective of this study was to evaluate the convergent validity between the domains of the Autoquestionnaire Qualité de Vie Enfant image (AUQUEI) and the Child Perceptions Questionnaire instrument (CPQ11–14) among schoolchildren and to assess the difference between socio-economic and clinical variables associated with their scores. Methods An analytical cross-sectional study was conducted in Juiz de Fora, Minas Gerais, Brazil, with 515 schoolchildren aged 12 years from 22 public and private schools, selected with the use of a random multistage sampling design. They were clinically examined for dental caries experience (DMFT and dmft index) and orthodontic treatments needs (DAI index) and were asked to complete the Brazilian versions of Child Perception Questionnaire (CPQ11–14) and Autoquestionnaire Qualité de Vie Enfant image (AUQUEI). In addition, a questionnaire was sent to their parents inquiring about their socio-economic status and home characteristics. The convergent validity of the Brazilian versions of CPQ11–14 and AUQUEI instruments was analyzed by Spearman’s correlation coefficients. For comparison between the summarized scores of each questionnaire with regard to the schoolchildren’s socio-environmental and clinical aspects the nonparametric Mann–Whitney was used at level of significance of 5%. Results The mean DMFT index was 1.09 and 125 (24.3%) children had orthodontic treatment needs (DAI ≥ 31). There was a similarity and a weak correlation between the scores of the domains of CPQ11–14 and AUQUEI (r ranged between −0.006 and 0.0296). In addition, a significant difference was found between the scores of the two instruments according to the socio-economic variables (p < 0.05) and presence of teeth with carious lesions (p < 0.05). Conclusions The general and oral health-related quality of life instruments AUQUEI and CPQ11–14 were both found to be useful, and significant influence of socio-economic and clinical variables were detected with both instruments.
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Affiliation(s)
- Janice S Paula
- Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
| | - Marcelo C Meneghim
- Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
| | - Antônio C Pereira
- Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
| | - Fábio L Mialhe
- Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
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Braun PA, Lind KE, Henderson WG, Brega AG, Quissell DO, Albino J. Validation of a pediatric oral health-related quality of life scale in Navajo children. Qual Life Res 2015; 24:231-9. [PMID: 25005885 PMCID: PMC4282938 DOI: 10.1007/s11136-014-0751-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2014] [Indexed: 11/25/2022]
Abstract
BACKGROUND American Indian (AI) children experience the highest rates of early childhood caries (ECC) in the USA, yet no tool has been validated to measure the impact of ECC on their oral health-related quality of life (OHRQoL). OBJECTIVE To validate a pediatric OHRQoL scale in a preschool, rural, reservation-based AI population. METHODS In 2011 and 2012, we measured the OHRQoL of AI children attending Head Start in Navajo Nation with the 12-item preschool version of the pediatric oral health-related quality of life (POQL) scale administered to their parents/caregivers. Parents/caregivers also reported their children's subjective oral health status (OHS) and oral health behavior adherence. Concurrently, calibrated dental examiners measured the children's decayed, missing, and filled tooth surfaces (dmfs). Validation was assessed with internal reliability and convergent and divergent validity testing and exploratory factor analyses. RESULTS We measured the outcomes in 928 caregiver-child dyads. All children were AI and in preschool [mean (SD) child age was 4.1 (0.5) years]. The majority of children had experienced decay [dmfs: 89 %, mean (SD): 21.5 (19.9)] and active decay [any ds: 70 %, mean (SD): 6.0 (8.3)]. The mean (SD) overall POQL score was 4.0 (9.0). The POQL scale demonstrated high internal consistency reliability (Cronbach alpha = 0.87). Convergent validity of the POQL scale was established with highly significant associations between POQL and caries experience, OHS, and adherence to oral health behaviors (all ps < 0.0001). CONCLUSIONS The POQL scale is a reliable and valid measure of OHRQoL in preschoolers from the Navajo Nation.
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Affiliation(s)
- Patricia A Braun
- Children's Outcomes Research, Colorado Health Outcomes Programs, University of Colorado Anschutz Medical Campus, 13199 E. Montview Blvd. Suite 300 F443, Aurora, CO, 80045, USA,
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Gomes MC, Clementino MA, Pinto-Sarmento TCDA, Martins CC, Granville-Garcia AF, Paiva SM. Association between parental guilt and oral health problems in preschool children: a hierarchical approach. BMC Public Health 2014; 14:854. [PMID: 25128429 PMCID: PMC4150983 DOI: 10.1186/1471-2458-14-854] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2014] [Accepted: 08/08/2014] [Indexed: 11/30/2022] Open
Abstract
Background Dental caries and traumatic dental injury (TDI) can play an important role in the emergence of parental guilt, since parents feel responsible for their child’s health. The aim of the present study was to evaluate the influence of oral health problems among preschool children on parental guilt. Methods A preschool-based, cross-sectional study was carried out with 832 preschool children between three and five years of age in the city of Campina Grande, Brazil. Parents/caregivers answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). The item "parental guilt" was the dependent variable. Questionnaires addressing socio-demographic variables (child’s sex, child’s age, parent’s/caregiver’s age, mother’s schooling, type of preschool and household income), history of toothache and health perceptions (general and oral) were also administered. Clinical exams for dental caries and TDI were performed by three dentists who had undergone a training and calibration exercise (Kappa: 0.85-0.90). Poisson hierarchical regression was used to determine the significance of associations between parental guilt and oral health problems (α = 5%). The multivariate model was carried out on three levels using a hierarchical approach from distal to proximal determinants: 1) socio-demographic aspects; 2) health perceptions; and 3) oral health problems. Results The frequency of parental guilt was 22.8%. The following variables were significantly associated with parental guilt: parental perception of child’s oral health as poor (PR = 2.010; 95% CI: 1.502-2.688), history of toothache (PR = 2.344; 95% CI: 1.755-3.130), cavitated lesions (PR = 2.002; 95% CI: 1.388-2.887), avulsion/luxation (PR = 2.029; 95% CI: 1.141-3.610) and tooth discoloration (PR = 1.540; 95% CI: 1.169-2.028). Conclusion Based on the present findings, parental guilt increases with the occurrence of oral health problems that require treatment, such as dental caries and TDI of greater severity. Parental perceptions of poor oral health in their children and history of toothache were predictors of greater feelings of parental guilt.
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Affiliation(s)
| | | | | | | | - Ana Flávia Granville-Garcia
- Postgraduate Program in Dentistry, State University of Paraiba (UEPB), 1325/410 Capitão João Alves de Lira, 58428-800 Campina Grande, PB, Brazil.
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Gomes MC, Pinto-Sarmento TCDA, Costa EMMDB, Martins CC, Granville-Garcia AF, Paiva SM. Impact of oral health conditions on the quality of life of preschool children and their families: a cross-sectional study. Health Qual Life Outcomes 2014; 12:55. [PMID: 24745700 PMCID: PMC4002905 DOI: 10.1186/1477-7525-12-55] [Citation(s) in RCA: 105] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2014] [Accepted: 04/15/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Dental caries, traumatic dental injury (TDI) and malocclusion are common oral health conditions among preschool children and can have both physical and psychosocial consequences. Thus, it is important to measure the impact these on the oral health-related quality of life (OHRQoL) of children. The aim of the present study was to assess the impact of oral health conditions on the OHRQoL of preschool children and their families. METHODS A preschool-based, cross-sectional study was carried out with 843 preschool children in the city of Campina Grande, Brazil. Parents/caregivers answered the Brazilian Early Childhood Oral Health Impact Scale and a questionnaire addressing socio-demographic data as well as the parent's/caregiver's perceptions regarding their child's health. Clinical exams were performed by three researchers who had undergone a calibration process for the diagnosis of dental caries, TDI and malocclusion (K = 0.83-0.85). Hierarchical Poisson regression was employed to determine the strength of associations between oral health conditions and OHRQoL (α = 5%). The multivariate model was run on three levels obeying a hierarchical approach from distal to proximal determinants: 1) socio-demographic data; 2) perceptions of health; and 3) oral health conditions. RESULTS The prevalence of impact from oral health conditions on OHRQoL was 32.1% among the children and 26.2% among the families. The following variables were significantly associated with a impact on OHRQoL among the children: birth order of child (PR = 1.430; 95% CI: 1.045-1.958), parent's/caregiver's perception of child's oral health as poor (PR = 1.732; 95% CI: 1.399-2.145), cavitated lesions (PR = 2.596; 95% CI: 1.982-3.400) and TDI (PR = 1.413; 95% CI: 1.161-1.718). The following variables were significantly associated with a impact on OHRQoL among the families: parent's/caregiver's perception of child's oral health as poor (PR = 2.116; 95% CI: 1.624-2.757), cavitated lesions (PR = 2.809; 95% CI: 2.009-3.926) and type of TDI (PR = 2.448; 95% CI: 1.288-4.653). CONCLUSION Cavitated lesions and TDI exerted a impact on OHRQoL of the preschool children and their families. Parents'/caregivers' perception of their child's oral health as poor and the birth order of the child were predictors of a greater impact on OHRQoL.
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Affiliation(s)
| | | | | | | | - Ana Flávia Granville-Garcia
- Postgraduate Program in Dentistry, State University of Paraiba (UEPB), 1325/410 Capitão João Alves de Lira, 58428-800 Campina Grande, PB, Brazil.
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Corrêa-Faria P, Martins-Júnior PA, Vieira-Andrade RG, Marques LS, Ramos-Jorge ML. Factors associated with the development of early childhood caries among Brazilian preschoolers. Braz Oral Res 2014; 27:356-62. [PMID: 23780495 DOI: 10.1590/s1806-83242013005000021] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2013] [Accepted: 04/29/2013] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to assess the prevalence of early childhood caries (ECC) in children and investigate the influence of sociodemographic variables, quality of oral hygiene and child-related aspects. A cross-sectional study was carried out with 593 children aged three to five years. Data were collected through clinical examinations and interviews with parents. Interviews with parents of the children were conducted to acquire information on sociodemographic aspects, breastfeeding, bottle feeding and harmful oral habits. Statistical analysis involved the chi-square test and the Poisson regression. The prevalence of ECC was 53.6%. The occurrence of ECC was greater among children with unsatisfactory oral hygiene (PR: 2.95; 95% CI: 2.42-3.60) and those from a family with a lower monthly household income (PR: 1.62; 95% CI: 1.24-2.10). In conclusion, unsatisfactory oral hygiene and monthly income exerted an influence on the occurrence of ECC among preschoolers.
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Affiliation(s)
- Patrícia Corrêa-Faria
- Univ Federal dos Vales do Jequitinhonha e Mucuri, Faculty of Dentistry, Department of Pediatric Dentistry, Diamantina, MG, Brazil.
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Milgrom P, Riedy CA, Weinstein P, Mancl LA, Garson G, Huebner CE, Smolen D, Sutherland M. Design of a community-based intergenerational oral health study: "Baby Smiles". BMC Oral Health 2013; 13:38. [PMID: 23914908 PMCID: PMC3751087 DOI: 10.1186/1472-6831-13-38] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Accepted: 08/02/2013] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Rural, low-income pregnant women and their children are at high risk for poor oral health and have low utilization rates of dental care. The Baby Smiles study was designed to increase low-income pregnant women's utilization of dental care, increase young children's dental care utilization, and improve home oral health care practices. METHODS/DESIGN Baby Smiles was a five-year, four-site randomized intervention trial with a 2 × 2 factorial design. Four hundred participants were randomly assigned to one of four treatment arms in which they received either brief Motivational Interviewing (MI) or health education (HE) delivered during pregnancy and after the baby was born. In the prenatal study phase, the interventions were designed to encourage dental utilization during pregnancy. After childbirth, the focus was to utilize dental care for the infant by age one. The two primary outcome measures were dental utilization during pregnancy or up to two months postpartum for the mother, and preventive dental utilization by 18 months of age for the child. Medicaid claims data will be used to assess the primary outcomes. Questionnaires were administered at enrollment and 3, 9 and 18 months postpartum (study end) to assess mediating and moderating factors. DISCUSSION This trial can help define the most effective way to provide one-on-one counseling to pregnant women and new mothers regarding visits to the dentist during pregnancy and after the child is born. It supports previous work demonstrating the potential of reducing mother-to-child transmission of Streptococcus mutans and the initiation of dental caries prevention in early childhood. TRIAL REGISTRATION ClinicalTrials.gov Identifier NCT01120041.
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Affiliation(s)
- Peter Milgrom
- Northwest Center to Reduce Oral Health Disparities, Department of Oral Health Sciences, University of Washington, Box 357475, 98195-7475 Seattle, WA, USA
| | - Christine A Riedy
- Northwest Center to Reduce Oral Health Disparities, Department of Oral Health Sciences, University of Washington, Box 357475, 98195-7475 Seattle, WA, USA
| | - Philip Weinstein
- Northwest Center to Reduce Oral Health Disparities, Department of Oral Health Sciences, University of Washington, Box 357475, 98195-7475 Seattle, WA, USA
| | - Lloyd A Mancl
- Northwest Center to Reduce Oral Health Disparities, Department of Oral Health Sciences, University of Washington, Box 357475, 98195-7475 Seattle, WA, USA
| | - Gayle Garson
- Northwest Center to Reduce Oral Health Disparities, Department of Oral Health Sciences, University of Washington, Box 357475, 98195-7475 Seattle, WA, USA
| | - Colleen E Huebner
- Northwest Center to Reduce Oral Health Disparities, Department of Health Services, University of Washington, Box 357230, 98195-7230 Seattle, WA, USA
| | - Darlene Smolen
- Northwest Center to Reduce Oral Health Disparities, Department of Oral Health Sciences, University of Washington, Box 357475, 98195-7475 Seattle, WA, USA
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Broder HL, Norman RG, Sischo L, Wilson-Genderson M. Evaluation of the similarities and differences in response patterns to the Pediatric Quality of Life Inventory and the Child Oral Health Impact Scores among youth with cleft. Qual Life Res 2013; 23:339-47. [PMID: 23760529 DOI: 10.1007/s11136-013-0450-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2013] [Indexed: 10/26/2022]
Abstract
PURPOSE To examine (a) the pattern of responses to a generic health-related quality of life (HRQL) measure (Pediatric Quality of Life Inventory--PedsQL) and an oral health-related quality of life (OHRQoL) measure (Child Oral Health Impact Profile--COHIP), and (b) the associations of these scores with surgical recommendation status among youth with cleft. METHODS Cross-sectional data (baseline) regarding clinicians' surgical recommendations and quality of life (QoL) measures were examined from an ongoing observational study on treatment outcomes. Approximately one-third of the racially and geographically diverse sample (N = 1,200; mean = 11.6 years) received surgical recommendations to correct either visible (aesthetic) or invisible (functional) defects. Effect sizes were used to quantify differences in QoL based on surgical recommendation and to compare the sensitivity of the PedsQL and COHIP subscales. Using Pearson coefficients, the scores of those recommended for surgery were compared with those without a surgical recommendation. RESULTS A moderate correlation (0.52) was found between the total scores on the PedsQL and COHIP (p < 0.0001). Subscale correlations between the QoL measures ranged from 0.19 to 0.48 with the strongest correlation between the PedsQL Emotional (r = 0.47) and COHIP Socioemotional Well-being subscale. The effect size for the COHIP Socioemotional Well-being (0.39) was larger than the PedsQL Social/Emotional (0.07/0.11) subscale (Z = 5.30/Z = 4.64, p < 0.0001, respectively), and the total COHIP (0.31) was significantly greater than the total PedsQL scale (0.15, z = 2.65, p = 0.008). CONCLUSIONS A significant relationship was found between generic HRQL, OHRQoL, and surgical needs among youth with cleft with the COHIP having larger effect sizes than the PedsQL among surgical groups.
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Affiliation(s)
- Hillary L Broder
- Department of Comprehensive Care, New York University College of Dentistry, 380 2nd Avenue, Suite 301, New York, NY, 10010, USA,
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Martins-Júnior P, Vieira-Andrade R, Corrêa-Faria P, Oliveira-Ferreira F, Marques L, Ramos-Jorge M. Impact of Early Childhood Caries on the Oral Health-Related Quality of Life of Preschool Children and Their Parents. Caries Res 2013; 47:211-8. [DOI: 10.1159/000345534] [Citation(s) in RCA: 137] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2012] [Accepted: 10/31/2012] [Indexed: 11/19/2022] Open
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Ramos-Jorge ML, Ramos-Jorge J, Mota-Veloso I, Oliva KJ, Zarzar PM, Marques LS. Parents' recognition of dental trauma in their children. Dent Traumatol 2012; 29:266-71. [DOI: 10.1111/edt.12005] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2012] [Indexed: 11/28/2022]
Affiliation(s)
- Maria Letícia Ramos-Jorge
- Department of Pediatric Dentistry and Orthodontics; Federal University of Vales do Jequitinhonha e Mucuri; Diamantina; Brazil
| | - Joana Ramos-Jorge
- Department of Pediatric Dentistry and Orthodontics; Federal University of Minas Gerais; Belo Horizonte; Brazil
| | - Isabella Mota-Veloso
- Department of Pediatric Dentistry and Orthodontics; Federal University of Vales do Jequitinhonha e Mucuri; Diamantina; Brazil
| | - Kelly Jorge Oliva
- Department of Pediatric Dentistry and Orthodontics; Federal University of Minas Gerais; Belo Horizonte; Brazil
| | - Patrícia Maria Zarzar
- Department of Pediatric Dentistry and Orthodontics; Federal University of Minas Gerais; Belo Horizonte; Brazil
| | - Leandro Silva Marques
- Department of Pediatric Dentistry and Orthodontics; Federal University of Vales do Jequitinhonha e Mucuri; Diamantina; Brazil
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Child- and family impacts of infants' oral conditions in Tanzania and Uganda-- a cross sectional study. BMC Res Notes 2012; 5:538. [PMID: 23016603 PMCID: PMC3532836 DOI: 10.1186/1756-0500-5-538] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2012] [Accepted: 09/26/2012] [Indexed: 11/22/2022] Open
Abstract
Background Early childhood dental caries impacts on the quality of life of children and their families. This study set out to assess the psychometric properties of an oral health related quality of life, OHRQoL, measure, based on items emanating from the Child-and Family impact sections of the Early Childhood Oral Health Impact Scale (ECOHIS), in Kiswahili and Luganda speaking communities. It was hypothesized that the Child- and Family impact scores would discriminate between children with and without clinically defined dental problems and reported good and bad oral health. Method Kiswahili and Luganda versions of the Child- and Family impact scores were derived through translation in pilot studies. Totals of 1221 and 816 child/caretaker pairs attending health care facilities in Manyara, Tanzania and Kampala, Uganda, were recruited into the study. After caretakers completed the interview, their children underwent oral clinical examination. Results Internal consistency reliability (Cronbach’s alpha) was > 0.80 with respect to the Child impact score and 0.79 regarding the Family impact score. Multiple variable logistic- and Poisson regression analyses revealed that the Kiswahili and Luganda versions of the Child- and Family impact score associated in the expected direction with child’s oral diseases as with their reported health and oral health status. In Manyara, multiple logistic regression revealed that the ORs of reporting Child impacts were 1.8 (95% CI 1.0-3.4) and 2.2 (1.3-3.4) among caretakers who confirmed linear hypoplasia and teething symptoms, respectively. In Kampala, the ORs for reporting Child impacts were 2.3 (95% CI 1.3-3.9), 1.7 (95% CI 1.1-2.5), 1.6 (95% CI 1.2-2.3) and 2.7 (95% CI 1.3-5.8) among those who confirmed teeth present, hypoplasia, teething symptoms and tooth bud extractions, respectively. The odds ratios for reporting Family impacts were 2.7 (95% CI 1.5-4.7), 1.5 (95% CI 1.1- 2.1) and 4.6 (95% CI 2.0-10.7) if reporting LEH, teething symptoms and toothbud experience, respectively. Conclusion The Child and Family impact scores demonstrated acceptable internal consistency reliability and reproducibility whereas the discriminative validity was more ambiguous. The OHRQoL scores should be developed further and tested among Kiswahili and Luganda speaking caretakers.
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Divaris K, Lee JY, Baker AD, Vann WF. Caregivers' oral health literacy and their young children's oral health-related quality-of-life. Acta Odontol Scand 2012; 70:390-7. [PMID: 22150574 PMCID: PMC3305855 DOI: 10.3109/00016357.2011.629627] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES To investigate the association of caregivers' oral health literacy (OHL) with their children's oral health related-quality of life (C-OHRQoL) and explore literacy as a modifier in the association between children's oral health status (COHS) and C-OHRQoL. METHODS This study relied upon data from structured interviews with 203 caregivers of children aged 3-5 from the Carolina Oral Health Literacy (COHL) Project. Data were collected for OHL using REALD-30, caregiver-reported COHS using the NHANES-item and C-OHRQoL using the Early Childhood Oral Health Impact Scale (ECOHIS). This study also measured oral health behaviors (OHBs) and socio-demographic characteristics and calculated overall/stratified summary estimates for OHL and C-OHRQoL. Spearman's rho and 95% confidence intervals (CI) were computed as measures of correlation of OHL and COHS with C-OHRQoL. To determine whether OHL modified the association between COHS and C-OHRQoL, this study compared literacy-specific summary and regression estimates. RESULTS Reported COHS was: excellent-50%, very good-28%, good-14%, fair-6%, poor-2%. The aggregate C-OHRQoL mean score was 2.0 (95% CI: 1.4, 2.6), and the mean OHL score 15.9 (95% CI: 15.2, 16.7). There was an inverse relationship between COHS and C-OHRQoL: ρ = -0.32 (95% CI: -0.45, -0.18). There was no important association between OHL and C-OHRQoL; however, deleterious OHBs were associated with worse C-OHRQoL. Literacy-specific linear and Poisson regression estimates of the association between COHS and C-OHRQoL departed from homogeneity (Wald χ(2) p < 0.2). CONCLUSION In this community-based sample of caregiver/child dyads, a strong correlation was found between OHS and C-OHRQoL. The association's magnitude and gradient were less pronounced among caregivers with low literacy.
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Affiliation(s)
- Kimon Divaris
- Department of Pediatric Dentistry, School of Dentistry, University of North Carolina-Chapel Hill, USA.
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Suliman NM, Johannessen AC, Ali RW, Salman H, Astrøm AN. Influence of oral mucosal lesions and oral symptoms on oral health related quality of life in dermatological patients: a cross sectional study in Sudan. BMC Oral Health 2012; 12:19. [PMID: 22768994 PMCID: PMC3461441 DOI: 10.1186/1472-6831-12-19] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2011] [Accepted: 07/08/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There are only few studies considering the impact of oral mucosal lesions (OML) on the oral quality of life of patients with different dermatological conditions. This study aimed to assess the relationship between oral health-related quality of life (OHRQoL) and OML and reported oral symptoms, perceived general and oral health condition and caries experience in adult skin diseased patients attending an outpatient dermatologic clinic in Sudan. METHODS A cross-sectional survey was carried out with 544 diagnosed skin diseased patients (mean age 37.1 years, 50% females), during the period October 2008 to January 2009. The patients were orally examined and OML and caries experience was recorded. The patients were interviewed using the Sudanese Arabic version of the OIDP. OHRQoL was evaluated by socio-demographic and clinical correlates according to number of types of OML diagnosed (no OML, one type of OML, > one type of OML) and number and types of oral symptoms. RESULTS An oral impact (OIDP > 0) was reported by 190 patients (35.6%) (mean OIDP total score 11.6, sd=6.7). The prevalence of any oral impact was 30.5%, 36.7% and 44.1%, in patients with no OML, one type of OML and more than one type of OML, respectively. Number of types of OML and number and types of oral symptoms were consistently associated with the OIDP scores. Patients who reported bad oral health, patients with ≥ 1 dental attendance, patients with>1 type of OML, and patients with ≥ 1 type of oral symptoms were more likely than their counterparts in the opposite groups to report any OIDP. The odds ratios (OR) were respectively; 2.9 (95% CI 1.9-4.5), 2.3 (95% CI 1.5-3.5), 1.8 (95% CI 1.1-3.2) and 6.7 (95% CI 2.6-17.5). Vesiculobullous and ulcerative lesions of OML disease groups associated statistically significantly with OIDP. CONCLUSION OIDP was more frequently affected among skin diseased patients with than without OML. The frequency of the impacts differed according to the number of type of OML, oral symptoms, and OML disease groups. Dentists and dermatologists should pay special attention to skin diseased patients because they are likely to experience oral impacts on daily performances.
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Affiliation(s)
- Nada M Suliman
- Section for pathology, The Gade Institute, University of Bergen, Bergen, Norway.
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Li M, He SL. Reliability and validity of the Chinese version of the Chronic Oral Mucosal Diseases Questionnaire. J Oral Pathol Med 2012; 42:194-9. [DOI: 10.1111/j.1600-0714.2012.01157.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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He SL, Wang JH, Wang MH, Deng YM. Validation of the Chinese version of the Halitosis Associated Life-quality Test (HALT) questionnaire. Oral Dis 2012; 18:707-12. [DOI: 10.1111/j.1601-0825.2012.01929.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Martins-Júnior PA, Ramos-Jorge J, Paiva SM, Marques LS, Ramos-Jorge ML. Validations of the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). CAD SAUDE PUBLICA 2012; 28:367-74. [DOI: 10.1590/s0102-311x2012000200015] [Citation(s) in RCA: 87] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2011] [Accepted: 10/03/2011] [Indexed: 11/21/2022] Open
Abstract
This study aimed to evaluate the psychometric properties of the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). A total of 247 children aged 2 to 5 years and their parents/guardians participated in this study. A clinical oral examination was performed and the parents/guardians completed the ECOHIS questionnaire. Within a period of four-weeks, 20% of the participants repeated the ECOHIS questionnaire. Construct validity was determined using Spearman's rank correlation. Discriminant validity, internal consistency and test-retest reliability were also evaluated. The children were divided into 2 groups: group 1 (with dental caries) and group 2 (caries-free). Children with caries showed higher mean ECOHIS scores than the caries-free children. The child impact section (p < 0.01), family impact section (p < 0.01) and total ECOHIS scores (p < 0.01) were significantly correlated with tooth decay. Cronbach's alpha coefficients demonstrated satisfactory internal consistency. The Brazilian version of the ECOHIS is a valid instrument for assessing oral health-related quality of life in preschool children with Brazilian Portuguese-speaking primary caregivers.
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Lin H, Quan C, Guo C, Zhou C, Wang Y, Bao B. Translation and validation of the Chinese version of the psychosocial impact of dental aesthetics questionnaire. Eur J Orthod 2011; 35:354-60. [DOI: 10.1093/ejo/cjr136] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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de Paula VA, Ferreira DC, Carmo FL, Rosardio AS, Dos Santos KR, Maia LC, Primo LG. Short communication: polymicrobial community in teeth associated with severe early-childhood caries. Eur Arch Paediatr Dent 2011; 12:264-6. [PMID: 21993067 DOI: 10.1007/bf03262819] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM This was to characterise the microbial diversity in the complex dental plaque of children with severe early-childhood caries (S-ECC), using the denaturing gel gradient electrophoresis (DGGE) technique. METHODS The DGGE technique was used as a diagnostic tool to analyse samples from the oral cavity of a patient with S-ECC. Dental plaque samples from a 3-year-old child with S-ECC were taken from the primary central maxillary incisor (biofilm on vestibular surface), primary maxillary molar (biofilm on vestibular surface), primary central maxillary incisor (dentine), primary maxillary molar (dentine) and saliva and then analysed by PCR-DGGE. RESULTS Three bands occurred in all samples, moreover, 86% of similarity was observed in the pattern of bands between incisor and molar teeth biofilm samples, including four similar bands. CONCLUSION DGGE is a valuable tool for differentiating the microbial composition of the oral plaque in S-ECC children.
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Affiliation(s)
- V A de Paula
- Dept. Paediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Brazil.
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Aldrigui JM, Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of traumatic dental injuries and malocclusions on quality of life of young children. Health Qual Life Outcomes 2011; 9:78. [PMID: 21943368 PMCID: PMC3186738 DOI: 10.1186/1477-7525-9-78] [Citation(s) in RCA: 96] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2011] [Accepted: 09/24/2011] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The presence of traumatic dental injuries and malocclusions can have a negative impact on quality of life of young children and their parents, affecting their oral health and well-being. The aim of this study was to assess the impact of traumatic dental injuries and anterior malocclusion traits on the Oral Health-Related Quality of Life (OHRQoL) of children between 2 and 5 years-old. METHODS Parents of 260 children answered the six domains of the Early Childhood Oral Health Impact Scale (ECOHIS) on their perception of the OHRQoL (outcome). Two calibrated dentists assessed the types of traumatic dental injuries (Kappa = 0.9) and the presence of anterior malocclusion traits (Kappa = 1.0). OHRQoL was measured using the ECOHIS. Poisson regression was used to associate the type of traumatic dental injury and the presence of anterior malocclusion traits to the outcome. RESULTS The presence of anterior malocclusion traits did not show a negative impact on the overall OHRQoL mean or in each domain. Only complicated traumatic dental injuries showed a negative impact on the symptoms (p = 0.005), psychological (p = 0.029), self image/social interaction (p = 0.004) and family function (p = 0.018) domains and on the overall OHRQoL mean score (p = 0.002). The presence of complicated traumatic dental injuries showed an increased negative impact on the children's quality of life (RR = 1.89; 95% CI = 1.36, 2.63; p < 0.001). CONCLUSIONS Complicated traumatic dental injuries have a negative impact on the OHRQoL of preschool children and their parents, but anterior malocclusion traits do not.
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Affiliation(s)
- Janaina M Aldrigui
- Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil
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Wong HM, McGrath CPJ, King NM, Lo ECM. Oral health-related quality of life in Hong Kong preschool children. Caries Res 2011; 45:370-6. [PMID: 21822015 DOI: 10.1159/000330231] [Citation(s) in RCA: 93] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2010] [Accepted: 05/06/2011] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To assess the impact of early childhood caries (ECC) on the quality of life in a population of preschool children and their families in Hong Kong. METHODS A random sample of 1,296 Chinese preschool children participated in the survey and were subjected to an oral examination for their ECC status by 2 trained examiners. The parents were asked to respond to the Early Childhood Oral Health Impact Scale (ECOHIS) and an extra set of questions concerning their sociodemographic background. RESULTS The final data analysis included 1,261 children with a mean (±SD) age of 3.9 ± 0.66 years. The prevalence figures for ECC and severe ECC were 19.9 and 15.2%, respectively. Decayed teeth were found in 34.3% of the children while only 5.2% had filled teeth. The mean (±SD) dmft in this group of children was 1.5 ± 2.98. Higher ECOHIS scores were found in parents with lower education or income level, or with children who were born in mainland China (p < 0.05), or with children who had decayed, missing, or filled teeth (p < 0.001). In multiple regression analyses, decayed teeth and filled teeth in primary dentition were the better predictors (p < 0.001) of the ECOHIS score among the various parent and child characteristics collected in this survey. CONCLUSIONS The findings of this study showed that parents of young children with dental caries experience perceived that both the children and other family members had poorer quality of life.
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Affiliation(s)
- H M Wong
- Paediatric Dentistry and Orthodontics, Faculty of Dentistry, The University of Hong Kong, Hong Kong, SAR, China. wonghmg @ hkucc.hku.hk
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Mbawalla HS, Mtaya M, Masalu JR, Brudvik P, Astrom AN. Discriminative ability of the generic and condition-specific Child-Oral Impacts on Daily Performances (Child-OIDP) by the Limpopo-Arusha School Health (LASH) project: a cross-sectional study. BMC Pediatr 2011; 11:45. [PMID: 21615892 PMCID: PMC3118891 DOI: 10.1186/1471-2431-11-45] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2011] [Accepted: 05/26/2011] [Indexed: 12/01/2022] Open
Abstract
Background Generic and condition-specific (CS) oral-health-related quality-of-life (OHRQoL) instruments assess the impacts of general oral conditions and specific oral diseases. Focusing schoolchildren from Arusha and Dar es Salaam, in Tanzania, this study compared the discriminative ability of the generic Child OIDP with respect to dental caries and periodontal problems across the study sites. Secondly, the discriminative ability of the generic-and the CS Child OIDP attributed to dental caries, periodontal problems and malocclusion was compared with respect to various oral conditions as part of a construct validation. Methods In Arusha, 1077 school children (mean age 14.9 years, range 12-17 years) and 1601 school children in Dar es Salaam (mean age 13.0 years, range 12-14 years) underwent oral clinical examinations and completed the Kiswahili version of the generic and CS Child-OIDP inventories. The discriminative ability was assessed as differences in overall mean and prevalence scores between groups, corresponding effect sizes and odd ratios, OR. Results The differences in the prevalence scores and the overall mean generic Child-OIDP scores were significant between the groups with (DMFT > 0) and without (DMFT = 0) caries experience and with (simplified oral hygiene index [OHI-S] > 1) and without periodontal problems (OHI-S ≤ 1) in Arusha and Dar es Salaam. In Dar es Salaam, differences in the generic and CS Child-OIDP scores were observed between the groups with and without dental caries, differences in the generic Child-OIDP scores were observed between the groups with and without periodontal problems, and differences in the CS Child-OIDP scores were observed between malocclusion groups. The adjusted OR for the association between dental caries and the CS Child-OIDP score attributed to dental caries was 5.4. The adjusted OR for the association between malocclusion and CS Child-OIDP attributed to malocclusion varied from 8.8 to 2.5. Conclusion The generic Child-OIDP discriminated equally well between children with and without dental caries and periodontal problems across socio-culturally different study sites. Compared with its generic form, the CS Child-OIDP discriminated most strongly between children with and without dental caries and malocclusion. The CS Child OIDP attributed to dental caries and malocclusion seems to be better suited to support clinical indicators when estimating oral health needs among school children in Tanzania.
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Affiliation(s)
- Hawa S Mbawalla
- Department of Clinical Dentistry, Community Dentistry, University of Bergen, Norway
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Wong HM, McGrath CPJ, King NM. Rasch validation of the early childhood oral health impact scale. Community Dent Oral Epidemiol 2011; 39:449-57. [DOI: 10.1111/j.1600-0528.2011.00614.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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