Abstract
The oral health status of children with special health care needs (SHCN) can affect their quality of life wich domains of the Brazilian version of the Early Childohood Oral Health Impact Scale (B-ECOHIS). A cross-sectional study was conducted in children with SHCN (aged 1 to 9 years), who underwent an oral examination for the assessment of dental caries severity. Parents/caregivers answered two questionnaires, one on oral health-related quality of life (OHRQoL) - B-ECOHIS, and one on socioeconomic characteristics. Statistical analyses were performed using the Kolmogorov-Smirnov test, Mann-Whitney U-test, Poisson regression, Point-biserial correlation coefficient, and Cronbach's alpha. A total of 128 children participated in the study and OHRQoL was affected in 68.75% of them. The function domain in the Child Impact Section (CIS) had a higher mean value. Caries severity was associated with worse quality of life (p=0.001). Severe dental caries was associated with a negative impact on the OHRQoL of disabled children and of their families. The impact of untreated dental caries and severity of dental caries was associated with the CIS domains (except for the self-image/social interaction domain).
Highlights
Submitted: May 21, 2018 Accepted for publication: August 01, 2018 Last revision: November 01, 2018Patients with special health care needs (SHCN) have significant limitations in both intellectual functioning and adaptive behavior as expressed in conceptual, social, and practical adaptive skills.[1]
The distribution of the means for each B-Early Childhood Oral Health Impact Scale (ECOHIS) domain demonstrates that age, untreated dental caries, and caries severity were significantly associated with an impact on the oral health-related quality of life (OHRQoL) of the children and
This study evaluates the impact of untreated dental caries, sex, age, and socioeconomic factors on the OHRQoL of children with SHCN
Summary
Submitted: May 21, 2018 Accepted for publication: August 01, 2018 Last revision: November 01, 2018Patients with special health care needs (SHCN) have significant limitations in both intellectual functioning and adaptive behavior as expressed in conceptual, social, and practical adaptive skills.[1]. According to the Census of the Brazilian Institute of Geography and Statistics (IBGE), 45 million people in Brazil have SHCN.[2]. Studies have shown that the oral health of disabled individuals is poor and that they badly need oral treatment, leading to an increased caries risk/susceptibility.[3,4] A high caries prevalence has been reported among people with SHCN.[5,6,7,8] In Brazilian people with SHCN, the higher prevalence of caries is associated with a negative impact.[5,8,9] Investigations in healthy children have shown that health problems such as dental caries can affect a person functionally, psychologically, and socially, in addition
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