Abstract
Purpose
Children should feel sad when they believe that a negative outcome is permanent. The sadness that an oral problem might bring tends to contribute to children’s loneliness and increase the social stress levels. The aim of this study was to evaluate the impact of untreated dental caries, dental pain, malocclusion, and traumatic dental injury on prevalence of sadness related to oral health among Brazilian children.
Methods
This cross-sectional study was carried out with 397 children aged 8–10 years randomly selected from public and private schools in Diamantina, Brazil. The Brazilian version of the CPQ8-10 was applied. Sadness was collected through the question, “In the last month how often did you feel sad because of your teeth or mouth?” and dental pain through the question, “In the last month, how many times have you had pain in your teeth?” One calibrated examiner (Kappa value intra examiner: 0.77–0.91; Kappa value inter examiner: 0.80–1.00) performed the exam for dental caries (DMFT), malocclusion (DAI), and dental trauma (O’Brien). Parents answered questions addressing socioeconomic issues. Descriptive analyses, Chi-square test, and hierarchical Poisson regression models were performed (IC 95%; p < 0.05).”
Results
The prevalence of sadness related to oral health was 30.5% (n = 121). Sadness related to oral health was associated with untreated dental caries (PR: 1.46; 95% CI 1.32-2.46; p = 0.001 ) and dental pain (PR: 2.91; 95% CI 2.00–4.22; p < 0.001). Other clinical variables analyzed (traumatic dental injury and malocclusion) were not significantly associated with sadness related to oral health.
Conclusions
Children with untreated dental caries and dental pain presented a higher report of sadness related to oral health.
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Availability of data and materials
The data that support the findings of this study are available from the corresponding author, RGVA upon reasonable request.
Code availability
Not applicable.
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Funding
This study was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior–Brazil (CAPES)–Finance Code 001, and the Conselho Nacional de Desenvolvimento Científico e Tecnológico–Brazil (CNPq)–Finance Code (153137/2018-5). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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ACM, MOG, and LCSF: interpretation of data for the work, drafting and revising the work critically, and final approval of the version to be published. CLD: acquisition and analysis of the data, drafting and revising the work critically, and final approval of the version to be published. RVGA and SMP: conceived the idea, identification of study questions, study design, analysis of the data, interpretation of the data, revising the work critically, and final approval of the version to be published.
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This study was carried out in compliance with international statutes and national legislation on ethics in research involving human subjects, and was approved by the Research Ethics Committee of the Universidade Federal dos Vales do Jequitinhonha e Mucuri (Protocol Number 370.291/2013).
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Matos, A.C., Drumond, C.L., Guimarães, M.O. et al. Impact of untreated dental caries and dental pain on sadness related to oral health of Brazilian children. Eur Arch Paediatr Dent 23, 301–308 (2022). https://doi.org/10.1007/s40368-021-00682-7
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DOI: https://doi.org/10.1007/s40368-021-00682-7