Fernandes I.B.a,b· Ramos Jorge J.a· Mourão P.S.b· Rodrigues A.B.b· Coelho V.S.a· Vettore M.V.c· Ramos-Jorge M.L.b

Author affiliations

aDepartment of Pediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
bDepartment of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
cDepartment of Health and Nursing Sciences, University of Agder, Kristiansand, Norway

Log in to MyKarger to check if you already have access to this content.

Buy FullText & PDF Unlimited re-access via MyKarger Unrestricted printing, no saving restrictions for personal use read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.

Save over 20% compared to the individual article price.

Learn more

Rent via DeepDyve Unlimited fulltext viewing of this article Organize, annotate and mark up articles Printing and downloading restrictions apply

Start free trial

Subscribe Access to all articles of the subscribed year(s) guaranteed for 5 years Unlimited re-access via Subscriber Login or MyKarger Unrestricted printing, no saving restrictions for personal use read more

Subcription rates

Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

Received: May 12, 2022
Accepted: February 23, 2023
Published online: March 08, 2023

Number of Print Pages: 15
Number of Figures: 2
Number of Tables: 4

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: https://www.karger.com/CRE

Abstract

This study assessed impact of socio-environmental, individual, and biological factors on the worsening and severe worsening of oral health-related quality of life (OHRQoL) among preschoolers and their families. A cohort study was conducted in Diamantina, Brazil, with 151 children between 1 and 3 years of age and their mothers, who were evaluated at baseline (2014) and re-evaluated after 3 years (2017). The children were clinically examined to assess the presence of dental caries, malocclusion, dental trauma, and enamel defects. The mothers answered the Early Childhood Oral Health Impact Scale (B-ECOHIS) and a questionnaire addressing individual characteristics of the child and socio-environmental factors. Extensive caries found in the follow-up (relative risk [RR] = 1.91; 95% confidence interval [CI] = 1.26–2.91) and failure to undergo the dental treatment recommended at baseline (RR = 2.49; 95% CI = 1.62–3.81) were associated with worsening of OHRQoL over 3 years. An increase in the number of children in the household (RR = 2.95; 95% CI = 1.06–8.25), occurrence of extensive caries in the follow-up (RR = 2.06; 95% CI = 1.05–4.07), and failure to undergo the dental treatment recommended at baseline (RR = 3.68; 95% CI = 1.96–6.89) were associated with a severe worsening of OHRQoL. In conclusion, the risk of worsening and severe worsening of OHRQoL was higher in preschoolers with extensive caries at follow-up and among those who did not undergo dental treatment. Furthermore, severe worsening of OHRQoL was also impacted by an increase in the number of children in the household.

© 2023 S. Karger AG, Basel

References Aimée NR, Damé-Teixeira N, Alves LS, Borges GÁ, Foster Page L, Mestrinho HD, et al. Responsiveness of oral health-related quality of life questionnaires to dental caries interventions: systematic review and meta-analysis. Caries Res. 2019;53(6):585–98. Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth. 5th ed.Basel: Wiley-Blackwell; 2018. p. 1064. Benelli KDRG, Chaffee BW, Kramer PF, Knorst JK, Ardenghi TM, Feldens CA. Pattern of caries lesions and oral health-related quality of life throughout early childhood: a birth cohort study. Eur J Oral Sci. 2022 Aug 2;130(5):e12889. Borges TS, Vargas-Ferreira F, Kramer PF, Feldens CA. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: a systematic review and meta-analysis. PLoS One. 2017;12(2):e0172235. Chaffee BW, Rodrigues PH, Kramer PF, Vítolo MR, Feldens CA. Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol. 2017;45:216–24. Cohen J, Cohen P, West SG, Aiken LS. Applied multiple regression/correlation analysis for the behavioral sciences. 3rd ed.Mahwah, NJ: Lawrence Earlbaum Associates; 2003. Federation Dentaire Internationale: Commission on Oral Health Research and Epidemiology. A review of the developmental defects of enamel index (DDE index). Int Dent J. 1992;42:411–426. Fernandes IB, Pereira TS, Souza DS, Ramos-Jorge J, Marques LS, Ramos-Jorge ML. Severity of dental caries and quality of life for toddlers and their families. Pediatr Dent. 2017;39(2):118–23. Ferreira SH, Béria JU, Kramer PF, Feldens EG, Feldens CA. Dental caries in 0- to 5-year-old Brazilian children: prevalence, severity, and associated factors. Int J Paediatr Dent. 2007;17(4):289–96. Fisher-Owens SA, Gansky SA, Platt LJ, Weintraub JA, Soobader MJ, Bramlett MD, et al. Influences on children’s oral health: a conceptual model. Pediatrics. 2007;120(3):e510–20. Foster TD, Hamilton MC. Occlusion in the primary dentition: study of children at 2 and one-half to 3 years of age. Br Dent J. 1969;126:76–9. Goettems ML, Ardenghi TM, Demarco FF, Romano AR, Torriani DD. Children's use of dental services: influence of maternal dental anxiety, attendance pattern, and perception of children’s quality of life. Community Dent Oral Epidemiol. 2012;40(5):451–8. Grabowski R, Stahl F, Gaebel M, Kundt G. Relationship between occlusal findings and orofacial myofunctional status in primary and mixed dentition. Part I: prevalence of malocclusions. J Orofac Orthop. 2007;68(1):26–37. Guedes RS, Ardenghi TM, Emmanuelli B, Piovesan C, Mendes FM. Sensitivity of an oral health-related quality-of-life questionnaire in detecting oral health impairment in preschool children. Int J Paediatr Dent. 2018a;28(2):207–16. Guedes RS, Piovesan C, Ardenghi TM, Emmanuelli B, Braga MM, Mendes FM. Presence of initial caries lesions as a risk factor for caries in preschool children: a cohort study. Caries Res. 2018b;52(1-2):32–41. Guedes RS, Ardenghi TM, Piovesan C, Emmanuelli B, Mendes FM. Influence of initial caries lesions on quality of life in preschool children: a 2-year cohort study. Community Dent Oral Epidemiol. 2016a;44(3):292–300. Guedes RS, Piovesan C, Floriano I, Emmanuelli B, Braga MM, Ekstrand KR, et al. Risk of initial and moderate caries lesions in primary teeth to progress to dentine cavitation: a 2-year cohort study. Int J Paediatr Dent. 2016b;26(2):116–24. Hetherington EM, Parke RD, Locke VO. Child psychology: a contemporary viewpoint. New York, NY: The McGraw-Hill Companies; 1999. Instituto Brasileiro de Geografia e. Estatística (IBGE) [Internet]. Basel: Censo demográfico 2010. [cited 2022 Jan 4]. Available from: https://cidades.ibge.gov.br/brasil/mg/diamantina/panorama. International Caries Detection and Assessment System (ICDAS) Coordinating Committee. Criteria Manual – International Caries Detection and Assessment System (ICDAS II). Scotland: Dental Health Services Research Unit; 2012. Available from: https://www.iccms-web.com/uploads/asset/592848be55d87564970232.pdf. Kragt L, Dhamo B, Wolvius EB, Ongkosuwito EM. The impact of malocclusions on oral health-related quality of life in children: a systematic review and meta-analysis. Clin Oral Investig. 2016;20(8):1881–94. Kumar S, Kroon J, Lalloo R. A systematic review of the impact of parental socio-economic status and home environment characteristics on children’s oral health related quality of life. Health Qual Life Outcomes. 2014;12:41–. Locker D, Allen F. What do measures of “oral health-related quality of life” measure?Community Dent Oral Epidemiol. 2007;35(6):401–11. Lopez D, Waidyatillake N, Zaror C, Mariño R. Impact of uncomplicated traumatic dental injuries on the quality of life of children and adolescents: a systematic review and meta-analysis. BMC Oral Health. 2019;19(1):224. Lynch J, Smith GD. A life course approach to chronic disease epidemiology. Annu Rev Public Health. 2005;26:1–35. Martins-Junior 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(2):367–74. Masood M, Masood Y, Saub R, Newton JT. Need of minimal important difference for oral health-related quality of life measures. J Public Health Dent. 2014;74(1):13–20. Milani AJ, Assaf AV, Antunes LS, Antunes LAA. Evaluation of the impact of a dental trauma care program on oral health-related quality of life of children and their families. Dent Traumatol. 2021;37(4):568–75. Nora ÂD, da Silva Rodrigues C, de Oliveira Rocha R, Soares FZM, Minatel Braga M, Lenzi TL. Is caries associated with negative impact on oral health-related quality of life of pre-school children? A systematic review and meta-analysis. Pediatr Dent. 2018;40(7):403–11. Novaes TF, Pontes LRA, Freitas JG, Acosta CP, Andrade KCE, Guedes RS, et al. Responsiveness of the early childhood oral health impact scale (ECOHIS) is related to dental treatment complexity. Health Qual Life Outcomes. 2017;15(1):182. de Paula JS, Leite ICG, de Almeida AB, Ambrosano GMB, Mialhe FL. The impact of socioenvironmental characteristics on domains of oral health-related quality of life in Brazilian schoolchildren. BMC Oral Health. 2013;13:10. Pavithran VK, Murali R, Krishna M, Shamala A, Yalamalli M, Kumar AV, et al. Impact of oral diseases on daily activities among 12- to 15-year-old institutionalized orphan and non-orphan children in Bengaluru city: a cross-sectional analytical study. Indian J Dent Res. 2020;31(3):396–402. Perazzo MF, Gomes MC, Neves ET, Martins CC, Paiva SM, Costa EMMd B, et al. Oral problems and quality of life of preschool children: self-reports of children and perception of parents/caregivers. Eur J Oral Sci. 2017;125(4):272–9. Pereira JT, Knorst JK, Luz PB, Bonfadini I, Scapinello M, Hugo FN, et al. Impact of early childhood caries and maternal behaviors on oral health-related quality of life of children. Pesqui Bras Odontopediatria Clin Integr. 2020;20:e5283. Piva F, Pereira JT, Luz PB, Hugo FN, de Araújo FB. Caries progression as a risk factor for increase in the negative impact on OHRQOL-a longitudinal study. Clin Oral Investig. 2018;22(2):819–28. Rai NK, Tiwari T. Parental factors influencing the development of early childhood caries in developing nations: a systematic review. Front Public Health. 2018;6:64. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264–70. Thomson WM, Williams SM, Dennison PJ, Peacock DW. Were NZ’s structural changes to the welfare state in the early 1990s associated with a measurable increase in oral health inequalities among children?Aust N Z J Public Health. 2002;26(6):525–30. van Wijk CM, Kolk AM. Sex differences in physical symptoms: the contribution of symptom perception theory. Soc Sci Med. 1997;45(2):231–46. Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA. 1995;273(1):59–65. Zaror C, Martínez-Zapata MJ, Abarca J, Díaz J, Pardo Y, Pont À, et al. Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2018;46(1):88–101. Zaror C, Matamala-Santander A, Ferrer M, Rivera-Mendoza F, Espinoza-Espinoza G, Martínez-Zapata MJ. Impact of early childhood caries on oral health-related quality of life: a systematic review and meta-analysis. Int J Dent Hyg. 2022;20(1):120–35. Article / Publication Details

Received: May 12, 2022
Accepted: February 23, 2023
Published online: March 08, 2023

Number of Print Pages: 15
Number of Figures: 2
Number of Tables: 4

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: https://www.karger.com/CRE

Copyright / Drug Dosage / Disclaimer Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.