Abstract
Aim
To evaluate the influence of oral health status on the quality of life of preschool children using the dmft and pufa indexes, crossing information with the B-ECOHIS questionnaire to achieve quality of life related to oral health (OHRQoL).
Subjects and methods
All children, healthy, between 3 and 5 years old, with a primary dentition who sought dental care at the Department of Pediatric Dentistry and Orthodontics at Universidade Federal do Rio de Janeiro, during a period of 2 months, were selected and divided into two groups: advanced caries: dmft score ≥ 1 and pufa score ≥ 1 (G1) and moderate caries: dmft score ≥ 1 and pufa score = 0 (G2). An epidemiological survey of oral health using the dmft and pufa indexes, in addition to economic evaluation questionnaires and the B-ECOHIS questionnaire, was carried out and a quality of life survey was performed. Statistical tests were performed to compare nominal variables (Chi-square and Fisher’s exact test) and independent samples and their numerical variables (Mann–Whitney).
Results
Sixty-nine preschoolers were included, with a mean age of 54 months. The mean dmft scores were 6.72 (G1) and 1.05 (G2) (p < 0.001) and the mean pufa scores were 2.45 (G1) and 0 (G2). The B-ECOHIS questionnaire results in the child impact section (CIS) were 8.79 (G1) and 1.73 (G2). In the family impact section (FIS), the means for G1 and G2 were 5.76 and 1.10, respectively. The CIS and FIS presented a significant correlation (p < 0.001).
Conclusions
The oral health condition affects preschoolers and their OHRQoL. The poorest oral health condition had a greater negative impact on the quality of life in both the families and the children.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Associação Brasileira de Empresas de Pesquisa (ABEP) (2007) http://www.abep.org
Bönecker M, Marcenes W, Sheiham A (2002) Caries reductions between 1995, 1997 and 1999 in preschool children in Diadema, Brazil. Int J Paediatr Dent 12:183–188
Dini EL, Holt RD, Bedi R (2000) Caries and its association with infant feeding and oral health-related behaviours in 3–4-year-old Brazilian children. Community Dent Oral Epidemiol 28:241–248
Figueiredo MJ, de Amorim RG, Leal SC, Mulder J, Frencken JE (2011) Prevalence and severity of clinical consequences of untreated dentine carious lesions in children from a deprived area of Brazil. Caries Res 45:435–442. https://doi.org/10.1159/000330531
Gomes MC, Pinto-Sarmento TC, Costa EM, Martins CC, Granville-Garcia AF, Paiva SM (2014) Impact of oral health conditions on the quality of life of preschool children and their families: a cross-sectional study. Health Qual Life Outcomes 12:55. https://doi.org/10.1186/1477-7525-12-55
Gradella CMF, Oliveira LB, Ardenghi TM, Bönecker M (2007) Epidemiologia da cárie dentária em crianças de 5 a 59 meses de idade no município de Macapá, AP. Brasil Revista RGO 55:329–334
Grund K, Goddon I, Schüler IM, Lehmann T, Heinrich-Weltzien R (2015) Clinical consequences of untreated dental caries in German 5- and 8-year-olds. BMC Oral Health 15:140. https://doi.org/10.1186/s12903-015-0121-8
Instituto Brasileiro de Geografia e Estatística (IBGE) (2010) https://ibge.gov.br
International Health Conference (2002) Constitution of the World Health Organization. 1946. Bull World Health Organ 80:983–984
Jankauskiene B, Virtanen JI, Kubilius R, Narbutaite J (2014) Oral health-related quality of life after dental general anaesthesia treatment among children: a follow-up study. BMC Oral Health 14:81. https://doi.org/10.1186/1472-6831-14-81
Klaassen MA, Veerkamp JS, Hoogstraten J (2008) Dental treatment under general anaesthesia: the short-term change in young children’s oral-health-related quality of life. Eur Arch Paediatr Dent 9:130–137
Kumar S, Kroon J, Lalloo R (2014) A systematic review of the impact of parental socio-economic status and home environment characteristics on children’s oral health related quality of life. Health Qual Life Outcomes 12:41. https://doi.org/10.1186/1477-7525-12-41
Leal SC, Bronkhorst EM, Fan M, Frencken JE (2012) Untreated cavitated dentine lesions: impact on children’s quality of life. Caries Res 46:102–106
Martello RP, Junqueira TP, Leite ICG (2012) Cárie dentária e fatores associados em crianças com três anos de idade cadastradas em Unidades de Saúde da Família do Município de Rondonópolis, Mato Grosso, Brasil. Epidemiol Serv Saúde 21:99–108. https://doi.org/10.5123/s1679-49742012000100010
Martins-Júnior PA, Ramos-Jorge J, Paiva SM, Marques LS, Ramos-Jorge ML (2012) Validations of the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). Cad Saude Publica 28:367–374
Ministério da Saúde (2004) Projeto SB Brasil 2003: Condições de Saúde Bucal da População Brasileira 2002–2003. Ministério da Saúde, Brasil
Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W (2010) PUFA—an index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol 38:77–82. https://doi.org/10.1111/j.1600-0528.2009.00514.x
Mota-Veloso I, Soares ME, Alencar BM, Marques LS, Ramos-Jorge ML, Ramos-Jorge J (2016) Impact of untreated dental caries and its clinical consequences on the oral health-related quality of life of schoolchildren aged 8–10 years. Qual Life Res 25:193–199. https://doi.org/10.1007/s11136-015-1059-7
Pahel BT, Rozier RG, Slade GD (2007) Parental perceptions of children’s oral health: the Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes 5:6. https://doi.org/10.1186/1477-7525-5-6
Petersen PE (2003) The World Oral Health Report 2003: continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 31(Suppl 1):3–23
Piovesan C, Marquezan M, Kramer PF, Bönecker M, Ardenghi TM (2011) Socioeconomic and clinical factors associated with caregivers’ perceptions of children’s oral health in Brazil. Community Dent Oral Epidemiol 39:260–267. https://doi.org/10.1111/j.1600-0528.2010.00598.x
Pitts NB, Fyffe HE (1988) The effect of varying diagnostic thresholds upon clinical caries data for a low prevalence group. J Dent Res 67:592–596. https://doi.org/10.1177/00220345880670031401
Piva F, Pereira JT, Luz PB, Hugo FN, de Araújo FB (2018) Caries progression as a risk factor for increase in the negative impact on OHRQOL—a longitudinal study. Clin Oral Investig 22:819–828. https://doi.org/10.1007/s00784-017-2157-4
Praveen BH, Prathibha B, Reddy PP, Monica M, Samba A, Rajesh R (2015) Co relation between PUFA index and oral health related quality of life of a rural population in India: a cross-sectional study. J Clin Diagn Res 9:ZC39–ZC42. https://doi.org/10.7860/JCDR/2015/11427.5489
Scarpelli AC, Oliveira BH, Tesch FC, Leão AT, Pordeus IA, Paiva SM (2011) Psychometric properties of the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). BMC Oral Health 11:19. https://doi.org/10.1186/1472-6831-11-19
Schwendicke F, Dörfer CE, Schlattmann P, Foster Page L, Thomson WM, Paris S (2015) Socioeconomic inequality and caries: a systematic review and meta-analysis. J Dent Res 94:10–18. https://doi.org/10.1177/0022034514557546
Selwitz RH, Ismail AI, Pitts NB (2007) Dental caries. Lancet 369:51–59. https://doi.org/10.1016/S0140-6736(07)60031-2
Sheiham A (2005) Oral health, general health and quality of life. Bull World Health Organ 83:644
Tesch FC, Oliveira BH, Leão A (2008) Semantic equivalence of the Brazilian version of the Early Childhood Oral Health Impact Scale. Cad de Saude Publica 24:1897–1909
Vollú AL, da Costa MDEPR, Maia LC, Fonseca-Gonçalves A (2018) Evaluation of oral health-related quality of life to assess dental treatment in preschool children with early childhood caries: a preliminary study. J Clin Pediatr Dent 42:37–44. https://doi.org/10.17796/1053-4628-42.1.7
World Health Organization (WHO), Oral Health Programme (1979) A guide to oral health epidemiological investigations. WHO, Geneva
World Health Organization (WHO) (1995) The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41:1403–1409. https://doi.org/10.1016/0277-9536(95)00112-K
World Health Organization (WHO) (2013) Oral health surveys: basic methods, 5th edn. WHO, Geneva
Acknowledgements
We would like to thank the participation of the preschoolers and their parents in carrying out this research.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Carrozzino, G., Matos, H.C.A., Ammari, M.M. et al. Influence of oral health in the quality of life of preschoolers in a faculty-based practice in Rio de Janeiro. J Public Health (Berl.) 29, 269–274 (2021). https://doi.org/10.1007/s10389-019-01106-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10389-019-01106-z