On Oral Health-related Quality Of Life Of Children Research Articles

Dental pain in Brazilian preschool children: association with the severity of dental caries and impact on oral health-related quality of life.

This study aimed to verify the association between dental pain and severity of dental caries (caries morbidity stages) and the impact on oral health-related quality of life (OHRQoL) in preschool children. A cross-sectional study with 199 children (2-5years old) enrolled at preschools in Capão do Leão-RS, Brazil. The self-report of mothers of children with a history of dental pain in the last 6months and perception of their child's OHRQoL (ECOHIS) were obtained through a structured questionnaire. This questionnaire also collected independent variables. Children's oral examination was performed using the CAST instrument to determine caries morbidity stage. Crude and adjusted Poisson regression analysis was performed. The prevalence of dental pain was 14.57%. The chance of the occurrence of dental pain was higher among children diagnosed in morbidity [Prevalence ratio-PR: 5.29 (95% confidence interval-95% CI 1.91-14.61); p = 0.001] and severe morbidity [RP = 6.12 (95 CI% 2.25-16.64); p < 0.001] stages. Children with dental pain presented higher scores in the total ECOHIS [rate ratio = 7.11 (95% CI 4.55-11.09); p < 0.001] and in all of the domains of this instrument. Furthermore, children with a history of dental trauma [PR = 2.41 (95% CI 1.15-5.04); p < 0.001] and those whose reason for last visit to the dental office was for restorative/endodontic/extraction treatment [PR = 1.29 (95% CI 1.01-6.19); p = 0.049] had a higher prevalence of dental pain. A substantial prevalence of dental pain in the last 6months and negative impact on children's OHRQoL was identified in this sample. Children diagnosed with carious dentin lesions and abscess and fistula were more likely to have dental pain.

Cross-cultural adaptation and validation of the Chinese version of the Malocclusion Impact Scale for Early Childhood (MIS-EC/C)

BackgroundThe Malocclusion Impact Scale for Early Childhood (MIS-EC) is a newly developed questionnaire used to measure the parental perceptions of the impact of malocclusion on oral health-related quality of life (OHRQoL) of preschool children aged 3–5 years. This study describes the cross-cultural adaptation and validation of the MIS-EC questionnaire into Chinese version (MIS-EC/C).MethodsThe MIS-EC/C was developed in accordance with international standards. The scale was then evaluated in a cross-sectional study comprising 210 preschool children aged 3–5 years. The reliability of the MIS-EC/C was tested using internal consistency and test-retest reliability analyses. Cross-cultural validity, discriminant validity and convergent validity were tested.ResultsThe Cronbach’s α value and intraclass correlation coefficient (ICC) value for the MIS-EC/C were 0.943 and 0.873, respectively. Confirmatory factor analysis indicated that the fitting indicators of the two-factor model all reached the standard. The MIS-EC/C can differentiate preschool children with malocclusion from those without malocclusion. In addition, there is a good relationship between the MIS-EC/C and the general oral health question.ConclusionThe MIS-EC/C is a reliable and effective assessment tool for assessing the effect of malocclusion on the OHRQoL of preschool children in China.

Influence of sociodemographic factors on parental perceptions of Saudi parents on oral health-related quality of life of children with autism spectrum disorder in Riyadh, Saudi Arabia: A cross-sectional study

Aim: To assess the association of sociodemographic factors on parental perception of Saudi parents on oral health-related quality of life (OHRQoL) of their children with autism spectrum disorder (ASD). Materials and Methods: A cross-sectional study was conducted on 100 Saudi parents whose children with ASD were enrolled in special schools in Riyadh. Parents were asked to fill out two questionnaires consisting of their sociodemographic information and parental caregiver perception questionnaire. The results were then statistically analyzed by applying mean standard deviation with 95% of confidence interval, Pearson’s Chi-square test, and multinomial regression model with level of significance P < 0.05. Results: Sociodemographic factors, like age, education, and family income, affected various domains of parental perception of OHRQoL of their children with ASD. Age and education of the father are significantly associated with the oral symptom domain (P value = 0.002) and emotional well-being (EW) (P value = 0.032), respectively. Age and education of the mother are significantly associated with the oral symptom domain (P value 0.035) and EW (P value 0.040), respectively. Family income is significantly associated with the oral symptom domain (P value 0.000). Conclusion: There is a definite role of sociodemographic factors on parental perceptions of Saudi parents regarding OHRQoL of ASD children.

Premature loss of primary molars: impact on the oral health-related quality of life of schoolchildren.

Evaluate the impact of the premature loss of primary molars due to caries on oral health-related quality of life (OHRQoL) in schoolchildren. A cross-sectional study was conducted with children eight to ten years of age at public schools in the city of Florianópolis selected through cluster sampling. The collection of the clinical data occurred in the school setting by four trained and calibrated examiners (Kappa > 0.7) DMFT/dmft index, PUFA/pufa index, accentuated overjet, and anterior open bite. Sex and age of the child and guardian's schooling (classified as ≤ 8 or > 8years) were collected through a questionnaire answered by the guardians. OHRQoL was assessed using the Child Perceptions Questionnaire 8-10. The data were submitted to bivariate, multivariate, and hierarchical Poisson analyses. A total of 1456 children participated in the study. The prevalence of premature tooth loss due to caries was 5.8% (n = 85). The prevalence of negative impact on OHRQoL was 47.4% (n = 691). Negative impact on OHRQoL was significantly associated with the premature loss of primary molars (p < 0.001) as well as the sex (girls), guardian's schooling (> 8years) and the presence of untreated caries (p < 0.001). The premature loss of primary molars due to caries was associated a negative impact on the OHRQoL of children eight to ten years of age. Negative impact is also associated with untreated caries, sex, and the level of schooling of guardians.

Oral health-related quality of life and parental anxiety in chinese children undergoing Dental General Anesthesia: a prospective study

Dental general anesthesia (DGA) is an effective treatment for very young children or those who have severe dental fear and mental or physical disabilities. However, the long-term impacts of DGA on oral health-related quality of life (OHRQoL) and parents’ anxiety in China are still questionable. This study aimed to assess the influence of DGA on OHRQoL in Chinese children and their parents’ psychological status. A total of 204 children and their parents participated in this study. The ECOHIS was applied to evaluate OHRQoL in children. The parents’ anxiety was analyzed using the Chinese version of the Kessler 10 scale. The internal consistency was evaluated with Cronbach’s alpha coefficient, and Wilcoxon signed-rank test was used for statistical analyses. The scores of each section of ECOHIS decreased one month after the procedure except for the self-image and social sections (P < 0.05). The scores of the Kessler 10 scale decreased one month after DGA and kept decreasing six months later (P < 0.05). The parents’ Kessler 10 scores exhibited a moderately positive correlation with the children’s ECOHIS scores (r = 0.480, P < 0.05). After DGA, the OHRQoL of Chinese children and their parents’ mental health continued to improve. And they exhibited positive correlation.

Parental perception of oral health related quality of life and barriers to access dental care among children with intellectual needs in Kottayam, central Kerala-A cross sectional study.

To evaluate the parental perception of oral health related quality of life and barriers to access dental care among children with intellectual needs. This cross sectional study was conducted among randomly selected 300 parents of children aged 4-12 years with intellectual needs (mental retardation, cerebral palsy, epilepsy, autism). Data on oral health related quality of life (OHRQoL) were collected with parental-caregivers perceptions questionnaire (P-CPQ). DMFT/dmft index was used to express caries prevalence as per World Health Organisation. Chi-squared test, analysis of variance, t-test and correlation were performed. Parents of children who fell in the high severity DMFT category reported higher score in all four domains of OHRQoL when compared to low severity and moderate severity. Parents of children suffering from autism had higher score in all four domain of OHRQoL (p=.000).Majority of the parents rated their children's oral health as either fair (47%) or poor (42%). Predominant barriers for access dental care were financial difficulties (35.3%), lack of knowledge about dental care (24%), transportation difficulties (15%). The present study revealed that higher caries prevalence has negative impact on OHRQoL of children with intellectual needs and their parents faced certain barriers for accessing dental care.

Does outpatient dental treatment have impact on the quality of life of children with early childhood caries?

To assess the impact of outpatient dental treatment on oral health-related quality of life (OHRQoL) of children and their families. This prospective observational study was conducted with children with untreated dental caries, recruited from a public university/the pediatric dentistry clinic of a public university in the northeastern Brazil. Sociodemographic data were collected, a clinical examination was carried out before and after dental treatment, and the Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire was applied to those responsible for the children, before and after dental treatment. Descriptive and bivariate statistics were used, and the Wilcoxon and Student's t tests were applied (p < 0.05). The study included 64 children, of both sexes, aged between 3 and 5years old. The majority had a dmft index higher than or equal to 6 (60.9%), with a mean value of 7.11 (± 4.11). Sociodemographic conditions such as sex, age, and socioeconomic status had no impact on their OHRQoL (p > 0.05). The mean total ECOHIS questionnaire scores and those of its domains decreased after completion of the treatments (p < 0.05), except for scores in the self-image and distress domains of the parents (p > 0.05). This study reinforces the relevance of adopting oral health policies aimed at the prevention and treatment of ECC. Outpatient dental treatment had a positive impact on the OHRQoL of children and their families. The possibility of evaluating the services provided by the pediatric dentistry clinic.

Dental pain, parental SARS-CoV-2 fear and distress on quality of life of 2 to 6 year-old children during COVID-19.

BackgroundCoronavirus disease (COVID‐19) has crippled life, families and oral healthcare delivery in India due to nationwide lockdown.AimThrough cross‐sectional design, we investigated the impact of child's dental pain, caregiver's fear of SARS‐CoV‐2 and parental distress on oral health–related quality of life (OHRQOL) of preschoolers during the nationwide COVID‐19 pandemic lockdown.DesignPreschool children self‐reported their pain using Pieces of Hurt scale; caregiver SARS‐CoV‐2 fear was assessed using Fear of COVID‐19 scale and parental distress evaluated using 4‐item scale. Child's oral health was assessed using the dmft index and OHRQOL evaluated using early childhood oral health impact scale. Bivariate, multivariate regression analysis was conducted to identify predictors; statistical significance was set at 5%.ResultsSample mean age was 4.58 years, and about 69% were boys. Children reporting higher pain scores (OR = 1.9) due to decayed teeth and having dmft > 5 (OR = 4.25), followed by greater parental distress (OR = 4.13) and fear of SARS‐CoV‐2 (OR = 3.84), were significantly associated with poor OHRQOL during the COVID‐19 pandemic.ConclusionsGreater parental distress and fear of COVID‐19 among caregivers, higher self‐perceived dental pain among children and caries experience are associated with poor OHRQOL of preschool children during the COVID‐19 pandemic.

DOES DENTAL TRAUMA IN EARLY CHILDHOOD HAVE THE POTENTIAL TO AFFECT THE QUALITY OF LIFE OF CHILDREN AND FAMILIES?

ABSTRACTObjective: To evaluate the influence of dental trauma on oral health-related quality of life (OHRQoL) of children and their families.Methods: A total of 571 children aged five years were randomly selected at public schools. Trauma was clinically evaluated in accordance with the Andreasen classification. Caries experience in the anterior region and increased overjet were determined according to the World Health Organization criteria. The Early Childhood Oral Health Impact Scale (ECOHIS) was answered by the parents and used to evaluate OHRQoL. In addition, this questionnaire has aspects related to socioeconomic status. Simple logistic regression was performed, and the raw Odds Ratios with the respective 95% confidence intervals (95%CI) were estimated. The variables with p<0.20 were tested in multiple logistic regression models, and those with p≤0.05 remained in the model and the adjusted odds ratio with respective 95%CI was estimated.Results: Income showed a magnitude of association of 1.56 and 2.70 with the OHRQoL of children and families, respectively. The avulsion variable showed 9.65- and 8.25-times greater chance of influencing the OHRQoL of children and families, respectively. The experience of caries showed 3.80- and 2.42-times greater chance of influencing the OHRQoL of children and families, respectively.Conclusions: Dental trauma did not influence OHRQoL of children and their families negatively. However, avulsion and caries experience in low-income families was associated with a negative perception of OHRQoL.

Association of dental caries morbidity stages with oral health-related quality of life in children and adolescents.

Dental caries morbidity stages and their impact on oral health-related quality of life (OHRQoL) have not yet been established. To compare the association of dental caries morbidity stages with OHRQoL in children and adolescents from public schools of Patos-PB, Brazil. A cross-sectional study was performed on 461 students at 8-10years and 454 at 11-14years. Caries was evaluated by Caries Assessment Spectrum and Treatment (CAST) instrument. The maximum CAST code per individual was registered. OHRQoL was assessed using the Child Perceptions Questionnaires for children (CPQ8-10 ) and adolescents (CPQ11-14 ). Morbidity stage was the most prevalent caries condition in children (40.8%) and adolescents (38.1%). Factors associated with higher CPQ8-10 scores in the multivariate regression analysis after adjustments were age [9years, prevalence ratio (PR): 1.24; 95% confidence interval (CI): 1.06-1.45; and 10years, PR: 1.32, CI: 1.13-1.55] and dental caries status [morbidity, PR: 1.23, CI: 1.03-1.48; and severe morbidity, PR: 1.30, CI: 1.04-1.61]. The factor associated with higher CPQ11-14 scores was dental caries status [morbidity, PR: 1.20, CI: 1.00-1.44]. The OHRQoL of children was negatively associated with morbidity and severe morbidity stages of dental caries, while for adolescents, only morbidity had a negative association with their OHRQoL.

Sleep bruxism and oral health-related quality of life in children: A systematic review.

Sleep bruxism (SB) is a masticatory muscle activity during sleep that can cause several consequences to the stomatognathic system. This systematic review investigated the impact of SB on oral health-related quality of life (OHRQoL) of 0- to 6-year-old children. Literature search was undertaken through PubMed/MEDLINE, LILACS, Scopus, TRIP, Livivo databases, and grey literature. The search was conducted with no publication year or language limits. Two reviewers independently selected the studies, extracted the data and assessed the risk of bias. The quality of evidence was assessed using GRADE. From 185 potentially eligible studies, three were included in the review. All studies were conducted in Brazil, published between 2015 and 2017, and used the B-ECOHIS instrument to evaluate OHRQoL. Two studies found no association between SB and OHRQoL, whereas one showed a significant negative impact of SB on the OHRQoL of children. SB was associated with respiratory problems, presence of tooth wear, dental caries, malocclusion as well as income and pacifier use. Risk of bias ranged from moderate to high, and the quality of evidence was judged as very low. The evidence is currently insufficient for definitive conclusions about the impact of SB on OHRQoL of children.

Impact of specific orthodontic parameters on the oral health-related quality of life in children and adolescents : Aprospective interdisciplinary, multicentre, cohort study.

The aim of the present study was to analyse the impact of specific orthodontic findings on oral health-related quality of life (OHRQoL) when taking into consideration age and psychological factors in children and adolescents. In all, 250 children and adolescents with an indication for orthodontic diagnostics were recruited using amulticentre study design. Using validated and internationally acknowledged questionnaires, we assessed OHRQoL, health-related quality of life (HRQoL), self-esteem and behavioural problems. We also examined aselection of specific orthodontic findings using photos, model casts and cephalometric analyses, and investigated the impact of these parameters on OHRQoL using simple linear regression analyses. Thereafter, we added all the significant specific orthodontic and psychological parameters to amultiple linear regression model using astepwise forwards selection procedure. We were able to identify different specific orthodontic findings that have asignificant impact on OHRQoL. These were the type of lip closure, the position of the chin, the Little-index of the upper jaw, the overjet, the overbite and the ANB angle. Moreover, we were able to demonstrate that psychological and some specific orthodontic parameters have asignificant impact on OHRQoL. Specific orthodontic findings have asignificant impact on patients' perceived OHRQoL. Further longitudinal studies are required to investigate whether the treatment and correction of these malocclusions also improve the OHRQoL of children and adolescents.

Effect of neighborhood and individual social capital in early childhood on oral health-related quality of life: a 7-year cohort study

Social capital incorporates both contextual and individual levels of interactions and influences health. The aim of this study was to assess the influence of neighborhood and individual social capital on oral health-related quality of life (OHRQoL) of children. This 7-year cohort study was conducted with 639 children (1-5years) who had been evaluated initially with a survey administered in 2010. OHRQoL was assessed using the Brazilian version of the Child Perception Questionnaire (CPQ8-10) in the follow-up. Contextual variables related to social capital were collected during the baseline and included the presence of social class associations, workers' associations, and cultural community centers. Individual variables included individual social networks, socioeconomic variables, and oral health measures (dental caries and overjet). A multilevel Poisson regression model was used to investigate the influence of individual and contextual characteristics on OHRQoL. With this approach, we calculated incidence rate ratio (IRR) and 95% confidence intervals (95% CI). From the 639 preschoolers examined at baseline, a total of 449 children were re-evaluated after 7years (70.3% response rate). Children who lived in areas with social class associations at baseline reported better OHRQoL in the follow-up (IRR 0.79; 95% CI 0.67-0.93). Regarding individual variables, low socioeconomic status, poor clinical conditions, and weak social networks were also associated with higher overall CPQ8-10 scores. High levels of individual and neighborhood social capital in early childhood positively influenced children's OHRQoL. This finding is important in planning public health policies to improve children's health and well-being.

Impact of Traumatic Dental Injuries on Oral Health-Related Quality of Life of Preschool Children and Their Families Attending a Dental Trauma Care Program

Background: Traumatic dental injury (TDI) constitutes a public health problem. Objective: The objective of this study was to detect the impact of TDI on oral health-related quality of life (OHRQoL) of preschool children in a dental trauma care program and to evaluate the psychometric properties of the OHRQoL instrument in this population. Methods: A cross-sectional study including a nonprobabilistic sample of 2- to 6-year-old children from a 5-year collection period was performed. We used Andreasen’s classification to evaluate TDI and the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS) to assess OHRQoL. Based on the Kolmogorov-Smirnov test, Student’s t test was applied to compare the means of impact in the cases of complicated and uncomplicated TDI considering a p value <0.05. Results: The final sample was composed of 146 children (mean age 4.31 ± 1.68 years). The search for treatment was 90% mediated and 56.7% TDI was in support of tissue. The ECOHIS had satisfactory properties (Cronbach’s α = 0.83 and test-retest/intraclass correlation coefficient = 0.79). The ECOHIS mean was 6.79 ± 8.64 for the total scale, 4.29 ± 6.46 for the child subscale, and 2.50 ± 3.06 for the family subscale. Complicated TDI had a greater impact on OHRQoL in total score (p = 0.036), child subscale (p = 0.038), symptoms domain (p = 0.049), and function domain (p = 0.030). Conclusions: The OHRQoL instrument was satisfactory. It was detected that complicated TDI impacts negatively on the OHRQoL of children and their families.

Factors influencing the impact of temporomandibular disorders on oral health-related quality of life among school children aged 12–15 years in Mangalore: An observational study

Background: Temporomandibular disorders (TMDs) have been recognized as common orofacial conditions which cause considerable pain. Apart from dental caries and periodontal diseases, TMDs are becoming significant ailment affecting individuals due to their magnitude and impact on individuals. Few studies have examined the impact of TMDs on oral health-related quality of life (OHRQoL) in adolescents, especially in the Indian context. Aim: To assess the factors affecting the impact of TMDs on OHRQoL among 12 to 15-year-old schoolchildren in Mangalore. Materials and Methods: A cross-sectional study was carried out among 12 to 15-year-old schoolchildren in Mangalore. Signs and symptoms of TMDs and parafunctional habits were analyzed using a screening questionnaire recommended by the American Academy of Orofacial Pain. OHRQoL was measured by the 16-item version of Children Perception Questionnaire (CPQ11-14). Malocclusion was also assessed using Dental Aesthetic Index (DAI). Data were analyzed using Statistical Package for the Social Sciences (SPSS) software, version 14 (SPSS Inc., Chicago, IL, USA). Chi-square test and step-wise multiple logistic regression test were employed. P < 0.05 was considered statistically significant. Results: TMDs showed statistically significant association with OHRQoL among the schoolchildren (P < 0.05). Parafunctional habits and malocclusion were also significantly associated with both TMDs and OHRQoL among the study participants. Multivariate analysis found few parafunctional habits and malocclusion to be the significant predictors for both TMDs and OHRQoL (P < 0.05). Conclusion: Parafunctional habits, malocclusion, and TMDs had statistically significant association with OHRQoL. Parafunctional habits and malocclusion were found to be significant predictors for both TMDs and OHRQoL. TMDs and the associated factors have an impact on the psychosocial functioning of the children. This study emphasizes the importance of OHRQoL assessment for evaluating TMD patients because it can have a substantial impact on functional, emotional and psychologic aspects, thus negatively affecting the OHRQoL of children.

Impact of untreated dental caries severity on the quality of life of preschool children and their families: a cross-sectional study.

Untreated dental caries is a persistent oral problem among preschool children. Although there is vast evidence regarding the impact of dental caries on oral health-related quality of life (OHRQoL) in this age group, evidence on the impact of untreated caries severity is scarce. The purpose of this study was to investigate the impact of untreated caries severity on the OHRQoL of preschool children and their families. A cross-sectional study was conducted with 563 individuals in the city of Goiania, Brazil. Data were collected through interviews with parents/caregivers and clinical examinations of their children. The OHRQoL was measured by the Brazilian version of the Early Childhood Oral Health Impact Scale. Untreated dental caries severity was assessed using validated indices. Other independent variables were socioeconomic, toothache prevalence, and the questionnaire respondent. Statistical analysis involved bivariate comparisons and Poisson regression analyses. A higher prevalence of impact on OHRQoL was found among preschool children with untreated dental caries with clinical consequences (PR 1.31; 95% CI 1.01-1.70) compared to those without caries; those aged 5years (PR 1.47; 95% CI 1.18-1.82), compared to those aged two; and those with a toothache (PR 1.54; 95% CI 1.34-1.76), compared to those without toothache. Moreover, fathers (PR 0.71; 95% CI 0.55-0.92) and other respondents (PR 0.70; 95% CI 0.52-0.96) perceived less impact on the OHRQoL in comparison to mothers. Severe untreated dental caries with clinical consequences had a negative impact on the children's OHRQoL, regardless of toothache and socioeconomic factors.

Impact of untreated dental caries on oral health-related quality of life of children with special health care needs.

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).

Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis.

BackgroundObservational studies have suggested that traumatic dental injuries (TDI) can lead to pain, loss of function and esthetic problems, with physical, emotional and social consequences for children and their families. However, population-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among preschool children are scarce and offer conflicting results. The aim of the systematic review and meta-analysis was to evaluate the impact of TDI on OHRQoL among preschool children (PROSPERO-CRD42015032513).MethodsAn electronic search of six databases was performed in PubMed (MEDLINE), ISI Web of Science, Scopus, Science Direct, EMBASE and Google Scholar, with no language or publication date restrictions. The eligibility criteria were TDI as the exposure variable, OHRQoL as the outcome and a population of children up to six years of age. RevMan software was used for data analysis. Results are expressed as odds ratios with 95% confidence intervals for the total score of the Early Childhood Oral Health Impact Scale (ECOHIS) as well as the scores of the Child Impact Section (CIS) and Family Impact Section (FIS). The random effect model was chosen and heterogeneity was evaluated using the I2 test.Results2,013 articles were initially retrieved; 1,993 articles were excluded based on title and abstracts; 10 articles excluded after full-text analysis. Ten studies comprising a population of 7,461 preschool children were included in the systematic review and nine studies were included in the meta-analysis. TDI caused a negative impact on OHRQoL based on the overall ECOHIS (OR: 1.24; 95% CI: 1.08–1.43) and CIS (OR: 1.23; 95% CI: 1.07–1.41), but not the FIS (OR: 1.09; 95% CI: 0.90–1.32).ConclusionsTDI negatively impacted on OHRQoL of preschool children. The present findings indicate the need for TDI prevention and treatment programs in early childhood.

Impact of Sociodemographic Attributes and Dental Caries on Quality of Life of Intellectual Disabled Children Using ECOHIS

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.

Oral mucosal lesions' impact on oral health-related quality of life in preschool children.

The aim of this study was to assess the prevalence of oral mucosal lesions and their impact on oral health-related quality of life (OHRQoL) in children aged 5years. A sample of 1118 children from Pelotas' birth cohort, born in 2004 (response rate of 85.8%), were selected to participate in the study. Data were collected using a questionnaire applied to mothers and from the oral examinations of the children. OML were identified by type, site, and size. Early Childhood Oral Health Impact Scale (ECOHIS) was used to assess caregivers' perception on children's OHRQoL. Descriptive, bivariate, and multivariate Poisson regression analyses were carried out, considering the impact on OHRQoL (total ECOHIS score) as the outcome. The prevalence of the OML was 30.1% (95% CI 27.5-32.9). Ulcers were the more prevalent type of lesion (29.4%), and the most affected site was the gums (31.0%). In bivariate analysis, there was a positive association between the presence of OML and OHRQoL impact measured by the following: mean overall score of ECOHIS (P<0.001); extent (P<0.001); prevalence (P=0.030); and intensity (P=0.010). After adjustments for sociodemographic and oral health variables, children with OML presented higher impact on OHRQoL [rate ratio (RR) 1.38 95% CI 1.11; 1.72] comparing with their counterparts. Analyzing specific domains, children with OML also presented higher impact on children symptoms (RR 1.46 95% CI 1.20; 1.66) and family functional (RR 3.14 95% CI 1.59; 6.22) domains. Almost one-third of children presented with oral mucosal lesions, and these lesions impaired children's oral health-related quality of life.