Advertisement

Impact of untreated dental caries severity on the quality of life of preschool children and their families: a cross-sectional study

  • Patrícia Corrêa-Faria
  • Anelise Daher
  • Maria do Carmo Matias Freire
  • Mauro Henrique Nogueira Guimarães de Abreu
  • Marcelo Bönecker
  • Luciane Rezende Costa
Article

Abstract

Purpose

Untreated dental caries is a persistent oral problem among preschool children. Although there is vast evidence regarding the impact of dental caries on oral health-related quality of life (OHRQoL) in this age group, evidence on the impact of untreated caries severity is scarce. The purpose of this study was to investigate the impact of untreated caries severity on the OHRQoL of preschool children and their families.

Methods

A cross-sectional study was conducted with 563 individuals in the city of Goiania, Brazil. Data were collected through interviews with parents/caregivers and clinical examinations of their children. The OHRQoL was measured by the Brazilian version of the Early Childhood Oral Health Impact Scale. Untreated dental caries severity was assessed using validated indices. Other independent variables were socioeconomic, toothache prevalence, and the questionnaire respondent. Statistical analysis involved bivariate comparisons and Poisson regression analyses.

Results

A higher prevalence of impact on OHRQoL was found among preschool children with untreated dental caries with clinical consequences (PR 1.31; 95% CI 1.01–1.70) compared to those without caries; those aged 5 years (PR 1.47; 95% CI 1.18–1.82), compared to those aged two; and those with a toothache (PR 1.54; 95% CI 1.34–1.76), compared to those without toothache. Moreover, fathers (PR 0.71; 95% CI 0.55–0.92) and other respondents (PR 0.70; 95% CI 0.52–0.96) perceived less impact on the OHRQoL in comparison to mothers.

Conclusions

Severe untreated dental caries with clinical consequences had a negative impact on the children’s OHRQoL, regardless of toothache and socioeconomic factors.

Keywords

Quality of life Dental caries Child Preschool 

Notes

Acknowledgements

This study was supported by the following Brazilian Fostering Agency: State of Goias Research Foundation (FAPEG).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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

Informed consent was obtained from all individual participants included in the study.

Supplementary material

11136_2018_1966_MOESM1_ESM.doc (94 kb)
Supplementary material 1 (DOC 94 KB)

References

  1. 1.
    Kassebaum, N. J., Bernabé, E., Dahiya, M., Bhandari, B., Murray, C. J., & Marcenes, W. (2015). Global burden of untreated caries: A systematic review and metaregression. Journal of Dental Research, 94(5), 650–658.CrossRefPubMedGoogle Scholar
  2. 2.
    Ardenghi, T. M., Piovesan, C., & Antunes, J. L. (2013). Inequalities in untreated dental caries prevalence in preschool children in Brazil. Revista de Saude Publica, 47, 129–137.CrossRefPubMedGoogle Scholar
  3. 3.
    Sheiham, A. (2006). Dental caries affects body weight, growth and quality of life in pre-school children. British Dental Journal, 201(10), 625–626.CrossRefPubMedGoogle Scholar
  4. 4.
    Freire, M. D. C. M., Corrêa-Faria, P., & Costa, L. R. (2018). Effect of dental pain and caries on the quality of life of Brazilian preschool children. Revista de Saude Publica, 52, 30.  https://doi.org/10.11606/S1518-8787.2018052000093.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Gradella, C. M., Bernabé, E., Bönecker, M., & Oliveira, L. B. (2011). Caries prevalence and severity, and quality of life in Brazilian 2- to 4-year-old children. Community Dentistry and Oral Epidemiology, 39(6), 498–504.CrossRefPubMedGoogle Scholar
  6. 6.
    Leal, S. C., Bronkhorst, E. M., Fan, M., & Frencken, J. E. (2012). Untreated cavitated dentine lesions: Impact on children’s quality of life. Caries Research, 46(2), 102–106.CrossRefPubMedGoogle Scholar
  7. 7.
    Ramos-Jorge, J., Pordeus, I. A., Ramos-Jorge, M. L., Marques, L. S., & Paiva, S. M. (2014). Impact of untreated dental caries on quality of life of preschool children: Different stages and activity. Community Dentistry and Oral Epidemiology, 42(4), 311–322.CrossRefPubMedGoogle Scholar
  8. 8.
    Ramos-Jorge, J., Alencar, B. M., Pordeus, I. A., Soares, M. E., Marques, L. S., Ramos-Jorge, M. L., et al. (2015). Impact of dental caries on quality of life among preschool children: Emphasis on the type of tooth and stages of progression. European Journal of Oral Sciences, 123(2), 88–95.CrossRefPubMedGoogle Scholar
  9. 9.
    Perazzo, M. F., Gomes, M. C., Neves, É. T., Martins, C. C., Paiva, S. M., Costa, E. M. M. B., et al. (2017). Oral problems and quality of life of preschool children: Self-reports of children and perception of parents/caregivers. European Journal of Oral Sciences, 125(4), 272–279.CrossRefPubMedGoogle Scholar
  10. 10.
    Naidu, R., Nunn, J., & Donnelly-Swift, E. (2016). Oral health-related quality of life and early childhood caries among preschool children in Trinidad. BMC Oral Health, 16(1), 128.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Abanto, J., Carvalho, T. S., Mendes, F. M., Wanderley, M. T., Bönecker, M., & Raggio, D. P. (2011). Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dentistry and Oral Epidemiology, 39(2), 105–114.CrossRefPubMedGoogle Scholar
  12. 12.
    Scarpelli, A. C., Paiva, S. M., Viegas, C. M., Carvalho, A. C., Ferreira, F. M., & Pordeus, I. A. (2013). Oral health-related quality of life among Brazilian preschool children. Community Dentistry and Oral Epidemiology, 41(4), 336–344.CrossRefPubMedGoogle Scholar
  13. 13.
    Martins-Júnior, P. A., Vieira-Andrade, R. G., Corrêa-Faria, P., Oliveira-Ferreira, F., Marques, L. S., & Ramos-Jorge, M. L. (2013). Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Research, 47(3), 211–218.CrossRefPubMedGoogle Scholar
  14. 14.
    Corrêa-Faria, P., Paixão-Gonçalves, S., Paiva, S. M., Martins-Júnior, P. A., Vieira-Andrade, R. G., Marques, L. S., et al. (2016). Dental caries, but not malocclusion or developmental defects, negatively impacts preschooler’s quality of life. International Journal of Paediatric Dentistry, 26(3), 211–219.CrossRefPubMedGoogle Scholar
  15. 15.
    Guedes, R. S., Ardenghi, T. M., Piovesan, C., Emmanuelli, B., & Mendes, F. M. (2016). Influence of initial caries lesions on quality of life in preschool children: A 2-year cohort study. Community Dentistry and Oral Epidemiology, 44(3), 292–300.PubMedGoogle Scholar
  16. 16.
    Piva, F., Pereira, J. T., Luz, P. B., Hugo, F. N., & de Araújo, F. B. (2017). Caries progression as a risk factor for increase in the negative impact on OHRQOL—A longitudinal study. Clinical Oral Investigations.  https://doi.org/10.1007/s00784-017-2157-4.PubMedCrossRefGoogle Scholar
  17. 17.
    Ericson, D. (2007). The concept of minimally invasive dentistry. Dental Update, 34(1), 9–10, 12–14, 17–18.Google Scholar
  18. 18.
    Melgar, R. A., Pereira, J. T., Luz, P. B., Hugo, F. N., & Araujo, F. B. (2016). Differential impacts of caries classification in children and adults: A comparison of ICDAS and DMF-T. Brazilian Dental Journal, 27(6), 761–766.CrossRefPubMedGoogle Scholar
  19. 19.
    Instituto Brasileiro de Geografia e Estatística. (2010). Cidades. Retrieved August 22, 2017, from http://www.cidades.ibge.gov.br/xtras/perfil.php?codmun=520870.
  20. 20.
    Programa das Nações Unidas para o Desenvolvimento. (2010) Atlas de Desenvolvimento Humano no Brasil. Retrieved August 22, 2017, from http://www.atlasbrasil.org.br/2013/pt/perfil_m/goiania_go.
  21. 21.
    World Health Organization. (1997). Oral health surveys: Basic methods (4th ed.). Geneva: World Health Organization. Retrieved from http://www2.paho.org/hq/dmdocuments/2009/OH_st_Esurv.pdf.
  22. 22.
    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 Dentistry and Oral Epidemiology, 38(1), 77–82.CrossRefPubMedGoogle Scholar
  23. 23.
    Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Coordenação Nacional de Saúde Bucal. (2009). Projeto SB Brasil 2010—Pesquisa Nacional de Saúde Bucal: manual de calibração de examinadores. Brasília (DF).Google Scholar
  24. 24.
    Tesch, F. C., Oliveira, B. H., & Leão, A. (2008). Semantic equivalence of the Brazilian version of the Early Childhood Oral Health Impact Scale. Cadernos de Saude Publica, 24(8), 1897–1909.CrossRefPubMedGoogle Scholar
  25. 25.
    Scarpelli, A. C., Oliveira, B. H., Tesch, F. C., Leão, A. T., Pordeus, I. A., & Paiva, S. M. (2011). Psychometric properties of the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). BMC Oral Health, 11, 19.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Martins-Júnior, P. A., Ramos-Jorge, J., Paiva, S. M., Marques, L. S., & Ramos-Jorge, M. L. (2012). Validations of the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). Cadernos de Saude Publica, 28(2), 367–374.CrossRefPubMedGoogle Scholar
  27. 27.
    Daher, A., Versloot, J., Leles, C. R., & Costa, L. R. (2014). Screening preschool children with toothache: Validation of the Brazilian version of the Dental Discomfort Questionnaire. Health and Quality of Life Outcomes, 12, 30.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Versloot, J., Veerkamp, J. S., & Hoogstraten, J. (2006). Dental Discomfort Questionnaire: Assessment of dental discomfort and/or pain in very young children. Community Dentistry and Oral Epidemiology, 34(1), 47–52.CrossRefPubMedGoogle Scholar
  29. 29.
    Hosmer, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression (3rd ed.). New York: Wiley.CrossRefGoogle Scholar
  30. 30.
    Granville-Garcia, A. F., Gomes, M. C., Dantas, L. R., da Silva, B. R., Perazzo, M. F., et al. (2016). Parental influence on children’s answers to an oral-health-related quality of life questionnaire. Brazilian Oral Research.  https://doi.org/10.1590/1807-3107BOR-2016.vol30.0014.CrossRefPubMedGoogle Scholar
  31. 31.
    Clementino, M. A., Gomes, M. C., Pinto-Sarmento, T. C., Martins, C. C., Granville-Garcia, A. F., & Paiva, S. M. (2015). Perceived impact of dental pain on the quality of life of preschool children and their families. PLoS ONE, 10(6), e0130602.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Ortiz, F. R., Tomazoni, F., Oliveira, M. D., Piovesan, C., Mendes, F., & Ardenghi, T. M. (2014). Toothache, associated factors, and its impact on Oral Health-Related Quality of Life (OHRQoL) in preschool children. Brazilian Dental Journal, 25(6), 546–553.CrossRefPubMedGoogle Scholar
  33. 33.
    Souza, J. G., & Martins, A. M. (2016). Dental pain and associated factors in Brazilian preschoolers. Revista Paulista de Pediatria, 34(3), 336–342.CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Shaikh, N., Kearney, D. H., Colborn, D. K., Balentine, T., Feng, W., Lin, Y., et al. (2010). How do parents of preverbal children with acute otitis media determine how much ear pain their child is having? The Journal of Pain, 11(12), 1291–1294.CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Arora, A., Schwarz, E., & Blinkhorn, A. S. (2011). Risk factors for early childhood caries in disadvantaged populations. Journal of Investigative and Clinical Dentistry, 2(4), 223–228.CrossRefPubMedGoogle Scholar
  36. 36.
    Theunissen, N. C., Vogels, T. G., Koopman, H. M., Verrips, G. H., Zwinderman, K. A., Verloove-Vanhorick, S. P., et al. (1998). The proxy problem: Child report versus parent report in health-related quality of life research. Quality of Life Research, 7(5), 387–397.CrossRefPubMedGoogle Scholar
  37. 37.
    Pahel, B. T., Rozier, R. G., & Slade, G. D. (2007). Parental perceptions of children’s oral health: The Early Childhood Oral Health Impact Scale (ECOHIS). Health and Quality of Life Outcomes, 5, 6.CrossRefPubMedPubMedCentralGoogle Scholar
  38. 38.
    Oh, D. L., Jerman, P., Silvério Marques, S., Koita, K., Purewal Bopaiar, S.K., Burke Harris, N., et al (2018). Systematic review of pediatric health outcomes associated with childhood adversity. BMC Pediatrics, 18(1), 83.  https://doi.org/10.1186/s12887-018-1037-7.CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    Salinas-Miranda, A. A., Salemi, J. L., King, L. M., Baldwin, J. A., Berry, E. L., Austin, D. A., et al. (2015). Adverse childhood experiences and health-related quality of life in adulthood: Revelations from a community needs assessment. Health Quality of Life Outcomes, 13, 123.  https://doi.org/10.1186/s12955-015-0323-4.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Patrícia Corrêa-Faria
    • 1
  • Anelise Daher
    • 1
  • Maria do Carmo Matias Freire
    • 1
    • 2
  • Mauro Henrique Nogueira Guimarães de Abreu
    • 3
  • Marcelo Bönecker
    • 4
  • Luciane Rezende Costa
    • 1
    • 3
  1. 1.Dentistry Graduate Program, Faculdade de OdontologiaUniversidade Federal de GoiásGoiâniaBrazil
  2. 2.Department of Oral Health, Faculdade de OdontologiaUniversidade Federal de GoiásGoiâniaBrazil
  3. 3.Department of Community and Preventive DentistryUniversidade Federal de Minas GeraisBelo HorizonteBrazil
  4. 4.Department of Pediatric Dentistry, School of DentistryUniversity of São PauloSão PauloBrazil

Personalised recommendations