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Impact of dental caries and trauma on quality of life among 5‐ to 6‐year‐old children: perceptions of parents and children
Author(s) -
Abanto Jenny,
Tsakos Georgios,
Paiva Saul Martins,
Carvalho Thiago S.,
Raggio Daniela P.,
Bönecker Marcelo
Publication year - 2014
Publication title -
community dentistry and oral epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.061
H-Index - 101
eISSN - 1600-0528
pISSN - 0301-5661
DOI - 10.1111/cdoe.12099
Subject(s) - medicine , poisson regression , quality of life (healthcare) , oral health , demography , dentistry , pediatrics , environmental health , population , nursing , sociology
Objective To assess the impact of dental caries and traumatic dental injuries ( TDI ) on the oral health‐related quality of life ( OHRQ o L ) of 5‐ to 6‐year‐olds according to both self‐ and parental reports. Methods A total of 335 pairs of parents and children who sought dental screening at the D ental S chool, U niversity of S ão P aulo, completed the Scale of O ral H ealth O utcomes 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. Results Overall, 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 OHRQ o L , for the total score and all SOHO ‐5 items ( P < 0.001). In contrast, TDI did not have a negative impact on children's OHRQ o L , 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 OHRQ o L 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 OHRQ o L for child and parental versions [ RR ( CI 95%) = 0.68 (0.49, 0.94) and 0.70 (0.54, 0.90)], respectively. Conclusions Dental caries, but not TDI , is associated with worse OHRQ o L of 5‐ to 6‐year‐old children in terms of perceptions of both children and their parents. Families with higher income report better OHRQ o L at this age, independent of the presence of oral diseases.