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Determinants of parental report of dental pain and discomfort in preschool children—The Dental Discomfort Questionnaire
Author(s) -
Felipak Patricia Kochany,
Mecin Bruna Leticia Vessoni,
Reyes Magdalena Raquel Torres,
Costa Luciane Rezende,
Souza Juliana Feltrin,
Menezes José Vitor Nogara Borges
Publication year - 2020
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/ipd.12614
Subject(s) - medicine , poisson regression , socioeconomic status , cross sectional study , dentistry , family medicine , environmental health , population , pathology
Abstract Background Pain is a major consequence of caries, which negatively impacts the quality of life of children and their families. Aim To analyse the parental report of dental pain and discomfort in preschool children, and to identify clinical and sociodemographic factors associated. Design This cross‐sectional study involved 375 four‐ and five‐year‐old preschoolers enrolled in the city of Campo Magro public school system, along with their parents and caregivers. Parents/caregivers answered the Brazilian version of the Dental Discomfort Questionnaire (DDQ‐B) and a sociodemographic questionnaire. Two examiners (kappa > 0.79) performed clinical examinations using dmf‐t and pufa index. The associations were statistically analysed by univariate and multiple Poisson regression with robust variance (α = 0.05). Results The prevalence of dental pain and discomfort was 70.3% (66%‐75% 95% CI). Children from non‐nuclear families (PR a 1.33; 95% CI: 1.01‐1.76) and whose parents presented a lower level of education (PR a 2.43; 95% CI 1.66‐3.55) presented a higher prevalence of dental pain or discomfort. Considering the clinical determinants, after adjusting, only the presence of clinical consequences of untreated dental caries (pufa ≥ 1) (PR a 1.37; 95% CI 1.02‐1.84) was significantly associated with higher dental pain or discomfort. Conclusions Dental pain and discomfort were associated with socioeconomic factors and with the presence of clinical consequences of untreated dental caries.