Abstract
To assess the impact of oral health outcomes on Oral Health-Related Quality of Life (OHRQoL) among intellectual disabled children and their families. OHRQoL based study was conducted among 150 intellectual disabled children students in the North West part of the country, Rajasthan, India. Guardians were asked to complete questionnaire on socioeconomic status and the Early Childhood Oral Health Impact Scale (ECOHIS) on their perception of the children's OHRQoL. Clinical assessment included dental caries and OHI-S INDEX. Univariate regression analysis was fitted to assess covariates for the prevalence of impacts on OHRQoL. 54% of the caregivers reported that their child had an impact on at least one ECOHIS item. Negative impacts were more prevalent on items related to difficulty in eating some foods, difficulty in pronouncing any words and missed preschool, day-care or school. The univariate Poisson regression analysis showed that dental caries was significantly associated with the outcome. The prevalence of any impact on OHRQoL was approximately 1.32 and 2.84 times higher for children with low and higher severity of dental caries respectively when compared with those who were free of caries. Patient-oriented outcomes like OHRQoL will enhance our understanding of the relationship between oral health and general health and demonstrate to clinical researchers and practitioners that improving the quality of patient's well-being go beyond simply treating dental disease and disorders.
Highlights
Logistic regression analysis was employed to determine the contribution of gender, intellectual disability, education, income, occupation, socioeconomic class, family structure, oral hygiene status, oral hygiene practices, sugar score, visit to dentist and reason for dental visit to dental caries
The results of logistic regression showed that independent variables i.e. gender, socioeconomic class, family structure, brushing habits, oral hygiene status, sugar score and reason for dental visit were significantly related to dental caries
The results showed that children with: poor oral hygiene status, poor sugar score, who avoid brushing and visit to dentist only in need were at greater risk of developing dental caries
Summary
To assess the impact of oral health outcomes on Oral Health-Related Quality of Life (OHRQoL) among intellectual disabled children and their families. Univariate regression analysis was fitted to assess covariates for the prevalence of impacts on OHRQoL. The univariate Poisson regression analysis showed that dental caries was significantly associated with the outcome. The prevalence of any impact on OHRQoL was approximately 1.32 and 2.84 times higher for children with low and higher severity of dental caries respectively when compared with those who were free of caries. Conclusion: Patient-oriented outcomes like OHRQoL will enhance our understanding of the relationship between oral health and general health and demonstrate to clinical researchers and practitioners that improving the quality of patient’s well-being go beyond treating dental disease and disorders.
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