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Impact of untreated dental caries and its clinical consequences on the oral health-related quality of life of schoolchildren aged 8–10 years

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Abstract

Objective

This study aims to evaluate the impact of untreated dental caries and its clinical consequences on the quality of life of Brazilian schoolchildren aged 8–10 years.

Methods

A randomly selected sample of 587 children underwent a clinical oral examination for the assessment of untreated dental caries and clinical consequences. The WHO criteria (decayed component of the decayed, missing, and filled teeth—D-DMFT in permanent teeth or d-dfmt in primary teeth) and the PUFA index, which records the presence of severely decayed permanent (upper case) and primary (lower case) teeth with visible pulpal involvement (P/p), as well as ulceration caused by dislocated tooth fragments (U/u), fistula (F/f), and abscesses (A/a), were used for the oral examination. Oral health-related quality of life (OHRQoL) was evaluated using the Child’s Perception Questionnaire (CPQ8–10). Poisson regression was employed to test unadjusted and adjusted associations between untreated dental caries/clinical consequences and OHRQoL.

Results

The prevalence of untreated dental caries was 64.6 % (D/d component of DMFT/dmft > 0) and 17.9 % of children exhibited clinical consequences of caries (PUFA/pufa index >0). In the adjusted models, untreated caries was significantly associated with the total CPQ8–10 score and all subscale scores. The clinical consequences of dental caries (PUFA/pufa index >0) were significantly associated with the total CPQ8–10 as well as the oral symptoms and functional limitations’ subscales.

Conclusion

Untreated dental caries and its clinical consequences exerted a negative impact on the OHRQoL of the schoolchildren analyzed.

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References

  1. Ajayi, Y. O., & Sofola, O. O. (2013). Descriptors of permanent teeth with cariously exposed pulp in patients presenting at a Nigerian hospital. Acta Odontologica Scandinavica, 71(5), 1348–1350.

    Article  PubMed  Google Scholar 

  2. Jafarian, M., & Etebarian, A. (2013). Reasons for extraction of permanent teeth in general dental practices in Tehran, Iran. Medical Principles Practice, 22(3), 239–244.

    Article  PubMed  CAS  Google Scholar 

  3. Akpata, E. S., Al-Attar, A., & Sharma, P. N. (2009). Factors associated with severe caries among adults in Kuwait. Medical Principles Practice, 18(2), 93–99.

    Article  PubMed  CAS  Google Scholar 

  4. Pine, C. M., Harris, R. V., Burnside, G., & Merrett, M. C. (2006). An investigation of the relationship between untreated decayed teeth and dental sepsis in 5-year-old children. British Dental Journal, 200(1), 45–47.

    Article  PubMed  CAS  Google Scholar 

  5. Edelstein, B. L. (2002). Disparities in oral health and access to care: Findings of national surveys. Ambulatory Pediatrics, 2(2 Suppl), 141–147.

    Article  PubMed  Google Scholar 

  6. Edelstein, B. L. (2006). The dental caries pandemic and disparities problem. BMC Oral Health, 6(Suppl 1), S2.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Brasil. Ministério da Saúde. Projeto SB Brasil 2010. (2011). Pesquisa Nacional de Saúde Bucal: SB Brasil 2010: Resultados principais. Ministério da Saúde: Brasília.

    Google Scholar 

  8. Singh, A., Purohit, B., Sequeira, P., & Acharya, S. (2011). Oral health status of 5-year-old Aborigine children compared with similar aged marginalised group in south western India. International Dental Journal, 61(3), 157–162.

    Article  PubMed  Google Scholar 

  9. Baginska, J., & Stokowska, W. (2013). Pulpal involvement-roots-sepsis index: A new method for describing the clinical consequences of untreated dental caries. Medical Principles Practice, 22, 555–560.

    Article  PubMed  Google Scholar 

  10. Slade, G. D. (2001). Epidemiology of dental pain and dental caries among children and adolescents. Community Dental Health, 18(4), 219–227.

    PubMed  CAS  Google Scholar 

  11. Sheller, B., Churchill, S. S., Williams, B. J., & Davidson, B. (2009). Body mass index of children with severe early childhood caries. Pediatric Dentistry, 31(3), 216–221.

    PubMed  Google Scholar 

  12. Pourat, N., & Nicholson, G. (2009). Unaffordable dental care is linked to frequent school absences. In Policy Brief UCLA Center for Health Policy Res earch; (PB2009-10): 1–6. Access March 13, 2014. http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?pubID=92

  13. (2006). Population health and wellness: Evidence review. Dental Public Health. (Internet). https://www.vch.ca/media/Evidence_Review_Dental.pdf

  14. Frencken, J. E., de Amorim, R. G., Faber, J., & Leal, S. C. (2011). The Caries Assessment Spectrum and Treatment (CAST) index: Rational and development. International Dental Journal, 61(3), 117–123.

    Article  PubMed  Google Scholar 

  15. 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.

    Article  PubMed  CAS  Google Scholar 

  16. Gradella, C. M., Bernabe, E., Bonecker, 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.

    Article  PubMed  Google Scholar 

  17. 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.

    Article  PubMed  CAS  Google Scholar 

  18. Jokovic, A., Locker, D., Tompson, B., & Guyatt, G. (2004). Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatric Dentistry, 26(6), 512–518.

    PubMed  Google Scholar 

  19. Jokovic, A., Locker, D., Stephens, M., Kenny, D., Tompson, B., & Guyatt, G. (2002). Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. Journal of Dental Research, 81(7), 459–463.

    Article  PubMed  CAS  Google Scholar 

  20. Barbosa, T. S., Tureli, M. C., & Gaviao, M. B. (2009). Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health, 9, 13.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Instituto Brasileiro de Geografia e Estatística (IBGE). (2010). Estimativas populacionais para os municípios brasileiros (Brazil). http://www.ibge.gov.br/home/presidencia/noticias/pesquisa_noticia.php

  22. World Health Organization. (1997). Oral health surveys: basic methods (4th ed.). Geneva: WHO.

    Google Scholar 

  23. O’Brien, M. (1994). Children’s dental health in the United Kingdom 1993. London: Her Majesty’s Stationery Office.

    Google Scholar 

  24. Martins-Junior, P. A., Oliveira, M., Marques, L. S., & Ramos-Jorge, M. L. (2012). Untreated dental caries: Impact on quality of life of children of low socioeconomic status. Pediatric Dentistry, 34(3), 49–52.

    PubMed  CAS  Google Scholar 

  25. Piovesan, C., Antunes, J. L., Guedes, R. S., & Ardenghi, T. M. (2010). Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). Quality of Life Research, 19(9), 1359–1366.

    Article  PubMed  Google Scholar 

  26. Majewski, R. F., Snyder, C. W., & Bernat, J. E. (1988). Dental emergencies presenting to a children’s hospital. ASDC Journal of Dentistry for Children, 55(5), 339–342.

    PubMed  CAS  Google Scholar 

  27. Figueiredo, M. J., de Amorim, R. G., Leal, S. C., Mulder, J., & Frencken, J. E. (2011). Prevalence and severity of clinical consequences of untreated dentine carious lesions in children from a deprived area of Brazil. Caries Research, 45(5), 435–442.

    Article  PubMed  CAS  Google Scholar 

  28. Khalifa, N., Allen, P. F., Abu-bakr, N. H., Abdel-Rahman, M. E., & Abdelghafar, K. O. (2012). A survey of oral health in a Sudanese population. BMC Oral Health, 12, 5.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Gherunpong, S., Tsakos, G., & Sheiham, A. (2004). The prevalence and severity of oral impacts on daily performances in Thai primary school children. Health Quality of Life Outcomes, 2, 57.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Castro, R. A., Portela, M. C., Leao, A. T., & de Vasconcellos, M. T. (2011). Oral health-related quality of life of 11- and 12-year-old public school children in Rio de Janeiro. Community Dentistry and Oral Epidemiology, 39(4), 336–344.

    Article  Google Scholar 

  31. Antunes, L. A., Leao, A. T., & Maia, L. C. (2012). The impact of dental trauma on quality of life of children and adolescents: A critical review and measurement instruments. Ciencia e Saude Coletiva, 17(12), 3417–3424.

    Article  PubMed  Google Scholar 

  32. 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 Epidemioogyl, 42(4), 311–322.

    Article  Google Scholar 

  33. Abanto, J., Carvalho, T. S., Mendes, F. M., Wanderley, M. T., Bonecker, 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.

    Article  PubMed  Google Scholar 

  34. 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.

    Article  PubMed  Google Scholar 

  35. Wong, H. M., McGrath, C. P., & King, N. M. (2011). Rasch validation of the early childhood oral health impact scale. Community Dentistry and Oral Epidemiology, 39(5), 449–457.

    Article  PubMed  Google Scholar 

  36. Moura-Leite, F. R., Ramos-Jorge, M. L., Bonanato, K., Paiva, S. M., Vale, M. P., & Pordeus, I. A. (2008). Prevalence, intensity and impact of dental pain in 5-year-old preschool children. Oral Health and Preventive Dentistry, 6(4), 295–301.

    PubMed  Google Scholar 

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Acknowledgments

The study received funding from the Brazilian Coordination of Higher Education, Ministry of Education (CAPES), the Research Foundation of the State of Minas Gerais (FAPEMIG), and the National Council for Scientific and Technological Development (CNPQ), Brazil.

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Correspondence to Maria Eliza C. Soares.

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Mota-Veloso, I., Soares, M.E.C., Alencar, B.M. et al. 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 (2016). https://doi.org/10.1007/s11136-015-1059-7

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  • DOI: https://doi.org/10.1007/s11136-015-1059-7

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