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Association among quality of life, dental caries treatment and intraoral distribution in 12‐year‐old S outh B razilian schoolchildren
Author(s) -
Alves Luana Severo,
DaméTeixeira Nailê,
Susin Cristiano,
Maltz Marisa
Publication year - 2013
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/j.1600-0528.2012.00707.x
Subject(s) - medicine , oral health , quality of life (healthcare) , dentistry , oral examination , cross sectional study , relative risk , national health and nutrition examination survey , demography , confidence interval , environmental health , population , nursing , pathology , sociology
Objectives To assess the association between dental caries treatment, intraoral distribution and oral health‐related quality of life ( OHRQoL ) of 12‐year‐old S outh B razilian schoolchildren. Methods This cross‐sectional survey used a multistage probability sampling strategy to select a representative sample of schoolchildren from P orto A legre, southern B razil. Data were collected from S eptember 2009 to D ecember 2010, and 1528 of 1837 eligible schoolchildren attending public and private schools participated. Clinical examination was conducted to assess dental caries experience ( DMFT ). OHRQoL was assessed by a self‐reported 16‐item C hild P erception Q uestionnaire ( CPQ 11–14 ). Parents/legal guardians answered questions on socio‐economic status. Survey negative binomial regression models were used to assess the association between CPQ 11–14 scores and caries treatment status (treated/untreated) and intraoral distribution (anterior/posterior). Estimates were controlled for gender and socio‐economic status. Results Compared to schoolchildren without treatment needs, individuals with treated caries presented an improved OHRQoL (overall CPQ 11–14 , adjusted RR = 0.90, 95% CI = 0.85–0.96; functional limitations, adjusted RR = 0.86, 95% CI = 0.75–0.99; emotional well‐being, adjusted RR = 0.89, 95% CI = 0.80–0.99), whereas those with untreated caries presented a poorer OHRQoL (oral symptoms, adjusted RR = 1.06, 95% CI = 1.02–1.10; emotional well‐being, adjusted RR = 1.09, 95% CI = 1.01–1.20). Individuals with caries in anterior teeth experienced greater negative impact on oral symptoms (adjusted RR = 1.11, 95% CI = 1.05–1.18) and social well‐being (adjusted RR = 1.30; 95% CI = 1.14–1.47) domains than caries‐free students. Conclusions Treated caries was positively associated with OHRQoL ; untreated caries and caries affecting anterior teeth were negatively associated with OHRQoL of 12‐year‐old B razilian schoolchildren.