Child Oral Health Impact Profile Research Articles

Association between Smoking and Sugar-Sweetened Beverage Consumption, Tooth Brushing among Adolescents in China.

The study aimed to investigate the relationship between smoking, Sugar-Sweetened Beverage (SSB) consumption and tooth brushing among adolescents in China. A valid sample of 6084 middle school students from the Zhejiang province was included. Participants were questioned about smoking status, SSB consumption, tooth brushing, and oral health-related quality of life (OHRQoL). Among the participants, smoking prevalence was 1.9% and nearly half of the students consumed SSBs. The demographic factors associated with smoking were gender, place of residence, and parental level of education. There are co-variations between smoking status, SSB consumption, and tooth brushing. Logistic regression showed that smoking adolescents were more likely to brush their teeth less than once per day (OR = 1.74, p < 0.05), consume soft drinks once or more per day (OR = 2.18, p < 0.01) and have a higher score on the Child Oral Health Impact Profile (OR = 1.05, p < 0.05) after adjusting for demographic factors. The findings provide compelling evidence for governments and related stakeholders to intervene in the lifestyle of adolescents. Future studies are needed to understand the interaction effects of such behaviors, and should help to inform appropriate interventions.

Oral Health-related Quality of Life and Oral Hygiene of Children and Adolescents with Hearing Impairment

BackgroundHearing impairment affects communication and oral hygiene practices.AimTo determine the effect of dental education and motivation on oral health-related quality of life (OHRQoL) and oral hygiene in children and adolescents with hearing impairment.Materials and methodsNinety children aged 8–16 years were selected from a special school of hearing impaired. Their OHRQoL was assessed using child oral health impact profile short form (COHIP–SF) at baseline and at 12 months. Oral hygiene was assessed using Silness and Loe plaque index and Loe and Silness gingival index. Oral health education followed by motivational sessions once a month was carried out for 12 months. Data was statistically analyzed using student paired t-test and Karl Pearson correlation test. Level of significance was considered as 5%.ResultsCOHIP score showed a significant improvement from 39.7 at baseline to 48.0 at 12 months (p < 0.05). A significant reduction was seen in plaque (p = 0.002) and gingival inflammation (p < 0.05) at 6 and 12 months. An inverse relation was seen between the COHIP score and gingival health.ConclusionOHRQoL of children and adolescents with hearing impairment significantly improved from baseline to 12 months.How to cite this articleManohar PS, Subramaniam P. Oral Health-related Quality of Life and Oral Hygiene of Children and Adolescents with Hearing Impairment. Int J Clin Pediatr Dent 2022;15(3):311-315.

Silver diamine fluoride, atraumatic restorations, and oral health-related quality of life in children aged 5\u201313 years: results from the CariedAway school-based cluster randomized trial

ObjectiveSilver diamine fluoride (SDF) is a non-surgical treatment for the arrest and prevention of dental caries that results in irreversible black staining of dental decay. The objective of this study was to evaluate the short-term impact of SDF treatment on oral health-related quality of life (OHRQoL) relative to a standard package of glass ionomer sealants and atraumatic restorative treatment (ART) in children aged 5–13 years.MethodsCariedAway is a pragmatic, longitudinal, cluster-randomized non-inferiority trial of non-surgical interventions for caries. Secondary study outcomes included OHRQoL and academic performance. Oral health-related quality of life was measured at each study visit using the Child Oral Health Impact Profile. Change in OHRQoL was assessed using linear regression and non-inferiority was determined using t tests.Results160 children with an average age of 8.7 years completed quality of life assessments. Untreated decay at baseline (approximately 25%) was associated with significantly worse OHRQoL and treatment in both groups resulted in incremental improvement: children receiving SDF improved their OHRQoL scores from 16.44 (SD = 11.12) to 14.62 (SD = 11.90), and those receiving traditional sealants and atraumatic restorations slightly improved from 16.65 (SD = 10.56) to 16.47 (SD = 11.09). Quality of life in children receiving silver diamine fluoride was non-inferior to those receiving sealants and ART at least 6 months post-treatment (mean difference = 1.85, 95% CI = − 2.10, 5.80), and change in OHRQoL did not depend on the severity of baseline decay.ConclusionsOHRQoL is related to untreated dental caries, and observed changes following SDF treatment were non-inferior relative to standard preventive therapies.

The association between molar incisor hypomineralization and oral health-related quality of life: a cross-sectional study.

ObjectivesWe aimed to assess the association between molar incisor hypomineralization (MIH) and the oral health-related quality of life (OHRQoL) in a group of 7- to 14-year-old children in Berlin, Germany.Materials and methodsThe cross-sectional study consisted of a consecutive sample of 317 children, aged 7–14 years (49% girls, 51% boys; mean age, 8.71). Data were collected between June 2018 and December 2019. MIH was diagnosed using the criteria of the European Academy of Paediatric Dentistry. OHRQoL was assessed using the German 19-item version of the Child Oral Health Impact Profile (COHIP-G19). Differences in COHIP-19 summary scores between controls without MIH and MIH patients and with regards to MIH severity were tested for statistical significance using t test and analysis of variance (ANOVA), respectively.ResultsData were obtained for 217 untreated MIH patients and 100 controls. OHRQoL of MIH patients was significantly more impaired than of controls indicated by COHIP-19 mean scores (60.9 ± 10.7 vs. 67.9 ± 7.8; p < 0.001). Patients with severe MIH (59.6 ± 11.0) reported significantly worse OHRQoL than patients with mild MIH (63.6 ± 9.1; p = 0.013).ConclusionsMIH has a significant negative impact on the children’s OHRQoL. Patients with severe MIH experience a greater negative impact on OHRQoL than those diagnosed with mild MIH.Clinical significanceMIH is one of the major dental problems of our time; pediatric dentists should be aware of its impact on the OHRQoL of the patient.

Psychometric Validation of the CLEFT-Q Patient Reported Outcome Measure: A Prospective Study to Examine Cross-Sectional Construct Validity.

CLEFT-Q is a condition-specific patient-reported outcome measure (PROM) for patients with cleft lip and/or palate (CL/P). The aim of this study was to examine the cross-sectional construct validity of the CLEFT-Q scales. Construct validity was assessed through a prospective study that tested hypotheses regarding correlations of scores with other PROMs that measure related constructs. Seven cleft centres in Canada, the USA, and UK were involved. Patients were aged eight to 29 years with CL/P. Before undergoing rhinoplasty, orthognathic, cleft lip scar revision, and alveolar bone graft, participants were asked to complete the following PROMs: CLEFT-Q (9 scales), Child Oral Health Impact Profile (socio-emotional subscale) and Cleft Hearing Appearance and Speech Questionnaire (features 1 subscale). The correlation coefficients examining the relationship between the scales were the main outcome measures. Correlations (Spearman) were calculated and interpreted as follows: <0.3 weak, 0.30 to 0.50 moderate, ≥0.50 strong. Participants (n = 177) were mostly male (61%) and aged between eight and 11 years (42%). Overall, 38 of 52 (73%) hypotheses tested were supported. More specifically, 20 of 26 (77%) hypotheses about correlations between the appearance scales were supported, two of three (67%) hypotheses about correlations between the health-related quality of life scales were supported, and 16 of 23 (70%) hypotheses about correlations between the appearance and health-related quality of life scales were supported. Cross-sectional construct validity of the CLEFT-Q scales adds further evidence of the psychometric properties of this instrument.

Oral health-related quality of life in children with osteogenesis imperfecta

PurposeOsteogenesis imperfecta (OI) results from mutations in the genes involved in the modification or biosynthesis of collagen. This study aimed to assess the oral health-related quality of life (OHRQoL) in children with OI.MethodologyParticipants were recruited from a highly specialised OI centre for children. The Child Oral-Health Impact Profile—Short Form (COHIP-SF) was used, adding demographic and qualitative questions. Children aged 8–16 years participated between January and October 2019. Statistical analysis was carried out. A higher COHIP-SF score indicates better OHRQoL (maximum score, 76).ResultsOne hundred and six (106) children participated (44 female, mean age 11.93 years). COHIP-SF median score was 59. Children reporting mild OI (n = 55) had higher median scores (62) compared to severe OI (n = 7) with median scores of 55 (P = 0.087). When comparing mixed (< 12 years, n = 46) and permanent dentition (≥ 12, n = 60), no significant difference in OHRQoL was seen (P = 0.977). There was no significant difference between severities for each COHIP-SF domain. Limited data on the presence of dentinogenesis imperfecta did not impact overall score (P = 0.109), but was significant in the oral-health domain (P = 0.033).QualitativeCommon themes were the need for braces, discolouration, pain and function.ConclusionThis study confirmed that children with OI have dental concerns in areas including oral health, functional well-being and socio-emotional well-being. This was related to severity of OI.

Impact of Silver Diamine Fluoride on Oral Health Related Quality of Life (Ohrqol)-A Literature Review

Introduction: Silver diamine fluoride (SDF) has emerged as an effective agent for arresting and preventing caries. It offers an immediate inhibition of caries process thereby reducing pain and suffering in those who lack access to quick restorative /prosthetic rehabilitation. It may impact oral health related quality of life (OHRQoL).&#x0D; Aim: This literature review is aimed at reviewing the SDF versus other standard care therapies and exploring their impact on OHRQoL.&#x0D; Methodology: Literature was searched by two independent reviewers to recognise the English language papers in the four most commonly used databases: Medline, PubMed, Embase, and Scopus. Search included 11 randomised controlled trials that used SDF as an intervention either alone or with comparative agent/treatment for caries arrest and studies that considered oral health-related quality of life as an associating factor.&#x0D; Results: Two studies used application of SDF solution or placebo as intervention, few adopted use of comparator agent or/and alternative treatment and some adopted single sample pre-post designs with isolated SDF use. Different versions of Early Childhood Oral Health Impact Scale (ECOHIS) was used by most studies for assessment of oral health-related quality of life. While two studies (Ruff et al, Hiremath et al) used the Child Oral Health Impact Profile (COHIP).&#x0D; Conclusion: SDF application may increase the quality of life of children as perceived by their parents and SDF staining is not a concern for both of them.

A cross-sectional evaluation of the impact of Class II Division 1 malocclusion in treated and untreated adolescents on oral health–related quality of life

The relationship between malocclusion, orthodontic treatment, and oral health-related quality of life (OHRQOL) is complicated, with some traits, such as increased overjet, having a potentially greater adverse effect on an adolescent's OHRQOL. The aim of this study was to evaluate the impact of malocclusion and orthodontic treatment on OHRQOL in adolescents presenting with Class II Division 1 malocclusion and explore the relationship between OHRQOL using a condition-specific and generic instrument and occlusal outcome. Two groups of adolescents were recruited from a United Kingdom university hospital: a pretreatment group of adolescents with Class II Division 1 malocclusion and a treated (posttreatment) group whose Class II Division 1 malocclusion had been corrected. Self-reported OHRQOL was assessed using the malocclusion impact questionnaire (MIQ) and the short form of Child Oral Health Impact Profile questionnaires. Occlusion severity and outcome were assessed using Peer Assessment Rating scores. A total of 241 participants (106 male; 135 female) were recruited. MIQ scores differed significantly between the pretreatment and posttreatment groups, with scores being 11.35 times lower posttreatment than pretreatment, after adjusting for age and sex (95% confidence interval, -17.28 to -5.42; P<0.001). Females had higher total MIQ scores by 2.6 (95% confidence interval, 0.38 to 4.82), which was statistically significant (P=0.022). There was a moderate correlation between MIQ and Peer Assessment Rating scores, but this relationship strengthened when omitting the global MIQ questions (Spearman's correlation coefficient, 0.59). Increased overjet was associated with impaired OHRQOL using a condition-specific measure. A deeper understanding of associations between malocclusion, orthodontic treatment, and OHRQOL would benefit from longitudinal evaluation.

Oral Health-Related Quality of Life Among Sudanese Children Treated for Cleft Lip and Palate.

This study compared the oral health-related quality of life (OHRQoL) among children with a cleft lip with or without a cleft palate (CL±P) and a group of their peers. The reliability of the Arabic version of the Child Oral Health Impact Profile Questionnaire (COHIP) was also assessed. A cross-sectional study. Cleft clinic in a private dental college in Omdurman City, Sudan. In all, 75 children (mean age 11.3 ± 2.5 years) with a history of CL±P and a group of 150 school children without CL±P (mean age 11.4 ± 2.6 years). Overall and subscale scores on the Arabic version of the COHIP. Test-retest reliability of COHIP in Arabic was high with an interclass correlation coefficient >0.8. Cronbach α value internal consistency was 0.8 for the total scale and between 0.7 and 0.8 for the subscales. The COHIP score was 89.41 ± 19.97 in children with CL±P and 122.82 ± 9.45 for the control group. Children with CL±P had significantly lower scores on the overall and all subscales when compared to children without CL±P (P ≤ .001). Among the children with CL±P, there were no statistically significant differences on the COHIP based on age and/or gender (P ≥ .05). Children with CL±P had a relatively high OHRQoL, which was lower than that of their peers without CL±P in both the overall scale and all subscales. Gender and age differences had no significant impact on the OHRQoL. The COHIP Arabic version showed appropriate reliability.

Comparison of two survey instruments measuring quality of life in pediatric dentofacial patients.

(1) To assess the effectiveness of the Orthognathic Quality of Life Questionnaire (OQLQ) and the Child Oral Health Impact Profile (COHIP) to detect differences in Oral Health-Related Quality of Life (OHRQoL) between pediatric patients with dentofacial deformities and controls. (2) To assess for correlations between scores from the OQLQ and COHIP domains with the type and severity of the skeletal mal-relationship. (3) To assess if the COHIP and OQLQ were identifying unique or overlapping OHRQoL concerns. Subjects were under age 18, presented with a dentofacial deformity, and completed both surveys. Matched controls completed the same. Severity for conditions was recorded via overjet, overbite, and ANB values and subjects were classified as skeletal Class I, II, or III. Enrollment yielded 30 subjects and 31 controls. For the OQLQ, significant differences between subjects and controls were found for the Facial Esthetics domain, Oral Function domain, and total score. For the COHIP, significant differences were found for the Social/Emotional Well-Being and Self-Image domains plus total score. There were no significant correlations between the severity of the condition as measured by overjet and reported OHRQoL for any domains. The OQLQ and COHIP are effective at detecting significant OHRQoL differences between pediatric patients with dentofacial deformities and controls. Although there is some overlap in the results, the instruments appear to identify different OHRQoL concerns.

Optimal application of compressive palatal stents following mesiodens removal in pediatric patients: A Randomized Controlled Trial.

Background There is no scientific evidence supporting the choice of a palatal stent in patients who underwent removal of an impacted supernumerary tooth. We aimed to investigate the effects of palatal stents in patients who underwent supernumerary tooth removal through a palatal approach and to suggest the optimal stent thickness and material.Material and Methods We recruited 144 patients who underwent extraction of a supernumerary tooth between the maxillary anterior teeth. Subjects were assigned to a control group (CG) or one of four compressive palatal stent groups (CPSGs) classified by the thickness and material of the thermoplastic acrylic stent used. Palatal gingival swelling and objective indices (healing, oral hygiene, gingival, and plaque) were evaluated before surgery and on postoperative days (PODs) 3, 7, and 14; pain/discomfort and the Child Oral Health Impact Profile (COHIP) were assessed as subjective indices of the effects of the stent.Results The CPSGs showed faster healing than did the CG on PODs 7 (P<0.001) and 14 (P=0.043); swelling was measured by 1.64±0.88 mm and 4.52±0.39 mm, respectively. Although swelling was least in the 4-mm hard group (0.92±0.33 mm), the difference compared with that in the 2-mm hard group (1.01±0.18 mm) was not significant (P=0.077). The CPSGs showed better COHIP (P<0.001-0.036) and pain scores (P<0.001) than did the CG on PODs 1-3.Conclusions Compressive palatal stents reduce discomfort by decreasing pain and alleviating swelling. Although a stent is effective regardless of its thickness and material, 2-mm hard stents maximized such positive effects with minimal discomfort. Key words:Supernumerary tooth, tooth Extraction, postoperative care, oral Health, pediatric dentistry.

Alidity and reliability of child oral health impact profile among Vietnamese children from 12 to 15 years old

Background: Child Oral Health Impact Profile (COHIP) is a tool to evaluate the impact of oral health related to quality of life. However, there is no Vietnamese standardized COHIP version in Vietnam. This study assessed the validity and reliability of the Vietnamese version of COHIP questionnaire (COHIP-VIET) among Vietnamese children from 12 to 15 years old. Methods: A cross-sectional descriptive study was performed in 853 children from 12 to 15 years old in Ho Chi Minh city from 5/2020 to 4/2021. The original English version of COHIP was translated into Vietnamese (COHIP-VIET) and then backward-translated into English by two dental specialists with certified English level. The COHIP-VIET was reviewed by a specialist committee and was pilot-studied in 30 children from 12-15 years old before performing a main study. The COHIP-VIET was retested with 25% of the sample after two weeks. The Intraclass Correlation Coefficients (ICC) and Cronbach’s alpha coefficients were utilized in this study. Results: The COHIP-VIET was constructed in this study. COHIP score of 12-15 year-old children ranged from 46 to 153. The COHIP-VIET had high reliability with ICC= 0.884 (95% CI= 0.843 – 0.914) and Cronbach’s alpha= 0.88. Conclusions: The COHIP-VIET has high validity and reliability. This questionaire can be used in self-evaluation oral health related quality of life among Vietnamese children from 12 to 15 years old.

Rasch Analysis of Patient- and Parent-Reported Outcome Measures in the International Consortium for Health Outcomes Measurement Standard Set for Cleft Lip and Palate

ObjectivesThe aim of this study was to evaluate the psychometric performance of the patient- and parent-reported measures in the International Consortium for Health Outcomes Measurement (ICHOM) Standard Set for Cleft Care, and to identify ways of improving concept coverage. MethodsData from 714 patients with cleft lip and/or palate, aged 8 to 9, 10 to 12.5, and 22 years were collected between November 2015 and April 2019 at Erasmus University Medical Center, Boston Children’s Hospital, Duke Children’s Hospital, and from participating sites in the CLEFT-Q Phase 3 study. The Standard Set includes 9 CLEFT-Q scales, the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire, the Child Oral Health Impact Profile–Oral Symptoms Scale (COHIP-OSS), and the Intelligibility in Context Scale (ICS). Targeting, item-fit statistics, thresholds for item responses, and measurement precision (PSI) were analyzed using Rasch measurement theory. ResultsThe proportion of the sample to score within each instruments range of measurement varied from 69% (ICS) to 92% (CLEFT-Q teeth and COHIP-OSS). Specific problems with individual items within the NOSE and COHIP-OSS questionnaires were noted, such as poor item fit to the Rasch model and disordered thresholds (6 of 10). Reliability measured with PSI was above 0.82 for the ICS and all but one CLEFT-Q scale (speech distress). PSIs were lowest for the COHIP-OSS (0.43) and NOSE questionnaire (0.35). ConclusionThe patient- and parent-reported components within the facial appearance, psychosocial function, and speech domains are valid measures; however, the facial function and oral health domains are not sufficiently covered by the CLEFT-Q eating and drinking, NOSE, and COHIP-OSS, and these questionnaires may not be accurate enough to stratify cleft-related outcomes.

Effects of the Dental Preventive Health Services for Children on Oral Health-Related Quality of Life

The purpose of this study was to investigate the effects of public preventive dental healthcare services named the “Dental Preventive Health Services for Children” (DPHSC) on oral health-related quality of life (OHRQoL) in Korean children. Of the total 20,802 beneficiaries in 2018, 110 10-year-old elementary school students were randomly selected and were requested to complete a survey using the Korean version of Child Oral Health Impact Profile (COHIP) questionnaire before and after participating in DPHSC. Overall, 107 participants completed the pre- and post-survey. COHIP scores and clinical results such as numbers of decayed and missing teeth, malocclusion, and oral hygiene status from dental examination were statistically analyzed and the reliability and the validity of the responses were verified. There was a significant clinical increase in mean overall COHIP scores following DPHSC (&lt;i&gt;p&lt;/i&gt; &lt; 0.001, effect size 1.05). Children with decayed and missing teeth demonstrated poor OHRQoL. In conclusion, DPHSC can improve the OHRQoL of 10-year-old children.

The relationship between malocclusion and oral health-related quality of life among adolescents: a systematic literature review and meta-analysis.

Malocclusion is a deviation from an anatomical norm that occurs in various populations. Evidence shows that it has physical and psychological implications as well as an influence on the patient's oral health-related quality of life (OHRQoL). Self-perception of oral health plays an important role in the understanding of malocclusion's influence on the quality of life. Malocclusion has been reported to impair a patient's function, appearance, interpersonal relationships and psychological well-being. The aim of this study was to investigate whether adolescents aged between 11 and 18 years with malocclusion are at increased risk for having a high level of OHRQoL compared with those without malocclusion. The Ovid Medline, Embase and Scopus databases were used to identify studies measuring the association between malocclusion and HRQoL. Only cross-sectional studies were included, and the following inclusion criteria were used: subjects were systemically healthy; data were available for untreated malocclusion and OHRQoL; malocclusion was measured by Dental Aesthetic Index and Index of Orthodontic Treatment Needs; OHRQoL was assessed by Child Perception Questionnaire, Child Oral Health Impact Profile and Child Oral Health Impact Profile; and the paper was published in English. Data were extracted by two independent reviewers. The Appraisal tool for Cross-Sectional Studies (AXIS) was used to establish the risk of bias, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) evidence quality assessment tool was used to assess the impact of malocclusion on adolescents across studies. The initial search yielded 530 papers. Eleven cross-sectional studies were included in the meta-analyses, and all data describing the relationship between malocclusion and OHRQoL were gathered via a structured questionnaire. Our results showed that malocclusion is linked to decreased OHRQoL in children and adolescents aged between 11 and 18 years in continuously analysed studies. However, in dichotomously analysed studies, it was shown that young people without malocclusion are linked to decreased OHRQoL. Adolescents with severe levels of malocclusion might have among the worst levels of OHRQoL. The effects of malocclusion on OHRQoL were influenced by the age of the adolescents as well as by their culture and environment. PROSPERO (CRD42020178657).

Development and validation of a web-based version of the Child Oral Health Impact Profile - Preschool version.

The Child Oral Health Impact Profile - Preschool version (COHIP-PS) is the first validated questionnaire designed to assess the oral health-related quality of life (OHRQoL) of preschool children with varying oral health-related conditions. To cross-culturally adapt the original version of COHIP-PS into Chinese and to assess the psychometric properties of a web-based version of the COHIP-PS (eCOHIP-PS/C). The eCOHIP-PS/C was first created using current guidelines. Then, the eCOHIP-PS/C was administered to caregivers having children 2-5years old. The reliability of the eCOHIP-PS/C was estimated using Cronbach's alpha and the intraclass correlation coefficients (ICC). Cross-cultural validity and convergent validity were also investigated. The study included 260 children (mean age 4.3years). Cronbach's alpha of eCOHIP-PS/C was 0.903 and the ICC of the scale was 0.862. Confirmatory factor analysis (CFA) demonstrated that a four-component model was the best solution for the eCOHIP-PS/C. The fit indices were as follows: χ2 /df=2.176, TLI=0.942, CFI=0.946, GFI=0.927, and RMSEA=0.075. In addition, a good relationship was found between the eCOHIP-PS/C and the global oral health question. The eCOHIP-PS/C is a reliable and valid tool for assessing the OHRQoL among Chinese preschool children.

Association of self-esteem with perceived orthodontic treatment need and oral health-related quality of life among 12-15 years schoolchildren - A cross-sectional study

Objectives: The objective of the study was to assess the association of self-esteem (SE) with perceived orthodontic treatment need and oral health-related quality of life (OHRQoL) among 12–15 years old schoolchildren in Bengaluru city, India. Materials and Methods: A cross-sectional study was conducted among 400 schoolchildren aged 12–15 years in Bengaluru city, India. The data were collected on a structured pro forma that included demographic profile, perceived orthodontic treatment need questionnaire, Child Oral Health Impact Profile (COHIP), and the modified version of the Harter’s self-perception profile rated by the children. ANOVA, Chi-square test, and multivariate linear analysis models were used. P &lt; 0.05 was considered as statistically significant. Results: The mean age of the study group was 13.21 ± 1.08 years. Most of the study participants were female (53%). Among the participants, 67% perceived orthodontic treatment need. Mean scores for COHIP and SE were 38.3 ± 10.7 and 91.5 ± 8.3, respectively. In multivariate linear regression analysis, SE was significantly associated with OHRQoL (0.161 [95% confidence interval CI 0.086–0.235)] and perceived orthodontic need [−0.701 (95% CI −1.252, −0.151)]. Conclusion: In this study, orthodontic treatment needs influenced SE and OHRQoL in the children. Hence, early diagnosis and prompt treatment can improve SE and OHRQoL.

Impact of orthodontic treatment need and deviant occlusal traits on oral health–related quality of life in children: A cross-sectional study in the Generation R cohort

Many studies have investigated the impact of orthodontic treatment need (OTN) on children's oral health-related quality of life (OHRQOL). However, few studies have explored the impact of deviant occlusal traits on OHRQOL regarding the severity of OTN. This cross-sectional study aims to address this gap in the literature. This study was conducted within the Generation R Study, a population-based prospective cohort study. We assessed OTN with the Index of Orthodontic Treatment Need and OHRQOL with a parental short-form of the Child Oral Health Impact Profile in 3048 children at a median age of 9.74years (9.5-10.0). We also further assessed individual malocclusion traits in a subsample of 2714 children. We investigated the association between OTN, malocclusion traits, and OHRQOL using multiple regression analysis with weighted least squares. Children with definite (adjusted effect estimate=-0.81; 95% confidence interval -1.12 to -0.50) or borderline (adjusted effect estimate=-0.34; 95% confidence interval -0.61 to -0.08) OTN experienced significant decreases in their OHRQOL than those with no need. An impacted tooth, increased overjet, or crowding had significant negative impacts on children's OHRQOL. Children with an overjet experienced negative impacts on OHRQOL even when orthodontic treatment was not necessary. Progressively greater OTN has increasingly negative impacts on parent's perception of children's OHRQOL. In particular, children presenting with large overjets and impacted teeth have lower OHRQOL. These perspectives add to better patient-clinician communication and understanding of patient expectations around OTN, which may potentially lead to improvements in quality of care from the patient perspective.

Reliability and validity of the Myanmar version of the child oral health impact profile – short form 19

Reliability and validity of the Myanmar version of the child oral health impact profile – short form 19

Oral Health-Related Quality of Life in Chinese Children With Orofacial Cleft.

To measure the validity and reliability of a Chinese version of Child Oral Health Impact Profile (COHIP) and to assess oral health-related quality of life (OHRQoL) with regard to gender, age, and cleft types in Chinese children with orofacial cleft (OFC). A total of 120 patients with OFC (8-15 years old) and their parents were investigated with COHIP in the West China Hospital of Stomatology. Items were divided into oral symptoms, functional well-being, emotional well-being, school, and peer interaction subscales, and scores on all subscales were compared between and within groups. The internal consistency measured by Cronbach α was satisfactory in children's sample (0.85) and parents' sample (0.90). The correlation between children's and parents' questionnaires was moderate to weak (Pearson r = 0.34), which was also supported by moderate intraclass correlation coefficients. The OHRQoL of children differed significantly from parents on the overall COHIP, functional well-being, emotional well-being, and school subscales. Older children had poor OHRQoL, functional well-being, and emotional well-being. Girls had poor emotional well-being. Children with cleft lip and palate and cleft palate performed worse on the overall COHIP, functional well-being, and school subscales. Parents, boys, and younger children had better treatment expectations and global health perceptions. The Chinese version of COHIP is a reliable and valid tool to assess OHRQoL in Chinese children with OFC. Parents' reports could not replace children's answers but add complementary information. Children's gender, age, and cleft types should be considered in OHRQoL assessment and individual treatment plan.