RESUMO
This study aimed to assess the association between underlying dentin shadows (UDS) and oral health-related quality of life (OHRQoL) among 15-19-year-old adolescents from southern Brazil. This population-based cross-sectional study included a representative sample of 1,197 15-19-year-old adolescents attending 31 public and private schools from Santa Maria, Brazil. The Oral Health Impact Profile-14 (OHIP-14) was used to evaluate the OHRQoL, and clinical examinations were performed by two calibrated examiners (intra/interexaminer kappa values for caries examination ≥ 0.80) to diagnose UDS (ICDAS code 4 caries lesions). Sociodemographic information and clinical characteristics (overall caries experience, traumatic dental injury, malocclusion, and gingivitis) were also collected as adjusting variables. Multilevel Poisson regression models were used to assess the association between UDS and OHRQoL. Rate ratios (RR) and 95% confidence intervals (CI) were estimated. The UDS prevalence was 8.8% (n = 106 adolescents). In the adjusted models, adolescents with UDS had poorer OHRQoL than those without UDS, and the strength of the association was dependent on the number of lesions per individual. Individuals with 1-2 UDS had a mean OHIP-14 score 8% higher (RR = 1.08; 95%CI: 1.01-1.17) than adolescents without UDS, while those with 3-4 UDS had a mean score 35% higher (RR = 1.35; 95%CI: 1.12-1.63). This negative association was related to physical disability, psychological disability, social disability, and handicap domains. This study showed that UDS was associated negatively with OHRQoL among 15-19-year-old adolescents from southern Brazil. The negative effect of UDS on OHRQoL emphasizes the importance of addressing issues regarding OHRQoL even in the posterior teeth of adolescents.
Assuntos
Cárie Dentária , Dentina , Saúde Bucal , Qualidade de Vida , Fatores Socioeconômicos , Humanos , Adolescente , Brasil/epidemiologia , Masculino , Feminino , Saúde Bucal/estatística & dados numéricos , Estudos Transversais , Adulto Jovem , Cárie Dentária/epidemiologia , Cárie Dentária/psicologia , Distribuição de Poisson , PrevalênciaRESUMO
The present study aimed to investigate the prevalence of dissatisfaction with dental appearance among 24-year-old Brazilian adults and the associated factors in life course. A subsample (n = 720) of the 1982 Pelotas Birth Cohort in southern Brazil was investigated at the ages of 15 and 24 years using clinical (caries and periodontal) examinations and interviews. The outcome was dissatisfaction with dental appearance at the age of 24 years. Covariate variables included socioeconomic factors, oral health, and dissatisfaction with general appearance collected during different periods of life. Poisson regression models with robust variance were applied. The prevalence of dissatisfaction with dental appearance was 43.5% (95%CI: 39.8-47.1). Individuals with downward income mobility (PR = 1.22, 95%CI: 1.07-1.79) and those always poor (PR = 1.21, 95%CI: 1.00-1.57) presented a higher prevalence of dissatisfaction with their dental appearance even after oral health variables and dissatisfaction with general appearance were controlled for. Moderate/severe malocclusion at 15 years (PR = 1.34, 95%CI: 1.13-1.59), highest experience of untreated dental caries at 24 years (PR = 1.82, 95%CI: 1.46-2.27), and dental pain experience at 24 years (PR = 1.29, 95%CI: 1.22-1.75) were associated with the outcome. Also, the prevalence of dissatisfaction with dental appearance was 20% higher (PR = 1.20, 95%CI: 1.01-1.43) among those dissatisfied with their general appearance. Our findings demonstrated a high prevalence of dissatisfaction with dental appearance among young adults. Lifetime economic disadvantage and dental problems (malocclusion at 15 years, untreated dental caries at 24 years, and dental pain at 24 years) were associated with dissatisfaction with dental appearance among young adults.
Assuntos
Saúde Bucal , Humanos , Adulto Jovem , Brasil/epidemiologia , Feminino , Masculino , Adolescente , Saúde Bucal/estatística & dados numéricos , Fatores Socioeconômicos , Classe Social , Má Oclusão/psicologia , Má Oclusão/epidemiologia , Satisfação Pessoal , Cárie Dentária/epidemiologia , Cárie Dentária/psicologia , Distribuição de Poisson , Estética Dentária/psicologiaRESUMO
The aim of this study was to evaluate the impact of oral conditions and health-related quality of life (HRQoL) on oral health-related quality of life (OHRQoL) in children and adolescents with blood coagulation disorders and hemoglobinopathies (BCDH). The study was cross-sectional and included 61 individuals aged 2 to 18 years with BCDH. Exams for dental caries (dmft/DMFT index), oral hygiene (simplified oral hygiene index - OHI-S), and gingival health (modified gingival index - MGI) were performed. The pediatric quality of life inventory™ (PedsQL™) generic core scale and oral health scale were used to measure HRQoL and OHRQoL. Spearman's correlation coefficient (ρ) and the Mann-Whitney test (α = 0.05) were conducted to assess the relationship between covariates and the PedsQL™ oral health scale. The mean PedsQL™ oral health scale score was 76.66 (SD = 21.36). Worse OHRQoL was correlated with poor oral hygiene (ρ = -0.383; p: 0.004), poor gingival health (ρ = -0.327; p = 0.014), and better HRQoL (ρ = 0.488; p < 0.001). Greater untreated dental caries experience was associated with worse OHRQoL (p = 0.009). Worse oral health status in children and adolescents with BCDH negatively impacts OHRQoL, and OHRQoL and quality of life analyzed from a generic perspective are positively correlated constructs in this population.
Assuntos
Transtornos da Coagulação Sanguínea , Cárie Dentária , Hemoglobinopatias , Saúde Bucal , Qualidade de Vida , Humanos , Criança , Adolescente , Feminino , Masculino , Estudos Transversais , Saúde Bucal/estatística & dados numéricos , Pré-Escolar , Cárie Dentária/psicologia , Hemoglobinopatias/psicologia , Hemoglobinopatias/fisiopatologia , Hemoglobinopatias/complicações , Transtornos da Coagulação Sanguínea/psicologia , Estatísticas não Paramétricas , Índice de Higiene Oral , Índice Periodontal , Índice CPO , Inquéritos e Questionários , Fatores Socioeconômicos , Higiene BucalRESUMO
The aim of this study was to evaluate the convergence between the domains of the Autoquestionnaire Qualité de Vie Enfant image (AUQUEI) and the Child Perceptions Questionnaire (CPQ8-10) in the mixed dentition. A sample of 676 children aged 8 to 10 years responded to the health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL) questionnaires using the AUQUEI and the CPQ8-10, respectively. Clinical (dental caries and malocclusion) and socioeconomic variables were assessed. The validity of convergence between scores (total and per domain) of the two instruments was assessed by Spearman correlation analysis, considering that non-zero coefficient values represented a correlation between scores. The median was calculated to compare the scores of each questionnaire relative to the variables, and the nonparametric Mann-Whitney test was applied to determine statistically significant differences between the categories. A weak significant correlation (between 0.30 and 0.50) was observed between the domains and the total scores of instruments (p < 0.05), except for the leisure domain (p > 0.05). Participants with a lower family income had worse HRQoL (p < 0.05), and those with caries and malocclusion experience had worse OHRQoL (p < 0.05). In conclusion, the AUQUEI and CPQ8-10 instruments showed a weak correlation. Income and clinical variables had a negative impact on the AUQUEI and CPQ8-10, respectively.
Assuntos
Cárie Dentária , Dentição Mista , Má Oclusão , Saúde Bucal , Qualidade de Vida , Fatores Socioeconômicos , Humanos , Criança , Saúde Bucal/estatística & dados numéricos , Feminino , Masculino , Inquéritos e Questionários , Má Oclusão/psicologia , Estatísticas não Paramétricas , Cárie Dentária/psicologia , Reprodutibilidade dos Testes , Estudos Transversais , Valores de ReferênciaRESUMO
This study investigated the role of oral health-related functional limitations and social well-being, self-perceived health, psychosocial factors, and social support in mediating the impact of malocclusion on health-related quality of life (HRQoL). A school-based 6-month cohort study was conducted with 376 12-year-old deprived adolescents. Measures at baseline included malocclusion (DAI score), dental caries, sociodemographic characteristics, psychosocial traits (self-esteem, sense of coherence, oral health beliefs), and social support. The oral health-related functional limitations and symptoms (social well-being) domains of the CPQ11-14 , self-perceived health, and HRQoL (Kiddo-KINDL) were evaluated at the 6-month follow-up. Associations between observed and latent variables (social support, psychosocial factors, and HRQoL) were evaluated using structural equation modelling, according to the Wilson and Cleary theoretical model. Malocclusion was indirectly associated with worse HRQoL, mediated by functional limitations, social well-being, and self-perceived health. Better psychosocial status was directly associated with better HRQoL, and higher social support was indirectly associated with better HRQoL via psychosocial factors. Dental caries experience, female sex, and lower family income were indirectly associated with worse HRQoL. The impact of malocclusion on HRQoL was mediated by oral health-related functional limitations, social well-being, and self-perceived health. Sociodemographic and psychosocial factors, and social support also impacted HRQoL.
Assuntos
Cárie Dentária , Má Oclusão , Humanos , Feminino , Adolescente , Qualidade de Vida/psicologia , Cárie Dentária/psicologia , Estudos de Coortes , Análise de Mediação , Inquéritos e Questionários , Saúde BucalRESUMO
This study aimed to explore the pathways that can influence cigarette smoking among adolescents. This population-based cohort followed a random sample of 12-year-old adolescents from southern Brazil for 6 years. Regular cigarette smoking was assessed through a self-reported question, previously used in the Brazilian National Survey of Scholar Health. We also gathered data on bullying, dental caries at baseline, incidence of caries, sex, friend network, and Sense of Coherence (SOC). Socioeconomic and demographic characteristics were also collected. Structural equation modeling was used to evaluate the pathways. Of the 1,134 adolescents examined at baseline, 768 were re-evaluated (67.7% retention rate). The prevalence of smoking was 37.6%. This prevalence was directly affected by low SOC (SC: -0.14, p < 0.01), low household income (SC: -0.12, p < 0.01), and male sex (SC: 0.15, p < 0.01). Presence of dental caries at baseline indirectly influenced the occurrence of dental bullying at follow-up via the incidence of dental caries (SC: 0.01, p < 0.05). Dental bullying indirectly influenced cigarettes consumption via SOC (SC: 0.62, p < 0.05). Friend network also indirectly influenced the consumption of cigarettes via SOC (SC: 0.32, p < 0.05). Psychosocial factors influence adolescent cigarette consumption through its higher direct and indirect effects (via bullying). In addition, behavioral, sociodemographic, and clinical factors also influence the occurrence of smoking.
Assuntos
Bullying , Fumar Cigarros , Cárie Dentária , Doenças da Boca , Humanos , Masculino , Adolescente , Criança , Saúde Bucal , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Cárie Dentária/psicologia , Análise de Classes Latentes , Brasil/epidemiologiaRESUMO
This study evaluated the association between sense of coherence (SoC) and oral health-related quality of life (OHRQoL) among conscripts of the Brazilian Army, in two cities of southern Brazil. A cross-sectional study included all 18-19-year-old adolescents who joined the Brazilian Army as draftees for mandatory military service in the cities of Itaqui, RS, and Santiago, RS (n = 505). Data collection was conducted from 2019 to 2021, and included the application of questionnaires and a clinical oral examination to record gingivitis, malocclusion, and dental caries. OHRQoL was collected through the Brazilian short version of the Oral Health Impact Profile (OHIP), composed of 14 questions. The adolescents' SoC was assessed using the validated Brazilian version of the SOC-13 scale. The primary outcome of this study was OHRQoL, modeled as a discrete variable (OHIP-14 scores). The main predictor variable was SoC, categorized as low, moderate, or high. The association between predictor variables and OHRQoL was assessed by Poisson regression models using a hierarchical approach. Unadjusted and adjusted rate ratios (RR), and 95% confidence intervals (CI) were estimated. All the analyses were performed using STATA software version 14.2. Adolescents with a moderate and high SoC had 27% (RR = 0.73, 95%CI = 0.64-0.84) and 51% (RR = 0.49, 95%CI = 0.41-0.58) lower mean OHIP-14 scores, respectively, than those with a low SoC score, after the inclusion of behavioral and clinical variables. This study showed a significant association between SoC and OHRQoL among 18-19-year-old southern Brazilian adolescents. Strengthening the SoC as a psychosocial resource may improve the well-being and OHRQoL of adolescents.
Assuntos
Cárie Dentária , Senso de Coerência , Masculino , Humanos , Adolescente , Adulto Jovem , Adulto , Qualidade de Vida/psicologia , Cárie Dentária/psicologia , Saúde Bucal , Brasil , Estudos Transversais , Inquéritos e QuestionáriosRESUMO
Introducción: la caries dental ocasiona dolor y alteración de la salud. La calidad de vida se refiere a la percepción de uno con base en su situación física, emocional y social. Objetivo: analizar la percepción de la calidad de vida en un grupo de escolares con caries. Metodología: 270 escolares de 6-8 años de edad con y sin experiencia de lesiones cariosas contestaron con sus padres un cuestionario basado en la Scale of Oral Health Outcomes (SOHO). Las respuestas se registraron con escala de tipo Likert. Se obtuvieron frecuencias, porcentajes, promedios y desviación estandar. Se compararon los grupos con chi cuadrada y t de Student, y se calculó la razón de momios (RM). Resultados: el 58% presentó experiencia de caries. El 64% de los escolares con caries informó que tenía antecedentes de dolor dentario y la media en los dominios sobre funciones bucales y relación familiar fue mayor para los escolares con caries (p = 0.001). Tener caries fue determinante para presentar dificultades para comer: RM 8.7 (intervalo de confianza del 95% [IC 95%] 4.7-16); beber: RM 5.9 (IC 95% 3.4-10); dormir: RM 5.3 (IC 95% 3.1-9); jugar: 5.2 (IC 95% 2.7-10), p < 0.001. Desde la autopercepción del escolar, el 87% manifestó no sentirse contento por la presencia de caries. Conclusiones: la percepción de los escolares y padres del grupo con experiencia de caries dental mostró deterioro en la calidad de vida.
Background: Dental caries causes pain and alteration of integral health. Quality of life refers to oneself's perception of their physical, emotional and social situation. Objective: To analyze the perception of quality of life in a group of schoolchildren with caries. Methodology: 270 schoolchildren aged 6-8 years with and without experience of carious lesions, with their parents, answered a questionnaire based on the Scale of Oral Health Outcomes (SOHO). The answers were recorded with a Likert-type scale. Frequencies, percentages, averages and standard deviation were obtained. The groups were compared with chi squared and Student's t test, and odds ratios (OR) were calculated. Results: 58% presented caries experience. 64% of schoolchildren with caries reported antecedents of dental pain, and the mean in the domains on oral functions and family relationship was higher for schoolchildren with caries (p = 0.001). Having caries was determinant for eating difficulties: OR 8.7 (95% CI 4.7-16); drink: OR 5.9 (95% CI 3.4-10); sleeping: OR 5.3 (95% CI 3.1-9); play: OR 5.2 (95% CI 2.7-10), p < 0.001. From schoolchildren auto-perception 87% said they did not feel happy about their decayed teeth. Conclusions: The perception of the schoolchildren and parents belonging to the group with experience of dental caries showed deterioration in the quality of life.
Assuntos
Humanos , Masculino , Feminino , Criança , Qualidade de Vida/psicologia , Saúde Bucal/estatística & dados numéricos , Cárie Dentária/psicologia , Aptidão , Relações Familiares/psicologiaRESUMO
PURPOSE: Evaluate the impact of gingivitis on oral health-related quality of life (OHRQoL) amongst 12-year-old schoolchildren from Quito, Ecuador. METHODS: We evaluated 998 school children using the Community Periodontal Index for gingival bleeding and calculus. OHRQoL was assessed with the Child Perceptions Questionnaire 11-14 (CPQ11-14) questionnaire. RESULTS: Of the 998 schoolchildren, 93% had gingival bleeding and 73% had dental calculus. Schoolchildren with more than one sextant with gingival bleeding had 1.18 times higher mean CPQ11-14 (RR 1.18, 95% CI 1.11-1.27) than those with none or just one affected sextant. Male schoolchildren presented a 15% lower mean Child Perceptions Questionnaire (CPQ) (RT 0.85; 95% CI 0.76-0.96). Children whose parents had incomplete secondary education had a 15% lower mean CPQ (RT 0.85; 95% CI 0.77-0.94). Bleeding in more than one sextant was significantly associated with worse quality of life in the emotional well-being (RT 1.40, 95% CI 1.03-1.90) and social well-being domains (RT 1.76, 95% CI 1.32-2.34). CONCLUSION: Gingival bleeding negatively impacted the OHRQoL of 12-year-old Ecuadorian schoolchildren living in Quito.
Assuntos
Cárie Dentária , Gengivite , Criança , Humanos , Masculino , Qualidade de Vida , Cárie Dentária/psicologia , Saúde Bucal , Equador/epidemiologia , Inquéritos e QuestionáriosRESUMO
AIM: To evaluate the moderating effect of the sense of coherence (SOC) in the relationship between racial discrimination and oral health-related quality of life (OHRQoL) in schoolchildren. METHODS: This is a cross-sectional study nested in a cohort performed in southern Brazil. OHRQoL was assessed using the short version of the Child Perceptions Questionnaire 11-14 (CPQ11-14). The perception of racial discrimination was measured using a question contained in the Bullying Questionnaire by Olweus, and SOC through the shortened version of the 13-item Sense of Coherence Scale. Sociodemographic and dental caries following the International Caries Detection and Assessment System (ICDAS) characteristics were also collected. A simple slop test and Poisson regression analysis were performed to test the interaction effects of the predictors on OHRQoL. RESULTS: A total of 429 schoolchildren were included in this study. About 6.7% reported had perceived racial discrimination. The simple slope test indicated that the negative effects of racial discrimination on OHRQoL were significant under different SOC levels. Among schoolchildren who suffered racial discrimination, those who had higher SOC reported lower impact on OHRQoL when compared to those with low SOC. CONCLUSION: SOC can be considered a moderating variable in the relationship between racial discrimination and OHRQoL. CLINICAL SIGNIFICANCE: These findings highlight that psychosocial factors such as SOC could attenuate the impact of perceived discrimination on OHRQoL in adolescence.
Assuntos
Cárie Dentária , Racismo , Senso de Coerência , Criança , Adolescente , Humanos , Saúde Bucal , Cárie Dentária/psicologia , Qualidade de Vida/psicologia , Estudos Transversais , Inquéritos e Questionários , BrasilRESUMO
This study evaluated the influence of socio-demographic, clinical, and parental psychological factors on oral health-related quality of life (OHRQoL) and determined their predictors in preschool-aged children with traumatic dental injury (TDI). The study sample consisted of 324 dyads of children and their parents attending the Clinics of Pediatric Dentistry at Istanbul University. After clinical examination, the Sense of Coherence (SOC), Generalized Self-Efficacy Scale, Early Childhood Oral Health Impact Scale, and Multidimensional Health Locus of Control Scale-MHLC questionnaires were administered to the parents. The statistical analyses included Spearman correlation coefficients, Mann-Whitney U tests, Kruskal-Wallis tests, multiple linear regression, and confirmatory factor analysis. Having mixed TDI, a non-nuclear family, fewer children, and weak parental SOC were important predictors of worse overall OHRQoL and its sections of child and family. Lower internal health locus of control and dental pain due to TDI were predictors of worse overall OHRQoL and child impact, respectively. Consideration of these predictors may help oral health professionals to develop prevention and treatment programs for TDI and oral health literacy programs for families.
Assuntos
Cárie Dentária , Traumatismos Dentários , Humanos , Pré-Escolar , Cárie Dentária/psicologia , Qualidade de Vida , Estudos Transversais , Saúde Bucal , Pais/psicologia , Inquéritos e QuestionáriosRESUMO
OBJECTIVES: Since oral conditions negatively affect oral health-related quality of life (OHRQoL), this study evaluated which oral clinical condition, signs, and symptoms are associated with the impact on OHRQoL, its domains, and specific daily life activities among adults. MATERIALS AND METHODS: Data from a probabilistic sample of adults (35-44 years old) was used. The Oral Impacts on Daily Performance (OIDP) was used to evaluate OHRQoL, its domains (physical, psychological, and social), and nine daily life activities. Signs and symptoms of oral diseases (dental caries, periodontal disease, need for dental prothesis, and tooth loss) and oral self-perception were considered. Descriptive, bivariate, and multi-level analyses were conducted. RESULTS: A total of 5,834 adults were included, of which 52.9% had some negative impact of oral conditions on OHRQoL. Difficulty in eating was the most affected daily life activity. For multiple models, dental caries lesions (cavities), filled teeth with caries, gingival bleeding, periodontal pocket, dental pain, need for upper or lower dental prosthesis, and oral health self-perception were associated (p < 0.05) with overall OHRQoL or at least one of its domains. The impact on daily life activities of each individual was associated with at least one oral condition. Dental caries lesions (cavity) and dental pain were associated (p < 0.05) with the impact on most daily life activities evaluated. CONCLUSIONS: Different signs and symptoms of prevalent oral diseases are associated with the impact on specific daily life activities among adults, which may compromise the OHRQoL. CLINICAL RELEVANCE: Knowledge of how signs, symptoms, and oral conditions affect OHRQoL and daily life activities can provide essential information for clinicians to establish proper disease management and preventive strategies focusing on improving patients' lives.
Assuntos
Cárie Dentária , Doenças da Boca , Adulto , Humanos , Cárie Dentária/psicologia , Qualidade de Vida , Estudos Transversais , Saúde Bucal , Doenças da Boca/psicologia , DorRESUMO
How patients perceive impact of diseases is an essential component when characterising different disease impacts, and effects of dental treatments should be perceived by the patients. This study aimed to assess the impact of conservative treatment of deep caries lesions using the selective caries removal (SCR) associated to a low laser therapy (antimicrobial photodynamic therapy-aPDT) on oral health-related quality of life (OHRQoL). STUDY DESIGN: A non-randomized clinical before-and-after study was conducted on children aged 4 to 8 years. The data was obtained applying the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS) to the caretakers in an interview before and after treatment. The paired T-student test considering p<0.05 and the treatment responsiveness detecting the effect size by means of standardized response mean (SRM) was evaluated. RESULTS: The mean impact on OHRQoL on the total scale was 5.46 ± 4.54 for before and 2.42 ± 3.54 for after treatment (p<0.01). The ECOHIS demonstrated satisfatory longitudinal responsiveness except for psychological, self-image/social interaction and Family function domain (SRM<0.5). CONCLUSION: This study demonstrated that the association of a low laser therapy (aPDT) with SCR did not influence negatively on OHRQoL. In the practice of pediatric dentistry, this conservative dental treatment improved the OHRQoL after 3 months of follow up.
Assuntos
Anti-Infecciosos , Cárie Dentária , Fotoquimioterapia , Criança , Pré-Escolar , Assistência Odontológica , Cárie Dentária/psicologia , Cárie Dentária/terapia , Suscetibilidade à Cárie Dentária , Humanos , Qualidade de VidaRESUMO
BACKGROUND: To examine the role of dental pain, sense of coherence (SOC) and social support on the relationship between dental caries and oral health-related quality of life (OHRQoL) in children aged 12 years. METHODS: A cross-sectional study involving 400 schoolchildren selected from public schools in a socioeconomically disadvantaged region in the city of Manaus, Brazil was carried out. The predictors of OHRQoL were selected according to the Wilson and Cleary theoretical model, including number of decayed teeth and its clinical consequence (component D of the DMFT index and PUFA/pufa index), dental pain (symptom status), and SOC and social support (individual and environmental characteristics). Statistical analysis was conducted through structural equation modelling and multivariable negative binomial regression. The significance level established for all analyses was 5%. RESULTS: Number of dental caries was indirectly linked with OHRQoL (ß = 0.19, 95% CI 0.11/0.29) through dental pain, SOC and social support. Clinical consequences of untreated caries directly predicted poor OHRQoL (ß = 0.12, 95% CI 0.01/0.23). Dental pain, SOC and social support did not moderate the effect of dental caries measures on OHRQoL. CONCLUSION: Our findings suggest the role of dental pain, SOC and social support as mediator factors on the link between dental caries and OHRQoL. Tackling dental caries along with psychosocial factors may attenuated the impact of oral health on OHRQoL in children.
Assuntos
Cárie Dentária , Qualidade de Vida , Brasil/epidemiologia , Criança , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/psicologia , Humanos , Saúde Bucal , Dor , Qualidade de Vida/psicologiaRESUMO
Las condiciones orales son altamente prevalentes en preescolares y afectan la calidad de vida relacionada con la salud oral (CVRSO) de quienes la padecen. El objetivo de este estudio fue determinar el impacto de las variables sociodemográficas y clínicas en la CVRSO en preescolares de la Comuna de Temuco, Chile. Se realizó un estudio de corte transversal en preescolares entre 3 a 5 años inscritos en los jardines de Fundación INTEGRA de la ciudad de Temuco, Chile. Cuatro investigadores calibrados evaluaron la prevalencia de caries, maloclusiones, traumatismo dentoalveolar, hipoplasias anteriores y posteriores, presencia de placa y gingivitis. La CVRSO fue medida de la versión en español de la Early Childhood Oral Health Impact Scale (ECOHIS). Adicionalmente los padres completaron un cuestionario sobre los antecedentes sociodemográficos del niño. La asociación bivariada entre las variables clínicas y sociodemográficas con CVRSO fue realizada a través de las pruebas no paramétricas de Kruskal-Wallis o Mann Whitney. Posteriormente se realizó un análisis multivariado utilizando un modelo lineal generalizado para asociar los diferentes factores con CVRSO. Fueron incluidos 202 preescolares (105 niños y 97 niñas) con edad promedio de 3,3 (SD 0,6). La puntuación total de ECOHIS tuvo una media de 2,60 (SD 4,64). El análisis multivariado mostró que el estado civil viudo(a) (PR=2,93; p = a 5 (PR=7,16; p = 5 y el vivir con cuidadores viudos en la disminución de la CVRSO de los preescolares.
Oral conditions are highly prevalent and affect the oral health related quality of life (OHRQoL) of preschool children. The aim of this study was to determine the impact of sociodemographic and oral conditions on OHRQoL in preschool children from Temuco, Chile. A cross-sectional study was carried out in preschool children between 3 and 5 years of age who attend INTEGRA kindergartens in Temuco, Chile. The prevalence of caries, malocclusions, traumatic dental injuries, anterior and posterior hypoplasia, presence of plaque, and gingivitis was measured by four previously calibrated examiners. The OHRQoL was measured through the Spanish version of the Early Childhood Oral Health Impact Scale (ECOHIS). Parents also completed a questionnaire on the child's sociodemographic background. The bivariate association between clinical and sociodemographic variables with OHRQoL was carried out through non-parametric tests (Kruskal-Wallis or Mann Whitney). Subsequently, a multivariate analysis was performed using a general linear model to associate the different factors with OHRQoL. Two hundred and two preschoolers were included (105 boys and 97 girls) with a mean age of 3.3 (SD 0.6). The mean score and standard deviation (SD) of the total ECOHIS were 2.60 and 4.64 respectively. The multivariate analysis showed that preschool children who have widowed parents or caregivers (PR = 2.93; p = to 5 (PR = 7.16; p = 5 and living with widowed caregiver had a negative impact on the OHRQoL of preschool children and their parents.
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Qualidade de Vida , Cárie Dentária/psicologia , Cárie Dentária/epidemiologia , Chile/epidemiologia , Saúde Bucal , Estudos Transversais , Inquéritos e Questionários , Fatores Sociodemográficos , Consentimento Livre e EsclarecidoRESUMO
BACKGROUND: Instruments adapted for the Mexican population to assess oral health-related quality of life (OHRQoL) in preschoolers remain lacking. This study aimed to cross-culturally adapt and evaluate the psychometric properties of the Mexican version of the Early Childhood Oral Health Impact Scale (M-ECOHIS). METHODS: This cross-sectional study was conducted with preschool children from southern Mexico. The investigation was divided into a transcultural adaptation phase and a validation phase. The M-ECOHIS was completed by the children's guardians, and clinical data were also evaluated. Reliability was evaluated using tests of internal consistency and test-retest measures, while construct validity was assessed through Spearman's correlation coefficient between M-ECOHIS scores and self-reported oral health, and through confirmatory factor analysis (CFA). Construct validity was also evaluated through discriminant validity of the M-ECOHIS, which was determined according to questionnaire scores on oral health measures (e.g., dental caries). RESULTS: A total of 303 preschool children participated in this study. Regarding internal consistency, Cronbach's alpha was > 0.78 for the child section, family section, and general M-ECOHIS. The general intraclass correlation coefficient (ICC) for test-retest reliability was 0.95. The correlation between the scores obtained on the child and family impact sections was significant with the self-reported oral health status rating. In relation to CFA, all items of the M-ECOHIS confirmed the latent variables. Further, M-ECOHIS scores were associated with the presence of untreated dental caries, indicating that the questionnaire has good discriminant validity. CONCLUSION: Our findings suggest that the M-ECOHIS is a valid and reliable instrument for assessing the impact of oral health on quality of life in Mexican preschool children.
Assuntos
Saúde Bucal , Qualidade de Vida , Inquéritos e Questionários/normas , Criança , Pré-Escolar , Comparação Transcultural , Estudos Transversais , Cárie Dentária/psicologia , Feminino , Humanos , Masculino , México , Psicometria/instrumentação , Reprodutibilidade dos TestesRESUMO
ABSTRACT Objective: 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.
RESUMO Objetivo: Avaliar a influência do traumatismo dentário na qualidade de vida relacionada à saúde bucal (QVRSB) de crianças e suas famílias. Métodos: 571 crianças de 5 anos de idade foram aleatoriamente selecionadas de escolas públicas. O trauma foi avaliado clinicamente de acordo com a classificação de Andreasen. A experiência de cárie na região anterior e a presença de overjet foram determinadas com base nos critérios da Organização Mundial da Saúde. A versão brasileira do questionário ECOHIS (Escala de Impacto na Saúde Oral na Primeira Infância) avaliou a QVRSB e foi respondida pelos pais; além disso, foram avaliados aspectos socioeconômicos. Realizou-se uma regressão logística simples, bem como as razões de chances brutas com os respectivos intervalos de confiança de 95%. As variáveis com p <0,20 foram testadas nos modelos de regressão logística múltipla, e aquelas com p≤0,05 permaneceram no modelo. Resultados: A renda mostrou uma magnitude de associação de 1,56 e 2,70 com a QVRSB das crianças e famílias, respectivamente. A variável avulsão apresentou chance 9,65 e 8,25 vezes maior de influenciar a QVRSB de crianças e famílias, respectivamente. A experiência de cárie mostrou chance 3,80 e 2,42 vezes maior de influenciar a QVRSB de crianças e famílias, respectivamente. Conclusões: O trauma dental não influenciou negativamente a QVRSB das crianças e suas famílias. Entretanto, especificamente a avulsão, e a experiência de cárie nos dentes anteriores em famílias de baixa renda estiveram associadas a uma percepção negativa da QVRSB.
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Qualidade de Vida , Traumatismos Dentários/psicologia , Cárie Dentária/psicologia , Má Oclusão/psicologia , Pais/psicologia , Saúde Bucal , Estudos Transversais , Inquéritos e QuestionáriosRESUMO
Objective: The aim of the present study was to evaluate the impact of dentalcaries and malocclusion in Brazilian adolescents on the oral health-related qualityof life (OHRQoL) of their families. Methods: A representative cross-sectional studywas conducted with 1168 adolescents from Belo Horizonte, Minas Gerais, Brazil,and their families. Parents/caregivers answered the Brazilian version of the FamilyImpact Scale (B-FIS) to assess the impact of oral conditions on the OHRQoL of thefamilies. Malocclusion was diagnosed using the Dental Aesthetic Index. Dentalcaries was diagnosed using the DMFT index. Three examiners who had undergonetraining and calibration exercises performed the clinical examinations. Sex, ageand social vulnerability of the adolescents were considered confounding variables.Data analysis was performed using bivariate and multivariate Poisson regressionanalysis with robust variance (p<0.05). Results: The analysis adjusted by sex, ageand social vulnerability demonstrated that families of adolescents with untreateddental caries had 29% more impact on Parental/Family Activity (95% CI: 1.11-1.50), 28% on Parental Emotions (95% CI: 1.09-1.51) and 34% on Family Conflict(95% CI: 1.09-1.65) than those without caries. When adjusted for sex and age,malocclusion was associated with Financial Burden (PR=1.39; 95%CI=1.01-1.65),but this variable lost its significance when social vulnerability was included in themultivariate model (PR=1.27; 95% CI: 0.99-1.64). Conclusion: Untreated dentalcaries in adolescents exerted a negative impact on the OHRQoL of their families.Social vulnerability exerted an influence on the impact of malocclusion on theOHRQoL of the families.
Objetivo: O objetivo do presente estudo foi avaliar o impacto da cárie dentária e damá oclusão em adolescentes brasileiros na qualidade de vida relacionada à saúdebucal (QVRSB) de suas famílias. Métodos: Foi realizado um estudo transversalrepresentativo com 1168 adolescentes de Belo Horizonte, Minas Gerais, Brasil, e suasfamílias. Os pais/responsáveis responderam à versão brasileira da Family ImpactScale (B-FIS) para avaliar o impacto das condições bucais na QVRSB das famílias. Amá oclusão foi diagnosticada pelo Índice de Estética Dental e a cárie dentária peloíndice CPOD. Três examinadores calibrados realizaram exames clínicos. Sexo, idadee vulnerabilidade social dos adolescentes foram coletadas como variáveis de confusão.A análise dos dados foi realizada por meio de análise de regressão de Poisson bivariadae multivariada com variância robusta (p<0,05). Resultados: Resultados ajustados porsexo, idade e vulnerabilidade social demonstraram que famílias de adolescentes comcárie dentária não tratada tiveram 29% mais impacto na Atividade Parental/Familiar(IC95% = 1,11-1,50), 28% nas Emoções Parentais (IC95% = 1,09-1,51) e 34% em ConflitoFamiliar (IC 95% = 1,09-1,65) do que aqueles sem cárie. Quando ajustada para sexo eidade, a má oclusão foi associada ao Encargo Financeiro (RP = 1,39; IC95% = 1,01-1,65); entretanto, perdeu significância quando a vulnerabilidade social foi incluída nomodelo multivariado (RP = 1,27; IC95% = 0,99-1,64). Conclusão: A cárie dentária nãotratada em adolescentes exerceu impacto negativo na QVRSB de suas famílias. Avulnerabilidade social influenciou a ausência de impacto da má oclusão na QVRSBdas famílias.
Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Relações Pais-Filho , Qualidade de Vida , Saúde Bucal , Cárie Dentária/psicologia , Má Oclusão/psicologia , Índice CPO , Estudos Transversais , Inquéritos e QuestionáriosRESUMO
Introdução: Cárie na Primeira Infância (CPI) é o termo utilizado para descrever a cárie dentária em crianças menores de 6 anos de idade. Objetivo: Relatar o tratamento reabilitador estético e funcional de uma criança com CPI. Relato do caso: Paciente do sexo masculino, 5 anos de idade, compareceu à clínica de Odontopediatria da Faculdade de Odontologia de Araçatuba (FOA/UNESP), acompanhado pela mãe, que relatou como queixa principal dor e presença de cárie. Ao exame clínico intrabucal, constatou-se na arcada superior lesões de cárie em todos os dentes, exceto nos dentes 55, já restaurado, e dente 65, hígido. Na arcada inferior, lesões de cárie foram observadas nos dentes 74 e 84. Após diagnóstico clínico e radiográfico, optou-se por realizar a confecção de coroa de aço para os dentes 74 e 84, exodontia dos dentes 51, 52, 61 e 64, instalação de aparelho mantenedor de espaço funcional removível e restaurações dos demais dentes afetados com compósito resinoso. Conclusão: Foi possível recuperar as funções estéticas, fonéticas e mastigatórias do paciente, colaborando para a melhora da autoestima da criança, o que gerou satisfação dos familiares. A educação em saúde bucal realizada com a criança e os responsáveis foi essencial para o sucesso do tratamento e a manutenção da saúde bucal.
Introduction: Early Childhood Caries (ECC) is the term used to describe dental caries in children under 6 years of age. Objective: Report the aesthetic and functional rehabilitation treatment of a child with ECC. Case report: A 5-year-old male patient was attended at the to the Pediatric Dentistry Clinic of the Araçatuba Dental School (FOA/UNESP), accompanied by his mother, who reported pain and dental caries as the main complaint. On intraoral clinical examination, caries lesions were found in all upper teeth, except for tooth 55, already restored, and tooth 65, healthy. In the lower arch, caries lesions were observed in teeth 74 and 84. After clinical and radiographic diagnosis, it was decided for the manufacture of steel crown for teeth 74 and 84, extraction of teeth 51, 52, 61 and 64, installation of removable functional space maintenance device and restorations of the other affected teeth with composite resin. Conclusion: In view of the treatment performed, it was possible to recover the aesthetic, phonetic and masticatory functions, contributing to the improvement of the child's self-esteem as well assatisfaction of family members. Oral health education carried out with the child and his parents was essential for the success of the treatment and the maintenance of oral health.
Assuntos
Humanos , Masculino , Pré-Escolar , Assistência Odontológica para Crianças , Cárie Dentária/reabilitação , Autoimagem , Educação em Saúde Bucal , Cárie Dentária/psicologiaRESUMO
OBJECTIVE: 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.