Assessment of the impact of toothache, untreated caries and its consequences on the quality of life among poor Brazilian children
DOI:
https://doi.org/10.5335/rfo.v25i1.10236Keywords:
quality of life, toothache, dental caries, pediatric dentistryAbstract
Purpose: To evaluate the impact of dental pain and the consequences of untreated dental caries on the quality of life in children of low social-economic status aged from 8 to 10 years old. Materials and Methods: In this cross-sectional study, 230 children were submitted to a clinical examination in which the caries-pufa ratio was measured, afterward, they answered to two questionnaires: one about their quality of life (CPQ8-10) and the other about dental pain. Data were statistically analyzed through Chi-square, Mann-Whitney or Kruskal-Wallis tests to evaluate the association between the variables with impact on children’s OHRQoL. To establish the existence of risk factors among variables and impact on OHRQoL a Poisson Regression model was applied. Results: Dental caries (p = 0.003; PR 2.39; 95% CI 1.04–1.56), severity of untreated caries (p = 0.008; PR 2.86; 95% CI 1.13–2.00), toothache (p < 0.001; PR 2.31; 95% CI 1.64–3.27) and PUFA + pufa index (p < 0.023; PR 2.68; 95% CI 1.10–1.87) were associated with and were a predictor factor for impact on overall OHRQoL. All of these variables also had an effect over the social welfare subscale (p ≤ 0.001), whereas caries presence was also statistically linked with the emotional wellbeing subscale (p = 0.008) and dental pain with all four subscales (p ≤ 0.001). Conclusion: Untreated dental caries’ clinical consequences and dental pain exerted a negative influence on the quality of life of schoolchildren analyzed.
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References
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15. Martins MT, Ferreira FM, Oliveira AC, Paiva SM, Vale MP, Allison PJ et al. Preliminary validation of the Brazilian version of the child perceptions questionnaire 8-10. Eur J Paediatr Dent 2009; 10(3):135-140.
16. Martins-Júnior PA, Oliveira M, Marques LS, Ramos-Jorge ML. Untreated Dental Caries: Impact on Quality of Life of Children of Low Socioeconomic Status. Pediatric Dentistry 2012; 25:193-199.
17. Duarte-Rodrigues L, Ramos-Jorge J, Drumond CL, Diniz PB, Marques LS, Ramos-Jorger ML. Correlation and comparative analysis of the CPQ8-10 and child-OIDP indexes for dental caries and malocclusion. Braz Oral Res 2017; 31:(1)111-118.
18. Lima SLA, Santana CCP, Paschoal MAB, Paiva SM, Ferreira MC. Impact of untreated dental caries on the quality of life of Brazilian children: population-based study. International Journal of Paediatric Dentistry 2018; 28(4):390–399.
19. Mota-Veloso I, Soares MEC, Alencar BM, Marques LS, Ramos-Jorge ML, Ramos-Jorge J. Impact Of Untreated Dental Caries And Its Clinical Consequences On The Oral Health Relatedd Quality Of Life Of Schoolchildren Aged 8-10 Years. Qual Life Res 2016; 25(1):193-199.
20. Schuch HS, dos Santos Costa F, Torriani DD, Demarco FF, Goettems ML. Oral health-related quality of life of schoolchildren: impact of clinical and psychosocial variables. International Journal of Paediatric Dentistry 2015;2 5(5):358–365.
21. Schwendicke F, Dörfer CE, Schlattmann P, Page LF, Thomson WM, Paris S. Socioeconomic Inequality and Caries. Journal of Dental Research 2014; 94(1):10–18.
22. Lee JY, Divaris K. The ethical imperative of addressing oral health disparities: a unifying framework. J Dent Res 2014; 93(3):224–230.
23. Frencken, JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis – a comprehensive review. Journal of Clinical Periodontology 2017; 44(18):94-105.
24. Michel G, Bisegger C, Fuhr DC, Abel T. Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Quality of Life Research 2009; 18(9):1147–1157.
25. Lynch JW, Kaplan GA, Shema SJ. Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning. N Engl J Med 1997; 337(26):1889-1895.
26. Martins-Júnior PA, Marques LS, Ramos-Jorge ML. Malocclusion: social, functional and emotional influence on children. J Clin Pediatr Dent 2012; 37(1):103–8.
27. Maroneze MC, Ardenghi DM, Brondani M, Unfer B, Ardenghi TM. Dental treatment improves the oral healthâ€related quality of life of adolescents: A mixedâ€methods approach. Int J Paediatr Dent 2019; 00:1-10.
28. Moura-Leite FR, Ramos-Jorge ML, Bonanato K, Paiva SM, Vale MP, Pordeus IA. Prevalence, intensity and impact of dental pain in 5-year-old preschool children. Oral Health Prev Dent 2008; 6(4):295–301.
29. Rebelo MAB, Rebelo Vieira JM, Pereira JV, Quadros LN, Vettore MV. Does oral health influence school performance and school attendance? A systematic review and meta-analysis. International Journal of Paediatric Dentistry 2018; 29(2):138-148.
2. Guskuma RC, Lages VA, Hafner MB, Rando-Meirelles MPM, Cypriano S, Sousa MLR, et al. Factors associated with the prevalence and intensity of dental pain in children in the municipalities of the Campinas region, São Paulo. Rev Paul Pediatr 2017; 35(3):322-30.
3. Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais. 2012 http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf Accessed July 26th 2019
4. Schuch HS, Correa MB, Torriani DD, Demarco FF, Goettems ML. Perceived dental pain: determinants and impact on Brazilian schoolchildren. J Oral Facial Pain Headache 2015; 29:168-176.
5. Santos PS, Martins-Júnior PA, Paiva SM, Klein D, Torres FM, Giacomin A, Gonçalves BM, Konrath AC, Bolan M, Cardoso M. Prevalence of self-reported dental pain and associated dental factors among eight to ten year-old Brazilian schoolchildren. PLoS One 2019; 14(4):1-13.
6. Locker D. Measuring oral health: a conceptual framework. Community Dent Health. 1988; 5(1):3-18.
7. Yusuf H, Gherunpong S, Sheiham A. Validation of an English version of the Child-OIDP index, oral health-related quality of life measure for children. Health Qual Life Outcomes 2006; 4:38-44.
8. Santos VE, Vasconcelos Filho A, Targino AG, Flores MA, Galembeck A, Caldas AF Jr, Rosenblatt A. A new "silver-bullet" to treat caries in children--nano silver fluoride: a randomised clinical trial. J Dent 2014; 42(8):945-951.
9. Ferraz NKL, Nogueira LC, Pinheiro MLP, Marques LS, Ramos-Jorge ML, Ramos-Jorge J. Clinical consequences of untreated dental caries and toothache in preschool children. Pediatr Dent 2014; 36(5):389–392.
10. Moura-Leite FR, Ramos-Jorge J, Ramos-Jorge ML, Paiva SM, Vale MP, Pordeus IA. Impact of dental pain on daily living of five-year-old Brazilian preschool children: prevalence and associated factors. Eur Arch Paediatr Dent 2011; 12(6):293–297.
11. Bonecker M, Abanto J, Tello G, Oliveira LB. Impact of dental caries on preschool children’s quality of life: an update. Braz oral res 2012; 26(1):103-107.
12. Corrêa-Faria P, Daher A, Freire MDCM, de Abreu MHNG, Bönecker M, Costa LR. 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(12):3191-3198.
13. WHO. World Health Organization Health needs of adolescents. Report of a Committee of Experts from WHO 1997 https://apps.who.int/iris/bitstream/handle/10665/41987/WHO_TRS_870.pdf Accessed June 19th 2019
14. Martins-Júnior PA, Vieira-Andrade RG, Corrêa-Faria P, Oliveira-Ferreira F, Marques LS, Ramos-Jorge ML. Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Res 2012; 47(3):211-218.
15. Martins MT, Ferreira FM, Oliveira AC, Paiva SM, Vale MP, Allison PJ et al. Preliminary validation of the Brazilian version of the child perceptions questionnaire 8-10. Eur J Paediatr Dent 2009; 10(3):135-140.
16. Martins-Júnior PA, Oliveira M, Marques LS, Ramos-Jorge ML. Untreated Dental Caries: Impact on Quality of Life of Children of Low Socioeconomic Status. Pediatric Dentistry 2012; 25:193-199.
17. Duarte-Rodrigues L, Ramos-Jorge J, Drumond CL, Diniz PB, Marques LS, Ramos-Jorger ML. Correlation and comparative analysis of the CPQ8-10 and child-OIDP indexes for dental caries and malocclusion. Braz Oral Res 2017; 31:(1)111-118.
18. Lima SLA, Santana CCP, Paschoal MAB, Paiva SM, Ferreira MC. Impact of untreated dental caries on the quality of life of Brazilian children: population-based study. International Journal of Paediatric Dentistry 2018; 28(4):390–399.
19. Mota-Veloso I, Soares MEC, Alencar BM, Marques LS, Ramos-Jorge ML, Ramos-Jorge J. Impact Of Untreated Dental Caries And Its Clinical Consequences On The Oral Health Relatedd Quality Of Life Of Schoolchildren Aged 8-10 Years. Qual Life Res 2016; 25(1):193-199.
20. Schuch HS, dos Santos Costa F, Torriani DD, Demarco FF, Goettems ML. Oral health-related quality of life of schoolchildren: impact of clinical and psychosocial variables. International Journal of Paediatric Dentistry 2015;2 5(5):358–365.
21. Schwendicke F, Dörfer CE, Schlattmann P, Page LF, Thomson WM, Paris S. Socioeconomic Inequality and Caries. Journal of Dental Research 2014; 94(1):10–18.
22. Lee JY, Divaris K. The ethical imperative of addressing oral health disparities: a unifying framework. J Dent Res 2014; 93(3):224–230.
23. Frencken, JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis – a comprehensive review. Journal of Clinical Periodontology 2017; 44(18):94-105.
24. Michel G, Bisegger C, Fuhr DC, Abel T. Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Quality of Life Research 2009; 18(9):1147–1157.
25. Lynch JW, Kaplan GA, Shema SJ. Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning. N Engl J Med 1997; 337(26):1889-1895.
26. Martins-Júnior PA, Marques LS, Ramos-Jorge ML. Malocclusion: social, functional and emotional influence on children. J Clin Pediatr Dent 2012; 37(1):103–8.
27. Maroneze MC, Ardenghi DM, Brondani M, Unfer B, Ardenghi TM. Dental treatment improves the oral healthâ€related quality of life of adolescents: A mixedâ€methods approach. Int J Paediatr Dent 2019; 00:1-10.
28. Moura-Leite FR, Ramos-Jorge ML, Bonanato K, Paiva SM, Vale MP, Pordeus IA. Prevalence, intensity and impact of dental pain in 5-year-old preschool children. Oral Health Prev Dent 2008; 6(4):295–301.
29. Rebelo MAB, Rebelo Vieira JM, Pereira JV, Quadros LN, Vettore MV. Does oral health influence school performance and school attendance? A systematic review and meta-analysis. International Journal of Paediatric Dentistry 2018; 29(2):138-148.
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2020-12-16
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Assessment of the impact of toothache, untreated caries and its consequences on the quality of life among poor Brazilian children. (2020). Revista Da Faculdade De Odontologia - UPF, 25(1), 88-95. https://doi.org/10.5335/rfo.v25i1.10236
