Evaluation of dental caries experience and oral health-related quality of life in schoolchildren
DOI:
https://doi.org/10.5020/18061230.2015.p198Keywords:
Child, Dental Caries, Quality of Life.Abstract
Objective: To assess the relationship between caries experience, oral health-related quality of life (OHRQoL) and socioeconomic factors in children from public municipal schools. Methods: This cross-sectional study was part of an oral health survey conducted during the year of 2012 and included 142 children aged 12 years to assess the OHRQoL using the Child Perceptions Questionnaire (CPQ11-14) and the socioeconomic factors (parental education, family income, number of rooms and number of household members). Caries experience was assessed and expressed by DMFT and dmft indexes (number of decayed, missing and filled permanent and deciduous teeth, respectively). Statistical analysis consisted of descriptive statistics, Chi-squared test, Mann-Whitney’s test and Spearman’s correlation test. Results: In all, 58.5% (n=83) of the children had caries experience (DMFT+dmft≥1) and also presented higher scores in the overall perception of oral health (2.6±0.9 x 2.1±0.8), in the total scale (33.0±22.6 x 21.9±14.5) and in the emotional well-being (11.4±8.6 x 6.6±5.8) and social well-being (7.7±8.2 x 4.4±4.9) domains when compared to those without caries experience. It was also noted a significant positive correlation between the number of people living in the household and the DMFT/dmft indexes (r=0.2670, p=0.003). Conclusion: Caries experience was related to a negative perception of oral health – particularly in the emotional and social aspects – and to the number of people living in the household.Downloads
References
Petersen PE, Kjøller M, Christensen LB, Krustrup U. Changing dentate status of adults, use of dental health services, and achievement of national dental health goals in Denmark by the year 2000. J Public Health Dent. 2004; 64(3):127-35.
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. Int J Paediatr Dent. 2014 Jul 22.
Cooper AM, O'Malley LA, Elison SN, Armstrong R, Burnside G, Adair P, et al. Primary school-based behavioural interventions for preventing caries. Cochrane Database Syst Rev. 2013;31;5:CD009378.
Petersen PE. Sociobehavioural risk factors in dental caries - international perspectives. Community Dent Oral Epidemiol. 2005;33(4):274-9.
SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais / Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. – Brasília: Ministério da Saúde, 2011.
Narvai PC, Frazão P, Roncalli AG, Antunes JL. Dental caries in Brazil: decline, polarization, inequality and social exclusion. Rev Panam Salud Publica. 2006;19(6):385-93.
Foster Page LA, Thomson WM, Ukra A, Baker SR. Clinical status in adolescents: is its impact on oral health-related quality of life influenced by psychological characteristics? Eur J Oral Sci. 2013;121(3 Pt 1):182-7.
Scarpelli AC, Paiva SM, Viegas CM, Carvalho AC, Ferreira FM, Pordeus IA. Oral health-related quality of life among Brazilian preschool children. Community Dent Oral Epidemiol. 2013;41(4):336-44.
Cohen-Carneiro F, Souza-Santos R, Rebelo MA. Quality of life related to oral health: contribution from social factors. Cien Saude Colet. 2011;16 Suppl 1:1007-15.
Somkotra T, Detsomboonrat P. Is there equity in oral healthcare utilization: experience after achieving Universal Coverage. Community Dent Oral Epidemiol. 2009;37(1):85-96.
Kumar S, Kroon J, Lalloo R. 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. 2014; 21;12:41.
Barbosa TS, Castelo PM, Leme MS, Gavião MB. Associations between oral health-related quality of life and emotional statuses in children and preadolescents. Oral Dis. 2012;18(7):639-47.
Piovesan C, Antunes JL, Guedes RS, Ardenghi TM. Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). Qual Life Res. 2010;19(9):1359-66.
Piovesan C, Antunes JL, Mendes FM, Guedes RS, Ardenghi TM. Influence of children's oral health-related quality of life on school performance and school absenteeism. J Public Health Dent. 2012;72(2):156-63.
Paula JS, Leite IC, Almeida AB, Ambrosano GM, Pereira AC, Mialhe FL. The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren's self-perception of quality of life. Health Qual Life Outcomes. 2012; 13;10:6.
Instituto Brasileiro de Geografia e Estatística (IBGE). Perfil dos Municípios Brasileiros – 2011. Disponível em: http://cidades.ibge.gov.br. Data de acesso: novembro de 2014.
Fundação Sistema Estadual de Análise de Dados (SEADE). Perfil Municipal – Carapicuíba. Disponível em: http://produtos.seade.gov.br/produtos/perfil/perfilMunEstado.php. Data de acesso: novembro de 2014.
World Health Organization. Oral health surveys. Basic methods. 4th ed. Geneva: World Health Organization, 1997.
Ministério da Saúde do Brasil: Projeto Saúde Bucal Brasil – Levantamento Nacional em Saúde Bucal 2010. Disponível em: http://189.28.128.100/dab/docs/geral/apresentacao _SB2010.pdf. 2011. Data de acesso: maio de 2014.
Barbosa TS, Gavião MB. Oral health-related quality of life in children: part II. Effects of clinical oral health status. A systematic review. Int J Dent Hyg. 2008;6(2):100-7.
Gomes MC, Pinto-Sarmento TC, Costa EM, Martins CC, Granville-Garcia AF, Paiva SM. Impact of oral health conditions on the quality of life of preschool children and their families: a cross-sectional study. Health Qual Life Outcomes. 2014;18;12:55.
Navarro MF, Modena KC, Bresciani E. Social disparity and oral health. Braz Oral Res. 2012;26 Suppl 1:17-24.
Onoriobe U, Rozier RG, Cantrell J, King RS. Effects of enamel fluorosis and dental caries on quality of life. J Dent Res. 2014;93(10):972-9.
Krisdapong S, Prasertsom P, Rattanarangsima K, Sheiham A. Impacts on quality of life related to dental caries in a national representative sample of Thai 12- and 15-year-olds. Caries Res. 2013;47(1):9-17.
Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA. 1995;4;273(1):59-65.
Rodd HD, Marshman Z, Porritt J, Bradbury J, Baker SR. Oral health-related quality of life of children in relation to dental appearance and educational transition. Br Dent J. 2011; 22;211(2):E4.
Sales-Peres SH, Bastos JR. An epidemiological profile of dental caries in 12-year-old children residing in cities with and without fluoridated water supply in the central western area of the State of São Paulo, Brazil. Cad Saude Publica. 2002;18(5):1281-8.
Lopes RM, Domingues GG, Junqueira SR, Araujo ME, Frias AC. Conditional factors for untreated caries in 12-year-old children in the city of São Paulo. Braz Oral Res. 2013;27(4):376-81.
Tagliaferro EP, Pereira AC, Meneghim Mde C, Ambrosano GM. Assessment of dental caries predictors in a seven-year longitudinal study. J Public Health Den. 2006; 66 (3):169-73.
Feldens CA, Giugliani ER, Vigo Á, Vítolo MR. Early feeding practices and severe early childhood caries in four-year-old children from southern Brazil: a birth cohort study. Caries Res. 2010; 44(5):445-52.
Melo MM, Souza WV, Lima ML, Braga C. Factors associated with dental caries in preschoolers in Recife, Pernambuco State, Brazil. Cad Saude Publica. 2011;27(3):471-85.
Loughnan S, Kuppens P, Allik J, Balazs K, de Lemus S, Dumont K et al. Economic inequality is linked to biased self-perception. Psychol Sci. 2011;22(10):1254-8.
