Abstract
Aim. To examine the impact of comprehensive dental treatment under general anesthesia (GA) on oral health-related quality of life (OHRQoL) in children using short form versions of the Parental-Caregivers Perceptions questionnaire (P-CPQ) and Family Impact Scale (FIS). Design. A pretest/posttest study involved parents whose children (N = 67) were affected with severe childhood caries and completed comprehensive dental treatment under GA. All parents completed the short form versions of the P-CPQ and FIS at baseline and 4–8 weeks following the dental treatment. To examine test-retest reliability, a convenience sample of 38 parents repeated the pretreatment questionnaires 1-2 weeks after they completed them at baseline. Statistical tests including the Kruskal-Wallis test, Cronbach's alpha, and paired t-test were used to examine cross-sectional construct validity, internal consistency, and responsiveness of the instruments, respectively. Results. Cross-sectional construct validity and internal consistency were acceptable. Test-retest reliability was excellent. Large decreases in posttreatment scores were observed along with moderate to large effect sizes. Conclusions. Dental treatment under GA is associated with considerable improvement in OHRQoL of children and their families, as demonstrated by short form versions of the P-CPQ and FIS completed by the children's parents.
Highlights
There has been a recent interest in measuring how oral disease and subsequent treatment affect an individual’s quality of life
The aim of this study was to evaluate the impact of dental treatment under general anesthesia (GA) on the quality of life of children affected by severe childhood caries using short form versions of the oral health-related quality of life (OHRQoL) questionnaires
The results showed that the short form versions of the Perceptions Questionnaire (P-CPQ) and the Family Impact Scale (FIS) could detect the positive changes resulting from comprehensive dental treatment, as perceived by the parents of child patients
Summary
There has been a recent interest in measuring how oral disease and subsequent treatment affect an individual’s quality of life. Several questionnaires measuring oral health-related quality of life (OHRQoL) have been developed and validated in several languages and used for public health policies, research, and clinical practice [1]. OHRQoL questionnaires gauged children’s and adolescents’ responses to therapeutic interventions of oral conditions, including caries treatment, traumatic dental injuries treatment, and orthodontic treatment [1]. There are two systematic reviews that evaluate the quality of the evidence about changes in children’s OHRQoL following dental treatment [2, 3]. Jabarifar et al [5] and Agou et al [6] found that dental treatment of caries and orthodontic treatment had a significant effect on OHRQoL, but without significant reduction in scores. Li et al [10] found that the OHRQoL instrument had some limited ability to respond to change
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