Abstract
Introduction Oral health-related quality of life is a reflection of general health and wellbeing; related problems stand as major public health issues.
Aim To investigate the potential association between dental caries and quality of life (QoL) among children aged 5-6 years old.
Materials and methods Oral examination of 310 children admitted to a paediatric dentistry clinic was performed by using the International Caries Detection and Assessment System II (ICDAS-II) and the QoL was assessed using the Early Childhood Oral Health Impact Scale. A nested case-control study was conducted with all 104 QoL-unaffected children as the controls and a random sample of 104 QoL-affected children as the cases. Relative risk (RR) and its 95% confidence interval (CI) values were calculated to interpret potential associations.
Results Gender distribution was similar by case controls (52.9% vs 51.0% were females, respectively). Early childhood caries (ECC) was detected in 78.8% of cases and 19.2% of controls. In binary analysis of the QoL (with a cutpoint of 2), low parental education, having a sibling, dental visit history for complaints and irregular/no toothbrushing were detected as significant predictors of poor QoL (p value <0.001). The RR of negative impact on QoL was fourfold (95% CI 2.64-5.69) among children having ECC, revealing a significant upward trend of impaired QoL with increasing ICDAS-II scores (t = 13.323; p value <0.001).
Conclusion All patients should be evaluated thoroughly for social and psychological problems, besides functional and aesthetic in dental visits.
Key points
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Risk of negative impact on quality of life were more than four times higher among children with ECC.
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A strong association between a poor quality of life and having extensive dental caries according to the ICDAS categorisation.
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Assessment of quality of life should be part of routine dental clinical practice, to improve psychological and social wellbeing of the child, while restoring functional and aesthetic problems.
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References
Glick M, Williams D M, Kleinman D V, Vujicic M, Watt R G, Weyant R J. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. Int Dent J 2016; 66: 322-324.
Antunes L A, Andrade M R, Leao A T, Maia L C, Luiz R R. Systematic review: change in the quality of life of children and adolescents younger than 14 years old after oral health interventions: a systematic review. Paediatr Dent 2013; 35: 37-42.
FDI World Dental Federation. FDI policy statement on oral health and quality of life: Adopted by the FDI General Assembly: 24 September 2015, Bangkok, Thailand. Int Dent J 2016; 66: 11-12.
Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W. PUFAan index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol 2010; 38: 77-82.
Krisdapong S, Somkotra T, Kueakulpipat W. Disparities in early childhood caries and its impact on oral health-related quality of life of preschool children. Asia Pac J Public Health 2014; 26: 285-294.
Vieira-Andrade R G, Siqueira M B, Gomes G B et al. Impact of traumatic dental injury on the quality of life of young children: a case-control study. Int Dent J 2015; 65: 261-268.
World Health Organisation. Ending childhood dental caries: WHO implementation manual. Geneva, 2019.
Fuente-Hernández J, Aguilar DÃaz F C, Villanueva Vilchis M C. Oral Health Related Quality of Life. In: Virdi M ed Emerging Trends in Oral Health Sciences and Dentistry. pp. 691-715. IntechOpen, 2015.
Faker K, Tostes M A, Paula V A C. Impact of untreated dental caries on oral health-related quality of life of children with special health care needs. Braz Oral Res 2019; 32: e117.
Correa-Faria P, Daher A, Freire M, de Abreu M, Bonecker M, Costa L R. Impact of untreated dental caries severity on the quality of life of preschool children and their families: a cross-sectional study. Qual Life Res 2018; 27: 3191-3198.
Fernandes I B, Ramos-Jorge J, Ramos-Jorge M L et al. Correlation and comparative analysis of discriminative validity of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO5) and the Early Childhood Oral Health Impact Scale (ECOHIS) for dental caries. BMC Oral Health 2015; 15: 29.
Ramos-Jorge J, Pordeus I A, Ramos-Jorge M L, Marques L S, Paiva S M. Impact of untreated dental caries on quality of life of preschool children: different stages and activity. Community Dent Oral Epidemiol 2014; 42: 311-322.
Nora A D, da Silva Rodrigues C, de Oliveira Rocha R, Soares F Z M, Minatel Braga M, Lenzi T L. Is Caries Associated with Negative Impact on Oral Health-Related Quality of Life of Pre-school Children? A Systematic Review and Meta-Analysis. Paediatr Dent 2018; 40: 403-411.
Singh N, Dubey N, Rathore M, Pandey P. Impact of early childhood caries on quality of life: Child and parent perspectives. J Oral Biol Craniofac Res 2020; 10: 83-86.
Nobrega A V D, Moura L, Andrade N S, Lima C C B, Dourado D G, Lima M D M. Impact of dental caries on the quality of life of preschoolers measured by PedsQL questionnaire. Cien Saude Colet 2019; 24: 4031-4042.
Duangthip D, Gao S S, Chen K J, Lo E C M, Chu C H. Oral health-related quality of life and caries experience of Hong Kong preschool children. Int Dent J 2020; 70: 100-107.
Sakaryali D, Bani M, Cinar C, Alacam A. Evaluation of the impact of early childhood caries, traumatic dental injury, and malocclusion on oral health-related quality of life for Turkish preschool children and families. Niger J Clin Pract 2019; 22: 817-823.
Guedes R S, Ardenghi T M, Piovesan C, Emmanuelli B, Mendes F M. Influence of initial caries lesions on quality of life in preschool children: a 2-year cohort study. Community Dent Oral Epidemiol 2016; 44: 292-300.
Ramos-Jorge J, Alencar B M, Pordeus I A et al. Impact of dental caries on quality of life among preschool children: emphasis on the type of tooth and stages of progression. Eur J Oral Sci 2015; 123: 88-95.
Sischo L, Broder H L. Oral health-related quality of life: what, why, how, and future implications. J Dent Res 2011; 90: 1264-1270.
Dean A G, Sullivan K M, Soe M M. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Version 2013 [updated 2013/04/06]. Online information available at (accessed May 2020).
Pahel B T, Rozier R G, Slade G D. Parental perceptions of children's oral health: the Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes 2007; 5: 6.
Peker K, Uysal O, Bermek G. Cross - cultural adaptation and preliminary validation of the Turkish version of the early childhood oral health impact scale among 56-year-old children. Health Qual Life Outcomes 2011; 9: 118.
Ozsin Ozler C, Uzamis Tekcicek M, Ozdemir P, Guciz Dogan B. Pufa Index and Related Factors Among 36- to 71-month-old children in Turkey: A Cross-Sectional Study. Oral Health Prev Dent 2018; 16: 467-472.
Ismail A I, Sohn W, Tellez M et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007; 35: 170-178.
World Health Organisation. Oral Health Surveys Basic Methods. 5th ed. Geneva, 2013.
American Academy of Paediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Paediatr Dent 2017; 39: 59-61.
Pitts N B, Ekstrand K R, I C D AS Foundation. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013; 41: e41-e52.
Filstrup S L, Briskie D, da Fonseca M, Lawrence L, Wandera A, Inglehart M R. Early childhood caries and quality of life: child and parent perspectives. Paediatr Dent 2003; 25: 431-440.
Cantekin K, Yildirim M D, Cantekin I. Assessing change in quality of life and dental anxiety in young children following dental rehabilitation under general anaesthesia. Paediatr Dent 2014; 36: 12E17E.
Bonecker M, Abanto J, Tello G, Oliveira L B. Impact of dental caries on preschool children's quality of life: an update. Braz Oral Res 2012; 26 Suppl 1: 103-107.
Naidu R, Nunn J, Donnelly-Swift E. Oral health-related quality of life and early childhood caries among preschool children in Trinidad. BMC Oral Health 2016; 16: 128.
Li M Y, Zhi Q H, Zhou Y, Qiu R M, Lin H C. Impact of early childhood caries on oral health-related quality of life of preschool children. Eur J Paediatr Dent 2015; 16: 65-72.
Gomes M C, Pinto-Sarmento T C, Costa E M, Martins C C, Granville-Garcia A F, Paiva S M. Impact of oral health conditions on the quality of life of preschool children and their families: a cross-sectional study. Health Qual Life Outcomes 2014; 12: 55.
Fernandes I B, Pereira T S, Souza D S, Ramos-Jorge J, Marques L S, Ramos-Jorge M L. Severity of Dental Caries and Quality of Life for Toddlers and Their Families. Paediatr Dent 2017; 39: 118-123.
Jiang H F, Qin D, He S L, Wang J H. OHRQoL changes among Chinese preschool children following dental treatment under general anaesthesia. Clin Oral Investig 2019; 24: 1997-2004.
Shaghaghian S, Bahmani M, Amin M. Impact of oral hygiene on oral health-related quality of life of preschool children. Int J Dent Hyg 2015; 13: 192-198.
Buldur B, Guvendi O N. Conceptual modelling of the factors affecting oral health-related quality of life in children: A path analysis. Int J Paediatr Dent 2020; 30: 181-192.
Lee G H, McGrath C, Yiu C K, King N M. Translation and validation of a Chinese language version of the Early Childhood Oral Health Impact Scale (ECOHIS). Int J Paediatr Dent 2009; 19: 399-405.
Scarpelli A C, Oliveira B H, Tesch F C, Leao A T, Pordeus I A, Paiva S M. Psychometric properties of the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). BMC Oral Health 2011; 11: 19.
Hosey M T, Macpherson L M, Adair P, Tochel C, Burnside G, Pine C. Dental anxiety, distress at induction and postoperative morbidity in children undergoing tooth extraction using general anaesthesia. Br Dent J 2006; 200: 39-43.
Kain Z N. Perioperative information and parental anxiety: the next generation. Anesth Analg 1999; 88: 237-239.
Almaz M E, Sonmez I S, Oba A A, Alp S. Assessing changes in oral health-related quality of life following dental rehabilitation under general anaesthesia. J Clin Paediatr Dent 2014; 38: 263-267.
Acknowledgements
This study was performed in line with the principles of the Declaration of Helsinki. Ethical approval was obtained from the Hacettepe University Ethics Commission. No funding was received for this study.
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All authors conceived the ideas; Cansu Ozsin Ozler collected the data and established clinical exams of study participants; Cansu Ozsin Ozler, Pierluigi Cocco and Banu Cakir analysed the data, wrote the article, revised the article and approved the version to be published.
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Ozsin Ozler, C., Cocco, P. & Cakir, B. Dental caries and quality of life among preschool children: a hospital-based nested case-control study. Br Dent J (2020). https://doi.org/10.1038/s41415-020-2317-9
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DOI: https://doi.org/10.1038/s41415-020-2317-9