Impact of dental caries and trauma on quality of life among 5-to 6-year-old children: perceptions of parents and children

Autor(es)

Abanto, Jenny ^{[1, 2]} ; Tsakos, Georgios ^[3] ; Paiva, Saul Martins ^{[4, 5]} ; Carvalho, Thiago S. ^[6] ; Raggio, Daniela P. ^{[1, 2]} ; Boenecker, Marcelo ^{[1, 2]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Dent, Dept Pediat Dent, BR-09500900 Sao Paulo - Brazil

^[2] Univ Sao Paulo, Sch Dent, Dept Orthodont, BR-09500900 Sao Paulo - Brazil

^[3] UCL, Dept Epidemiol & Publ Hlth, London - England

^[4] Univ Fed Minas Gerais, Sch Dent, Dept Pediat Dent, Belo Horizonte, MG - Brazil

^[5] Univ Fed Minas Gerais, Sch Dent, Dept Orthodont, Belo Horizonte, MG - Brazil

^[6] Univ Bern, Dept Prevent Restorat & Pediat Dent, Bern - Switzerland

• Tipo de documento: Artigo Científico
• Fonte: COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY; v. 42, n. 5, p. 385-394, OCT 2014.
• Citações Web of Science: 34

Resumo

ObjectiveTo assess the impact of dental caries and traumatic dental injuries (TDI) on the oral health-related quality of life (OHRQoL) of 5- to 6-year-olds according to both self- and parental reports. MethodsA total of 335 pairs of parents and children who sought dental screening at the Dental School, University of SAo Paulo, completed the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5), which consists of a child self-report and a parental proxy-report version. Three calibrated examiners assessed the experience of caries according to primary teeth that were decayed, indicated for extraction due to caries, or filled (def-t). TDI were classified into uncomplicated and complicated injuries. Poisson regression models were used to associate the different clinical and sociodemographic factors to the outcome. ResultsOverall, 74.6% of children reported an oral impact, and the corresponding estimate for parental reports was 70.5%. The mean (standard deviation) SOHO-5 scores in child self-report and parental versions were 3.32(3.22) and 5.18(6.28), respectively. In both versions, caries was associated with worse children's OHRQoL, for the total score and all SOHO-5 items (P<0.001). In contrast, TDI did not have a negative impact on children's OHRQoL, with the exception of two items of the parental version and one item of the child self-report version. In the final multivariate adjusted models, there was a gradient in the association between caries experience and child's OHRQoL with worse SOHO-5 score at each consecutive level with more severe caries experience, for both child and parental perceptions {[}RR (CI 95%)=6.37 (4.71, 8.62) and 10.81 (7.65, 15.27)], respectively. A greater family income had a positive impact on the children's OHRQoL for child and parental versions {[}RR (CI 95%)=0.68 (0.49, 0.94) and 0.70 (0.54, 0.90)], respectively. ConclusionsDental caries, but not TDI, is associated with worse OHRQoL of 5- to 6-year-old children in terms of perceptions of both children and their parents. Families with higher income report better OHRQoL at this age, independent of the presence of oral diseases. (AU)

• Processo FAPESP: 13/10330-8 - Tratamento conservador versus não-conservador da cárie dentária severa em pré-escolares e o seu impacto na qualidade de vida relacionada à saúde bucal, medidas antropométricas, perda de espaço e ansiedade: ensaio clínico randomizado
• Beneficiário: Jenny Haydee Abanto Alvarez
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 09/17040-0 - Adaptação transcultural, validação e responsividade de um novo instrumento para mensurar qualidade de vida relacionada à saúde bucal em crianças brasileiras
• Beneficiário: Jenny Haydee Abanto Alvarez
• Modalidade de apoio: Bolsas no Brasil - Doutorado