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Silva LTD, Frusca-DO-Monte CM, Almeida GS, Silva VCD, Lorenzato CS, Bendo CB, Menezes JVNB, Torres-Pereira CC, Fraiz FC. Quality of life in children and adolescents with blood coagulation disorders and hemoglobinopathies. Braz Oral Res 2024; 38:e052. [PMID: 38922212 DOI: 10.1590/1807-3107bor-2024.vol38.0052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 01/29/2024] [Indexed: 06/27/2024] Open
Abstract
The aim of this study was to evaluate the impact of oral conditions and health-related quality of life (HRQoL) on oral health-related quality of life (OHRQoL) in children and adolescents with blood coagulation disorders and hemoglobinopathies (BCDH). The study was cross-sectional and included 61 individuals aged 2 to 18 years with BCDH. Exams for dental caries (dmft/DMFT index), oral hygiene (simplified oral hygiene index - OHI-S), and gingival health (modified gingival index - MGI) were performed. The pediatric quality of life inventory™ (PedsQL™) generic core scale and oral health scale were used to measure HRQoL and OHRQoL. Spearman's correlation coefficient (ρ) and the Mann-Whitney test (α = 0.05) were conducted to assess the relationship between covariates and the PedsQL™ oral health scale. The mean PedsQL™ oral health scale score was 76.66 (SD = 21.36). Worse OHRQoL was correlated with poor oral hygiene (ρ = -0.383; p: 0.004), poor gingival health (ρ = -0.327; p = 0.014), and better HRQoL (ρ = 0.488; p < 0.001). Greater untreated dental caries experience was associated with worse OHRQoL (p = 0.009). Worse oral health status in children and adolescents with BCDH negatively impacts OHRQoL, and OHRQoL and quality of life analyzed from a generic perspective are positively correlated constructs in this population.
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Affiliation(s)
- Leandro Tavares da Silva
- Universidade Federal do Paraná - UFPR, School of Dentistry, Department of Stomatology, Curitiba, PR, Brazil
| | | | - Gabriela Silva Almeida
- Universidade Federal do Paraná - UFPR, School of Dentistry, Department of Stomatology, Curitiba, PR, Brazil
| | - Victor Cordeiro da Silva
- Universidade Federal do Paraná - UFPR, School of Dentistry, Department of Stomatology, Curitiba, PR, Brazil
| | | | - Cristiane Baccin Bendo
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry, Belo Horizonte, MG, Brazil
| | | | | | - Fabian Calixto Fraiz
- Universidade Federal do Paraná - UFPR, School of Dentistry, Department of Stomatology, Curitiba, PR, Brazil
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Pansrimangkorn K, Asvanit P, Santiwong B. Factors associated with dental caries experience of Thai preschool children with cerebral palsy. SPECIAL CARE IN DENTISTRY 2023; 43:40-46. [PMID: 35635839 DOI: 10.1111/scd.12732] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 05/06/2022] [Accepted: 05/09/2022] [Indexed: 01/21/2023]
Abstract
AIM To investigate the factors association with dental caries experience in the primary dentition of Thai preschool children with cerebral palsy. METHODS AND RESULTS A cross-sectional study was conducted among sixty Thai preschool children with cerebral palsy, aged 3-6 years old. Caries experience was determined by identifying decayednon-cavitated and cavitated lesion, missing, and filled surfaces of deciduous teeth(dmfs). Sociodemographic data, CP motor types, dietary habits, oral health behaviors and dental plaque index were collected. Multiple linear regression analysis was carried out to identify the strength of the association between factors and dental caries experience. The prevalence of dental caries was 91.66%. The average dmfs was 20.30 ± 21.63 surfaces/individual. The multiple linear regression indicated that dmfs was significantly associated with snacking carbohydrate between meals more than two times/day (β ± SE = 0.372 ± 0.125; p = 0.004), spastic type of cerebral palsy (β ± SE = 0.309 ± 0.124; p = 0.015) and one-time daily tooth brushing (β ± SE = 0.306 ± 0.124; p = 0.017). CONCLUSIONS Nine out of 10 preschool children with CP experienced dental caries. Spastic type of CP had more risk to develop dental decay. Caries prevention for preschool children with CP should emphasis on controlling the frequency of carbohydrate snack no more than two times/day and reinforcing tooth brushing at least twice daily.
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Affiliation(s)
| | - Pornpun Asvanit
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Busayarat Santiwong
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
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de Castelo Branco Araújo T, Nogueira BR, Mendes RF, Júnior RRP. Oral health-related quality of life in children and adolescents with cerebral palsy: paired cross-sectional study. Eur Arch Paediatr Dent 2022; 23:391-398. [PMID: 35124753 DOI: 10.1007/s40368-022-00694-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Accepted: 01/19/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To evaluate the impact of oral health conditions on the Oral Health-Related Quality of Life (OHRQoL) in children and adolescents with Cerebral Palsy (CP) and compare with children and adolescents without CP. METHODS This was a paired cross-sectional study, consisting of 121 children and adolescents with CP and 121 without CP, aged 6 to 14 years. Caregivers filled a socioeconomic-demographic and the Parental-Caregiver Perceptions Questionnaire (P-CPQ). Physical examination of the oral cavity assessed the dental caries experience, need for treatment, consequences of untreated dental caries, presence of dental trauma, bruxism and malocclusion. A descriptive analysis and Kruskal-Wallis and Mann-Whitney tests (p < 0.05) were performed. Variables with p values ≤ 0.20 in the bivariate analysis were included in the adjusted model analysis. Variables with a p value < 0.05 remained in the final Poisson Regression model. RESULTS Caries experience had a negative impact on the quality of life of both groups, with and without CP. Presence of gastroesophageal reflux and difficulty to opening the mouth also had a negative impact on the OHRQoL of the group with CP. CONCLUSION Children and adolescents with CP suffered a greater negative impact on OHRQoL than individuals without CP. Difficulty in opening the mouth and the presence of GER had a negative effect on the quality of life of individuals with CP, while dental caries had a negative impact on the OHRQoL of children and adolescents of both groups.
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Affiliation(s)
- T de Castelo Branco Araújo
- Postgraduate Program in Dentistry, Federal University of Piauí-UFPI, Minister Petrônio Portella Campus, Bloc 5, Teresina, PI, 64049-550, Brazil.
| | - B R Nogueira
- Department of Restorative Dentistry, Federal University of Piauí-UFPI, Teresina, PI, Brazil
| | - R F Mendes
- Postgraduate Program in Dentistry, Federal University of Piauí-UFPI, Minister Petrônio Portella Campus, Bloc 5, Teresina, PI, 64049-550, Brazil.,Department of Restorative Dentistry, Federal University of Piauí-UFPI, Teresina, PI, Brazil
| | - R R P Júnior
- Postgraduate Program in Dentistry, Federal University of Piauí-UFPI, Minister Petrônio Portella Campus, Bloc 5, Teresina, PI, 64049-550, Brazil.,Department of Restorative Dentistry, Federal University of Piauí-UFPI, Teresina, PI, Brazil
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Silva-Selva ELMSD, Lins Filho PC, Macêdo TSD, Freitas JLDM, Aguiar CSD, Vasconcelos MMVB, Lima MDC, Caldas Júnior ADF. Oral Health Care of Children and Adolescents with Different Impairments of Cerebral Palsy: Barriers and Challenges. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Lansdown K, Irving M, Mathieu Coulton K, Smithers-Sheedy H. A scoping review of oral health outcomes for people with cerebral palsy. SPECIAL CARE IN DENTISTRY 2021; 42:232-243. [PMID: 34706111 DOI: 10.1111/scd.12671] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Accepted: 10/10/2021] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Good oral health is important for good overall health. Studies have reported poorer oral health outcomes for people with cerebral palsy, but there has been no synthesis of the evidence surrounding this and, there are no clear oral health recommendations for people with cerebral palsy globally. This review synthesizes the existing knowledge base on oral health in people with cerebral palsy and provides recommendations for future research. METHODS A scoping review was conducted to assess the current literature. Databases were searched using relevant search terms. Study outcomes were synthesized according to their reported outcomes. RESULTS One hundred seventy three studies were included in this review. Children with cerebral palsy have an increased risk for dental caries and untreated caries. Higher saliva osmolality is a major contributor to increased dental caries. People with cerebral palsy are more likely to experience tooth wear and bruxism. Children and their care-givers have poor oral health related quality of life. There is a large unmet need for oral healthcare in this group. There is no suggested plan for the prevention of poor oral health for this group. A high number of studies included related to research is conducted in low- and middle-income countries, care should be taken in applying results outside this context. There is a lack of research conducted in people with cerebral palsy, 18 years and over. CONCLUSION There is a higher risk for poor oral health in people with cerebral palsy and there is a large unmet need to dental care in this group. This study highlights the need for further research to focus on adults with cerebral palsy and an of understanding the oral health care outcomes in the context of settings. The authors recommend the inclusion of classification systems and the integration of disability inclusive language in future studies.
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Affiliation(s)
- Karen Lansdown
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Michelle Irving
- School of Public Health, Faculty of Medicine and Health, Menzies Centre for Health Policy, University of Sydney, Camperdown, Australia
| | - Kimberly Mathieu Coulton
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Hayley Smithers-Sheedy
- Cerebral Palsy Alliance Research Institute, Sydney Medical School, The University of Sydney, Sydney, Australia
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Culler CS, Gunarajasingam D, Henshaw MM. Preschool oral health-related quality of life: A practical guide to measurement tools. J Public Health Dent 2020; 81:29-41. [PMID: 32852083 DOI: 10.1111/jphd.12390] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 03/12/2020] [Accepted: 07/14/2020] [Indexed: 01/21/2023]
Abstract
OBJECTIVE The purpose of this paper is to describe currently available measurement tools for assessing oral health-related quality of life (OHQoL) in preschool aged children to aid clinicians and researchers in selection of the appropriate tool for their needs. METHODS The authors describe and compare eight OHRQoL tools that were created or adapted for use among preschoolers, including the Child Oral Health Impact Profile-Preschool, Dental Discomfort Questionnaire, Early Childhood Oral Health Impact Scale, Michigan-OHRQoL, Parental-Caregiver Perceptions Questionnaire and Family Impact Scale, Pediatric Quality of Life Inventory-Oral Health Scale, Pediatric Oral Health-Related Quality of Life, and Scale of Oral Health Outcomes for 5-year-old children. RESULTS The tools vary by their intended target population, oral condition of interest, intended setting for use, and method of administration. They also vary in the number of items or questions included and the domains covered by those items. Unique features and strengths of each are highlighted. CONCLUSION A variety of tools exist for measuring OHQoL in preschoolers, this article provides an overview that can facilitate selection for specific intended uses.
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Affiliation(s)
- Corinna S Culler
- Global & Population Health, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA
| | | | - Michelle M Henshaw
- Global & Population Health, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA
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