Impact Of Caries Research Articles

Impact of dental caries and Self-perceived oral health on daily lives of children and mothers in rural Egypt: a household survey

BackgroundThe present study assessed the impact of oral health on the daily lives of children and mothers living in a rural area in Northwestern Egypt.MethodsA cross-sectional household survey including children between 6 and 12 years old and their mothers was conducted in rural Egypt, 2019–2020. Data were collected using clinical examination and interview-based questionnaires of children and mothers. Three binary logistic regression models were used to assess the relationship between the dependent variables (oral health impact (yes, no) on avoiding smiling, chewing problems, and missing school (children) and avoiding social events (mothers)), and the explanatory variables: oral health (clinically-assessed caries experience and self-reported oral health) controlling for sociodemographic profile (child age and sex, mother’s education), daily toothbrushing and village of residence.ResultsA total of 211 households with 355 children and 211 mothers were included (91.5% response rate). About 54% of the children were girls, mean (SD) age = 8.7 (2.05) years and 82.3% did not brush their teeth daily. Mother’s mean (SD) age was 31.70 (5.45) years. Because of dental problems, 31.3% of children reported chewing difficulties, 31% avoided smiling compared to 76.3% and 43.6% of mothers. Also, 30.4% of children missed school and 76.8% of mothers reported reduced participation in social activities. In children, the number of decayed anterior teeth was associated with significantly higher odds of avoiding smiling (AOR = 1.22, 95%CI: 1.03, 1.44). In mothers, a greater number of posterior missing teeth was associated with significantly higher odds of chewing difficulties (AOR = 1.21, 95%CI: 1.01, 1.45), and a greater number of all missing teeth was associated with significantly higher odds of reduced participation in social events (AOR = 1.30, 95%CI: 1.30, 1.57). Good/ very good reported oral health in children and mothers was associated with lower odds of avoiding smiling and chewing problems (p < 0.05).ConclusionDecayed anterior teeth in children have a negative impact on smiling whereas missing teeth in mothers affect the ability to chew food and socialize. The psychological, functional, and social impacts of caries in this rural setting needs to be mitigated by improving oral health literacy and access to care.

The oral health of secondary school pupils: baseline data from the Brushing RemInder 4 Good oral HealTh (BRIGHT) trial.

Background This paper describes the sociodemographics and oral health of UK secondary school pupils. They were participants of the BRIGHT trial, which was designed to evaluate the effectiveness of a toothbrushing intervention to reduce dental caries.Methods Overall, 4,680 pupils aged 11-13 years attending 42 secondary schools in England, Scotland and Wales with above average proportion of pupils eligible for free school meals, were recruited to the trial. Sociodemographic data were collected. Participants had a clinical assessment for caries, plaque and bleeding and completed measures of oral and general health-related quality of life and oral health behaviours (frequency of toothbrushing, dental attendance and cariogenic food/drinks consumed). Regression analyses were performed.Results Over one-third (34.7%) of participants had caries experience, with 44.5% reporting their oral health had an impact on their daily lives. Factors associated with a statistically significant increased likelihood of caries experience were older age, being female, eligibility for free school meals, worse oral health-related quality of life, higher cariogenic diet, less than twice-daily toothbrushing, living in a more deprived area and lower school attendance.Conclusions The prevalence and impact of dental caries on the lives of pupils remains high, with further oral health promotion activities needed in targeted secondary schools.

Impact of dental caries and nutritional status on oral health related quality of life in young Indian adolescents.

A combination of poor oral health status and malnourishment ultimately affect the quality of life of the person. Hence, these tools may help in identifying individuals at risk of poor quality of life and malnutrition caused by oral problems especially in adolescents. To test the association between dental caries, nutritional status and Oral Health Related Quality of Life (OHRQoL) in 12-15 year-old school going adolescents. A cross sectional study was conducted on 12-15-year-old school going adolescents. A total of 1214 adolescents participated in the study. Data on quality of life was collected using OHIP-14 and clinical examination was done to assess the DMFT status and Body Mass Index (BMI) as measure of nutritional status of the subjects. DMFT was found to be positively correlated with total OHIP score, however BMI was negatively correlated with OHIP. Controlling for BMI, partial correlation analysis revealed that there is a weak association between OHIP and DMFT scores which was found to be statistically significant. Both caries experience and nutrition status had significant impact on Quality of Life. All the three parameters were found to be correlated to each other.

Dental caries in Rwanda: A scoping review.

Dental caries is an infectious disease affecting virtually all nations, including Rwanda. In Rwanda, the burden of dental caries is an issue of public health concern. To ensure the progressive eradication of the current dental caries burden in Rwanda through an evidence-based approach, it is imperative to have an overview of the scientific research landscape of dental caries in the country. This study-a scoping review-aims to review the available evidence and gaps on dental caries in Rwanda. This scoping review was reported based on the Preferred Reporting Items for systematic reviews and meta-analyses extension for Scoping Reviews checklist. A systematic search of 11 databases was done to scoop out all literature relevant to the topic. Based on the review's selection criteria, a total of eight peer-reviewed journal articles were included in the review. The extracted data were collated, summarized, and presented as results. The analysis of the data extracted from the included articles revealed a high prevalence of dental caries (ranging from 42.42% to 71.5%) in Rwanda. Also, the major pathogens causing dental caries in Rwanda as well as the impact of dental caries on the physical health and quality of life of Rwandans were identified in this review. Furthermore, the reported operative treatment options for dental caries in Rwanda were predominantly nonconservative. Also, no intervention study has been conducted on dental caries in Rwanda. The findings in this review identify the need for massive public health interventions on dental caries in Rwanda.

Impact of dental caries on oral health-related quality of life in children with dental behavior management problems.

The aim of this cross-sectional study was to evaluate the impact of dental caries and sociodemographic factors on the oral health-related quality of life (OHRQoL) of children with dental behavior management problems (DBMP) and their families. One hundred and thirty-four dyads of caregivers and children participated. The impact of OHRQoL was assessed using the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). Socioeconomic variables were obtained from an interview. Dental caries was assessed using the dmft index. The total B-ECOHIS score was categorized as low, medium, or high impact, and its association with the independent variables was determined based on bivariate tests and a multivariate model. The median score for B-ECOHIS was 13 (range: 1-40). The negative impact was reflected mainly by complaints of oral/dental pain, difficulty in eating and parental guilt. The number of teeth with caries was significantly higher among children who experienced a high negative impact on OHRQoL (mean 9.2 [standard deviation 3.5]; p = 0.003) than those who had a low negative impact (7.0 [3.3]). The final adjusted model showed that dental caries remained independently associated with poor OHRQoL (b = 0.100; x2 Wald 4.205; p = 0.040). A greater impact on OHRQoL was experienced by children with DBMP and greater caries experience.

Dental caries severity and oral health‐related quality‐of‐life in Brazilian preschool children

The impact of dental caries on oral health-related quality-of-life (OHRQoL) may be influenced by disease severity. This study evaluated the impact of caries severity on OHRQoL in preschool children. A school-based, cross-sectional study was conducted with 205 children (aged 2-5years) in Southern Brazil. Parents answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) and provided sociodemographic information. The Caries Assessment Spectrum and Treatment criteria were used to evaluate caries severity, and Poisson regression with robust variance estimation conducted to determine the rate ratio (RR) and 95% confidence intervals (CIs) of the mean OHRQoL scores according to severity level. Most children had at least one tooth in the morbidity (37%) or pre-morbidity (35%) stages, and the prevalence of impacts on OHRQoL was 40%. Caries severity was associated with the impact scores: after adjustments, the mean B-ECOHIS scores were 6.31 (95% CI: 4.24-9.38) higher for children in the morbidity stage, and 10.84 (95% CI: 6.51-18.05) higher in the severe morbidity stage, than for healthy children [RR=10.84 (95% CI: 6.51-18.05)]. Children with carious lesions into dentine or with pulpally-involved or abscessed teeth had poorer OHRQoL than children without such lesions.

Impact of Dental Caries on the Quality of Life of Preschool Children in Salvador, Bahia

Dental caries affects most of preschoolers and has important consequences for the development and quality of life of affected children.&#x0D; Aim: To describe the epidemiological status of dental caries in preschoolers in Salvador-BA- Brazil and evaluate the impact of this oral disease on the oral health-related quality of life (OHRQoL), considering sociodemographic characteristics.&#x0D; Methodology: This is a cross-sectional study in a representative sample of preschool children in Salvador-BA- Brazil. Caries was assessed using dmft and the impact on quality of life used the B-ECOHIS (Brazilian version of the Early Childhood Oral Health Impact Scale). Data collection took place in 2018 through, thorough clinical examination and questionnaire application. Descriptive, univariate, and multivariate analyzes were performed using robust Poisson regression, with a significance level of 5%.&#x0D; Results: 1591 children were examined, and the prevalence of caries was 36.46%. The presence of early caries (adjusted PR = 2.07; 1.82-2.34 95% CI), severe caries (PR = 2.07; 1.84-2.33 95% CI) and child oldest age (adjusted PR = 1.55; 1.36-1.77 95% CI) were associated with children's OHRQoL; child oldest age (adjusted PR = 1.42; 1.19-1.69 95% CI), the presence of early caries (adjusted PR = 2.65; 2.22-3.16 95% CI), severe caries (PR = 3.07; 2.63-3.60 CI 95%) and the number of people in the household (PR = 1.46; 1.22-1.73 CI 95%) were associated with Family OHRQoL.&#x0D; Conclusion: The children evaluated had a high prevalence and severity of early caries. Worst oral health and sociodemographic conditions had a negative impact on the OHRQoL of children and their families.

Does Dental Caries Increase Risk of Undernutrition in Children?

A systematic review of the evidence on the impact of dental caries on malnutrition risk in children was conducted. To systematically review published evidence pertaining to the effect of dental caries severity and prevalence on risk of wasting or stunting in children. Four questions relating to caries of the permanent dentition, primary dentition, early childhood caries (ECC), and severe ECC as a risk factor for undernutrition were set. The target population was children aged 0 to 18 y from any country. Data sources included MEDLINE and Embase. All human epidemiological studies were included. Quality assessment excluded lowest-quality studies. Evidence synthesis by vote counting was depicted using harvest plots. A best available evidence approach was applied to narrative synthesis. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Of the 2,690 studies identified, 447 were screened in duplicate; of these, 117 underwent quality assessment, resulting in 46 included studies, of which 38 were included in vote counting (3 quasi-experimental, 1 cohort, 1 case control, and 33 cross-sectional studies). For the permanent dentition, findings were mixed; the balance of data showed no association between caries prevalence (7/11 studies) or severity (8/17 studies) with wasting. For the primary dentition, the balance of data showed a positive association between caries prevalence (10/15 studies) and severity (12/15 studies) with wasting, as well as between-caries prevalence (4/5 studies) and severity (6/6 studies) with stunting. Considering ECC only did not alter this pattern of findings. The balance of evidence suggests that dental caries in the primary dentition is associated with undernutrition. There is a need for well-designed trials on the impact of caries rehabilitation on growth trajectories of children from low- and middle-income countries and for prospective studies of the impact of caries severity on both stunting and wasting to confirm causality. The results of this study can be used by policy makers when considering the importance of oral health in addressing the United Nations Sustainable Development Goal to end all forms of malnutrition. The findings suggest that dental caries in the primary dentition may impair children's healthy weight gain. The findings indicate that higher-quality data are required to confirm a causal relationship and thus inform funding bodies of the need for research, especially in low- and middle-income countries, to substantiate the current knowledge and inform clear and accurate policy statements.

Impact of dental caries on oral health related quality of life among preschool children: perceptions of parents

BackgroundChildhood dental caries can affect the children’s and their parents’ oral health-related quality of life. The aim of the present study was to evaluate the impact of oral and dental health conditions on the oral health-related quality of life in preschool children and their parents.MethodsIn this descriptive-analytical cross-sectional study, samples were selected from children 3 to 6 years old enrolled in licensed kindergartens using "proportional allocation" sampling. Then, the parents of the children were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS).ResultsIn this study, 350 children aged 3 to 6 years were evaluated with a mean age of 4.73 years. The mean dmft index (decayed, missed, and filled teeth) was 3.94 ± 4.17. The mean score of oral health-related quality of life was 11.88 ± 6.9, which 9.36 ± 5.02 belongs to the impact on children and 2.52 ± 3.20 to parents' impact.ConclusionsThe mean score of ECOHIS increased with the dmft index increase in children, indicating a significant relationship between the dmft and ECOHIS score. These outcomes can be used as proper resources to develop preventive policies and promote oral health in young children.

Dental caries in children less than 5 years of age and its impact on Quality of Life

Dental caries may have a huge and direct impact on quality of life of an individual. In case of children, it is even more important to have healthy teeth Objective: To evaluate the impact of dental caries on quality of life in children less than 5 years of age Methods: In this cross-sectional analytical study conducted in DHQ Hospital, Hafizabad, Pakistan, 370 children of both genders and within age range of 1-5 years during a period of 9 months. Decayed Missing Filled (DMF) Index was used for the assessment of dental caries. Data was analysed by using SPSS version 23.0 Results: There was high frequency (243, 65.7%) of dental caries in children. Mostly their parents were illiterate (70%) and children were not brushing their teeth regularly (93.8%). Conclusions: Poor oral hygiene and dental caries was associated with low quality of life.

THE CORRELATION BETWEEN DENTAL CARIES AND ORAL HEALTH RELATED QUALITY OF LIFE AMONG VISUALLY IMPAIRED CHILDREN

Background: Visually impaired children have a low vision to visualize the process of plaque removal on teeth resulting in dental caries progression. Dental caries has an impact on children’s quality of life. The impact of dental caries on oral health related quality of life among visually impaired children remains mostly unknown. This study aimed to determine the correlation between dental caries and oral health related quality of life (OHRQoL) among visually impaired children. Method: This study was an observational study with a cross sectional design and conducted across four regencies in Yogyakarta and Central Java Province. A total of 70 visually impaired children aged 7-18 participated in this study. The participants underwent a dental examination to determine their caries experience using DMFT/dmft index. Oral health related quality of life was measured using the COHIP SF 19 questionnaire with interviewing method. Result: Data analysis showed that caries frequency was 94,3%. The mean number of DMFT/dmft index was 4,8 ± 2,743. Spearman correlation test showed the p value was 0,611 (p&gt;0,05) for the correlation between DMFT/dmft index and OHRQoL. Conclusion: This study showed no correlation between dental caries and oral health related quality of life among visually impaired children.

The impact of dental caries and its treatment under general anaesthetic on children and their families

ObjectiveTo assess the impact of dental caries and treatment under general anaesthetic (GA) on the everyday lives of children and their families, using child-reported measures of quality of life (QoL) and oral health-related quality of life (OHRQoL).MethodParticipants, aged 5–16 years old having treatment for dental caries under GA, were recruited from new patient clinics at Charles Clifford Dental Hospital, Sheffield. OHRQoL was measured before and 3-months after treatment using the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC). Overall QoL was measured using the Child Health Utility 9D (CHU9D). Parents/caregivers completed the Family Impact Scale (FIS).ResultsEighty five parent–child dyads completed the study. There was statistically significant improvement in OHRQoL (mean interval score difference in CARIES-QC = 4.43, p < 0.001) and QoL (mean score difference in CHU9D = 2.48, p < 0.001) following treatment, with moderate to large effect sizes. There was statistically significant improvement in FIS scores (mean score difference = 5.48, p = 0.03).ConclusionsTreatment under GA was associated with improvement in QoL and OHRQoL as reported by children, and reduced impacts on the family. This work highlights the importance of GA services in reducing the caries-related impacts experienced by children. Further work is needed investigate the impact of clinical, environmental and individual factors.

Impact of Dental Caries on the Quality of Life of Preschool Children and Families in Amman, Jordan.

Early childhood caries (ECC) may have a harmful impact on quality of life (QoL) of young children and parents. No oral health-related quality of life (OHRQoL) studies had been carried out among preschool children in Jordan. The aims of the study were to assess the prevalence of ECC among preschool children and to evaluate its impact on the QoL of children and families. A cross-sectional survey was conducted among preschool children aged 4 and 5 years. A two-stage random sampling design was implemented. Parents answered the Early Childhood Oral Health Impact Scale (ECOHIS) which was used to assess OHRQoL and a questionnaire addressing sociodemographic data. Clinical examination included ECC, anterior malocclusion treats (AMT) and traumatic dental injuries (TDIs). The simultaneous influence of different independent variables including gender, AMT, TDI and socioeconomic indicators (SEI) on the overall QoL was also investigated. Analysis of variance test (ANOVA), the Fisher's least statistically significant difference criteria of post hoc and simple logistic regression were used for statistical analysis. Of the 2164 targeted preschool children, 1557 were included in the study. Prevalence of ECC was 72.5% and 77.2% among 4 and 5 year olds, respectively. Compared with caries-free children, ECC children (dmft 1-4 and dmft >4) had significantly higher mean scores of all the items of the ECOHIS (p <0.05, 0.01 and 0.001) as well as mean scores of overall ECOHIS (p <0.001). There was a significant increase in mean scores of items (p <0.05, 0.01) and overall ECOHIS mean scores (p <0.05) with increasing severity of dental caries. Only dental caries had a significant effect on ECOHIS (OR = 4, CI 3.179-5.972, p <0.001) while other confounders failed to demonstrate any impact. Dental caries prevalence was high and the level of severity was associated with worse OHRQoL of preschool children and families.

Impact of dental caries on the quality of life in children of 11 to 12 years of the Dolores J Torres Educational Unit, Sagrario Parish, Cuenca

Impact of dental caries on the quality of life in children of 11 to 12 years of the Dolores J Torres Educational Unit, Sagrario Parish, Cuenca

An innovative individual-level caries severity and progression indicator among children.

To propose an individual-level indicator of caries severity based on the maximum score generated using the international caries detection and assessment system (ICDAS) and test validity of this individual-level indicator by assessing differences between this proposed indicator and the traditional decayed, missing, and filled surfaces (DMFS or dmfs for primary teeth) index. Data on caries severity were collected using a representative sample of children from Detroit, Michigan, aged less than 6 years (N = 749) examined in 2002-2003 (W1) and 2004-2005 (W2). For each wave, each child was assigned to six caries severity groups based on the maximum ICDAS scores. This individual-level indicator was then compared with the surface-level dental caries measure (dmfs + DMFS). In addition, caries progression between W1 and W2 were assessed using individual-level and tooth surface-level indicators. Both measures were linearly related, and the relationship was statistically significant (P < 0.001). An individual-level caries progression indicator can be developed that is simple and has the ability to communicate with policymakers and the public the severity and impact of dental caries and it can add value to the conventional presentation of DMF/dmf data.

The impact of dental caries on oral health related quality of life amongst adult population in Lahore, Pakistan

The impact of dental caries on oral health related quality of life amongst adult population in Lahore, Pakistan

Antibacterial and Cytotoxic Activities of Pinus tropicalis and Pinus elliottii Resins and of the Diterpene Dehydroabietic Acid Against Bacteria That Cause Dental Caries.

Considering the impact of dental caries on public health and the wide biological potential described for species belonging to the genus Pinus, here we investigate the antibacterial activity of the P. elliottii and P. tropicalis resins and of the diterpene dehydroabietic acid (DHA) against cariogenic bacteria. For this purpose, we have determined the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) of the resins and of the diterpene. We have also investigated the biofilm inhibition ability (through MBIC50 determination), as well as the synergistic effect (through fractional inhibitory concentration index) and the cytotoxic potential (through XTT assay) of the P. elliottii and P. tropicalis resins. The resins gave promising MIC and MBC values, which ranged from 12.5 to 400 μg/mL; DHA provided MIC and MBC values ranging from 25 to 400 μg/mL. The MICB50 values ranged from 0.78 to 400 μg/mL for the resins. Neither additive nor synergistic effects emerged for the combinations of one of the resins with chlorhexidine. The cytotoxic activity was ≥312.5 and ≥156.3 μg/mL for the P. elliottii and P. tropicalis resins, respectively. The resins showed antibacterial activity against planktonic and sessile cariogenic bacteria. These data are relevant and encourage further research into these plants, which may contribute to the discovery of new substances that can inhibit the growth of cariogenic microorganisms and reduce the incidence of dental caries.

Impact of dental caries on their quality of life in preschools peruvians

Objective: To determine the effect of dental caries on the quality of life of pre-school children. Materials and methods: The present was an observational, correlational, cross-sectional and prospective study in which 200 parents participated, who filled the ECOHIS questionnaire. Children were clinically evaluated using the ICDAS diagnostic criteria by a single examiner calibrated by a gold-standard, presenting an inter and intra-examiner Kappa of 0.79 and 0.81 respectively. The statistical analysis used was Chi square. Results: The impact of dental caries on quality of life using the ECOHIS questionnaire was considered intermediate. The parents' educational level did not show to be a variable that influenced their perception, and there were no statistically significant differences (p = 0.53). Regarding the prevalence of dental caries according to the ICDAS criterion was 94% if the WHO criteria is applied 82% of children showed dental caries. The mean d3-6mf-t of the population was 5.05, confirming that the disease was present in a high number of the examined children aged 3 to 5 years. Conclusions: Despite a high prevalence of dental caries in children, this condition had a medium impact on their Oral Health Related Quality of Life, according to the perception of their parents.

A Comparison of Three Child OHRQoL Measures.

Comparing oral health-related quality of life (OHRQoL) measures can facilitate selecting the most appropriate one for a particular research question/setting. Three child OHRQoL measures Child Perceptions Questionnaire (CPQ11–14), the Child Oral Health Impact Profile (COHIP) and the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC) were used with 335 10- to 13-year-old participants in a supervised tooth-brushing programme in New Zealand. The use of global questions enabled their validity to be examined. Assessments were conducted at baseline and after 12 months. All three measures had acceptable internal consistency reliability. There were moderate, positive correlations among their scores, and all showed differences in the impact of dental caries on OHRQoL, with children with the highest caries experience having the highest scale scores. Effect sizes were used to assess meaningful change. The CPQ11–14 and the CARIES-QC showed meaningful change. The COHIP-SF score showed no meaningful change. Among children reporting improved OHRQoL, baseline and follow-up scores differed significantly for the CPQ11–14 and CARIES-QC measures, although not for the COHIP-SF. The three scales were broadly similar in their conceptual basis, reliability and validity, but responsiveness of the COHIP-SF was questionable, and the need to compute two different scores for the CARIES-QC meant that its administrative burden was considerably greater than for the other two measures. Replication and use of alternative approaches to measuring meaningful change are suggested.

Impact of Dental Caries on Quality of Life of Primary School Children aged 8–10 Years in Al-Najaf City, Iraq

Impact of Dental Caries on Quality of Life of Primary School Children aged 8–10 Years in Al-Najaf City, Iraq