Clarifying the Impact of Untreated and Treated Dental Caries on Oral Health-Related Quality of Life among Adolescents

2016 ◽  
Vol 50 (4) ◽  
pp. 414-421 ◽  
Author(s):  
Carlos Alberto Feldens ◽  
Thiago Machado Ardenghi ◽  
Angela Isabel Dos Santos Dullius ◽  
Fabiana Vargas-Ferreira ◽  
Pedro Antonio González Hernandez ◽  
...  

The aim of the present study was to investigate the effect of dental caries experience and the components of the decayed, missing and filled teeth (DMFT) index on oral health-related quality of life (OHRQoL) among adolescents in southern Brazil. A cross-sectional study was conducted with 509 adolescents aged 11-14 years enrolled at public schools in the municipality of Osório (southern Brazil). A calibrated examiner performed the clinical examination for caries (World Health Organization: DMFT index), malocclusion (Dental Aesthetic Index) and traumatic dental injuries [Andreasen et al., 2007]. The participants answered the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - Impact Short Form, and their parents/guardians answered a structured questionnaire addressing demographic and socioeconomic characteristics. Data analysis involved Poisson regression with robust variance, with the calculation of rate ratios adjusted for potential confounding variables. High severity of dental caries experience exerted a significant impact on OHRQoL, even after controlling for socioeconomic and clinical factors (rate ratio 1.30; 95% confidence interval, CI 1.12-1.51). All OHRQoL domains were affected by untreated dental caries. The multivariate analysis demonstrated that the CPQ11-14 scores were 33% higher among adolescents with untreated caries (rate ratio 1.33; 95% CI 1.17-1.50) and 24% higher among those with missing teeth (rate ratio 1.24; 95% CI 1.06-1.47). No difference in OHRQoL was found between adolescents with filled teeth and those without dental caries. In conclusion, dental caries experience, untreated dental caries and missing teeth exerted a negative impact on OHRQoL among the adolescents.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mina Pakkhesal ◽  
Elham Riyahi ◽  
AliAkbar Naghavi Alhosseini ◽  
Parisa Amdjadi ◽  
Nasser Behnampour

Abstract Background Childhood dental caries can affect the children’s and their parents’ oral health-related quality of life. The aim of the present study was to evaluate the impact of oral and dental health conditions on the oral health-related quality of life in preschool children and their parents. Methods In this descriptive-analytical cross-sectional study, samples were selected from children 3 to 6 years old enrolled in licensed kindergartens using "proportional allocation" sampling. Then, the parents of the children were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS). Results In this study, 350 children aged 3 to 6 years were evaluated with a mean age of 4.73 years. The mean dmft index (decayed, missed, and filled teeth) was 3.94 ± 4.17. The mean score of oral health-related quality of life was 11.88 ± 6.9, which 9.36 ± 5.02 belongs to the impact on children and 2.52 ± 3.20 to parents' impact. Conclusions The mean score of ECOHIS increased with the dmft index increase in children, indicating a significant relationship between the dmft and ECOHIS score. These outcomes can be used as proper resources to develop preventive policies and promote oral health in young children.


Author(s):  
Kamila Rodrigues Junqueira Carvalho ◽  
Amanda Priscila de Jesus Ribeiro ◽  
Camila Faria Carrada ◽  
Flávia Almeida Ribeiro Scalioni ◽  
Karina Lopes Devito ◽  
...  

2021 ◽  
Author(s):  
Kanchan P Dholam ◽  
Priyanka Somani ◽  
Jinesh Dugad ◽  
Pankaj Kharade ◽  
Pallavi P Rane ◽  
...  

Abstract Purpose Prospective evaluation of the change in maximum incisal opening (MIO) in patients receiving treatment for head neck cancer (HNC), and its interaction with clinical parameters such as tumor site/ sub-site and type of treatment received. Secondary aim was to ascertain the longitudinal change in dental caries experience and health-related quality of life (HRQoL) during the study period. Methods Seventy treatment-naïve patients undergoing treatment for squamous cell carcinoma (SCC) of oral cavity and/or oropharynx were assessed at 3 designated time-points; pre-treatment (T0), immediate post-treatment (T1) and 6-months post-treatment (T2). The primary study variable was change in MIO (cm) across 3 time points (T0, T1, T2). Dental caries incidence was measured using decayed, missing, filled teeth (DMFT) index and HRQoL was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaires (EORTC QLQ-C30 and H&N-35). Change in DMFT and HRQoL was assessed between T0 and T2. Non-parametric repeated measures ANOVA was used to analyse the longitudinal change in MIO and DMFT scores and their interaction with clinical parameters respectively. Wilcoxon signed-rank test was used to compare corresponding HRQoL domains between T0 and T2. All statistical tests were 2-sided, and differences with a p-value < 0.05 were considered statistically significant. Results Sixty-seven eligible HNC patients showed a significant change in mouth-opening and dental caries experience from T0 to T2, irrespective of tumor site/ sub-site and type of treatment (p < 0.001). Site-wise, patients with oral cavity cancer and specifically maxillary tumors; treatment-wise those undergoing surgery and/or, multi-modal treatment showed persistently reduced mouth opening late post-treatment. There was a statistical increase in head-and-neck site specific HRQoL symptoms at T2. A high prevalence (69%) of post-treatment trismus was noted especially in patients undergoing multi-modality treatment (83%). Conclusion Patients undergoing treatment for HNC demonstrate a significant longitudinal change in mouth-opening and caries incidence. They may show partial recovery of MIO at 6-months after an initial decrease in the immediate post-treatment period.


2019 ◽  
Vol 7 (3) ◽  
pp. 67
Author(s):  
Helen J. Rogers ◽  
Jan H. Vermaire ◽  
Fiona Gilchrist ◽  
Annemarie A. Schuller

Dental caries has significant negative impacts on the lives of children and young people. Whilst the impacts on children’s oral health-related quality of life (OHRQoL) have been increasingly investigated, the effect on children’s overall wellbeing remains largely unknown. Data were obtained from a survey conducted across four cities in the Netherlands. Children and their parents completed a series of questionnaires, which included Dutch versions of a caries-specific pediatric measure of OHRQoL (CARIES-QC-NL) and a generic pediatric health utility measure (CHU9D-NL). The participating children underwent dental examinations to determine their caries status. A total of 486 11-year-old children participated in the study, of which 184 had caries experience (38%). The mean number of decayed, missing and filled teeth (DMFT) was 0.71. The CARIES-QC-NL was found to have statistically significant correlations with the DMFT and CHU9D-NL. There were no statistically significant correlations between the CHU9D and the clinical variables. The CARIES-QC-NL had acceptable internal consistency and construct validity in this population despite the low prevalence of active caries. A relationship was demonstrated between OHRQoL and generic wellbeing in this population. Despite this, the CHU9D did not show any correlation with the clinical data, which may limit its application in studies of the impact of dental caries.


2015 ◽  
Vol 25 (1) ◽  
pp. 193-199 ◽  
Author(s):  
Isabella Mota-Veloso ◽  
Maria Eliza C. Soares ◽  
Bruna Mota Alencar ◽  
Leandro Silva Marques ◽  
Maria Letícia Ramos-Jorge ◽  
...  

Open Heart ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e001499
Author(s):  
Stuart Pocock ◽  
David B Brieger ◽  
Ruth Owen ◽  
Jiyan Chen ◽  
Mauricio G Cohen ◽  
...  

ObjectiveTo assess associations of health-related quality of life (HRQoL) with patient profile, resource use, cardiovascular (CV) events and mortality in stable patients post-myocardial infarction (MI).MethodsThe global, prospective, observational TIGRIS Study enrolled 9126 patients 1–3 years post-MI. HRQoL was assessed at enrolment and 6-month intervals using the patient-reported EuroQol-5 dimension (EQ-5D) questionnaire, with scores anchored at 0 (worst possible) and 1 (perfect health). Resource use, CV events and mortality were recorded during 2-years’ follow-up. Regression models estimated the associations of index score at enrolment with patient characteristics, resource use, CV events and mortality over 2-years’ follow-up.ResultsAmong 8978 patients who completed the EQ-5D questionnaire, 52% reported ‘some’ or ‘severe’ problems on one or more health dimensions. Factors associated with a lower index score were: female sex, older age, obesity, smoking, higher heart rate, less formal education, presence of comorbidity (eg, angina, stroke), emergency room visit in the previous 6 months and non-ST-elevation MI as the index event. Compared with an index score of 1 at enrolment, a lower index score was associated with higher risk of all-cause death, with an adjusted rate ratio of 3.09 (95% CI 2.20 to 4.31), and of a CV event, with a rate ratio of 2.31 (95% CI 1.76 to 3.03). Patients with lower index score at enrolment had almost two times as many hospitalisations over 2-years’ follow-up.ConclusionsClinicians managing patients post-acute coronary syndrome should recognise that a poorer HRQoL is clearly linked to risk of hospitalisations, major CV events and death.Trial registration numberClinicalTrials.gov Registry (NCT01866904) (https://clinicaltrials.gov).


2017 ◽  
Vol 6 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Shanti Chhetri ◽  
Muhammad Waseem Ullah Khan ◽  
Nazia Yazdanie

Background: Hypodontia is the developmental absence of one or more teeth from the dentition whereas acquired missing teeth are those lost due to carries, periodontal problem or dental trauma. Patients with congenitally missing teeth suffer aesthetic, functional and psychological morbidity to various degree through childhood, adolescence and adulthood. Greater understanding of the impact of hypodontia on patient’s quality of life is very important. Oral health related quality of life (OHRQoL) is considered as an outcome measure to evaluate the consequences of edentulism and the available treatment options.Material and Methods: A cross-sectional comparative survey was carried out in the department of Prosthodontics, de’Montmorency College of Dentistry/Punjab Dental Hospital Lahore from 02/03/2010 to 01/09/2010. Total 80 partially dentate patients were studied which included 40 hypodontia patients and 40 patients with acquired missing teeth. All patients were given OHIP-14 questionnaire and responses were recorded on 5-point Likert scale. The mean scores of the two groups were calculated and compared using chi square test.Results: The total OHIP scores in hypodontia patients was more compared to that in patients with acquired missing teeth and difference was significant in the patient group with 4-5 missing teeth.Conclusion: As the missing teeth number increased, it was found that the OHRQoL in hypodontia patients was more impaired compared to the OHRQoL in patients with acquired missing teeth. Journal of Nobel Medical CollegeVolume 6, Number 1, Issue 10 (January-June, 2017), Page: 77-82


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