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

Impact of dental trauma on oral health-related quality of life among 12 years Lucknow school children: A cross-sectional survey

Introduction: Dental trauma has become an important attribute of dental public health inducing feelings of embarrassment to smile, laugh, and show teeth affecting social relationships. Available literature regarding the impact of dental trauma on the quality of life of children in Lucknow is scarce. Aims: To assess the impact of traumatic dental injuries (TDI) on oral health-related quality of life (OHRQoL) among 12-year-old school going children of Lucknow. Materials and Methods: A cross-sectional survey was conducted among 12-year-old Lucknow school children. A total of 492 school children were selected through multistage cluster random sampling. The participants completed the child perceptions questionnaire (CPQ 11-14) - impact short form: 16 followed by an assessment of TDI. Unpaired t-test was used to determine the association of TDI with CPQ 11-14 because it involved two separate groups; one with dental trauma and other without dental trauma. Results: The prevalence of TDI was 10.8%. Maxillary central incisors (8.73%) were the frequently traumatized teeth. Enamel fracture (7.11%) was the most common type of TDI. OHRQoL had statistically significant association with TDI. Conclusions: TDI has a negative impact on OHRQoL of children affecting their personal relationships and school performance.

Effects of Dental Rehabilitation under General Anesthesia on Children’s Oral Health-Related Quality of Life Using Proxy Short Versions of OHRQoL Instruments

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.

Exploring the impact of oral diseases and disorders on quality of life of preschool children

To assess the impact of oral health outcomes on Oral Health-Related Quality of Life (OHRQoL) in a school-based sample of Brazilian preschool children and their families. A cross-sectional study was conducted in 1036 children aged 2-5years attending all the public nurseries in Canoas, Brazil. Caregivers 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, traumatic dental injuries (TDI) and malocclusion. Multivariable Poisson regression models with robust variance were fitted to assess covariates for the prevalence of impacts on OHRQoL following a theoretical hierarchical framework. 17.4% 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 pain, difficult drinking and eating some foods. The multivariable Poisson regression analysis showed that dental caries, TDI and malocclusion were associated with the outcome. The prevalence of having any impact on OHRQoL was almost three times higher for children with dental caries (PR 2.74 95% CI 2.02-3.72) compared to those who were caries free; and approximately 1.5 times higher for those who presented TDI (PR 1.70 95% CI 1.27-2.27) and malocclusion (PR 1.42 95% CI 1.04-1.94). The findings showed that caregivers of young children with oral disease and disorders perceived that both the children and other family members had poorer quality of life. Oral health policies should be included into general health programs based on common risk approach.