Abstract
Background Preschool years are a critical period in the development of a healthy child. The consequences of poor oral health in preschool children reach beyond dental problems, with oral health-related quality of life (OHRQoL) being associated with overall systematic health as well as one’s quality of life. The purpose of this study was to explore the level to which dental caries impacts the OHRQoL in a sample of preschooler children in Kisarawe.Methods A cross-sectional based study was conducted in 2017. A total of 1,106 preschool children completed a face-to-face interview, using a translated Kiswahili version of the Michigan Oral Health-related Quality of Life Scale–Child Version (2003), and underwent clinical oral examination using WHO (1997) criteria.Results The decayed component was the most prevalent (dft = 2.08) and the Significant Caries Index (SiC) was 5.54 double of the (dft), showing polarization of dental caries in the studied population. After adjusting for appropriate covariates, preschool children of age 5 and 6 years old were more likely to have decayed tooth [Adjusted OR = 3.02, (95% CI =2.01-4.54)] and [Adjusted OR=2.23, (95% CI= 1.55-3.20)] respectively. Preschool children without visible plaque on the buccal surface of upper anterior teeth were less likely to have decayed teeth [Adjusted OR=0.21, (95% CI=0.09-0.45)]. Regarding measurements of oral health-related quality of life using the MOHRQoL, only preschool children who reported on ‘does your teeth hurt you now?’ and ‘do kids make fun of your teeth?’ were more likely to have a decayed tooth [Adjusted OR=1.74, (95% CI=1.12-2.71)] and [Adjusted OR=1.87, (95% CI=1.11-3.15)], respectful.Conclusion The findings suggest that dental caries, affecting a significant portion of preschoolers, was associated with both poor oral hygiene and the age of the child. The MOHRQoL appear to be able to discriminate between groups, and preschool children of 4-6 years of age are reliable informants to answer the MOHRQoL in this group of Tanzanian children.