Association between Early Childhood Caries and Quality of Life: Early Childhood Oral Health Impact Scale and Pufa Index

Ningthoujam, Sharna; Ramakrishnan, Mahesh; Samuel, Victor; Ravikumar, Dhanalakshmi; Cheenglembi, Khangembam; Anil, Sukumaran

doi:10.3390/dj7040095

Cited by 20 publications

(17 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies conducted in Brazil using the parent-reported Early Childhood Oral Health Impact Scale (ECOHIS) for preschool children found that higher ECOHIS scores were associated with higher caries levels [53][54][55], advanced carious lesions [56][57][58], pulpal involvement and dental infection [56], even after adjustment of socioeconomic factors [59][60][61]. Studies conducted in China [62], Hong Kong [63,64] and India [65] also reported similar associations. Furthermore, the number of decayed and missing teeth [5], caries increment [66] and PUFA/pufa [67] were associated with higher Child Perception Questionnaire (CPQ 8-10 and CPQ [11][12][13][14] scores among children in Brazil and Egypt [68], and higher Child-Oral Impact on Daily Performance (Child-OIDP) scores among children in Thailand [69][70][71] and India [72].…”

Section: Discussionmentioning

confidence: 84%

Cross cultural adaptation and psychometric properties of the Bengali version of the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5)

Mishu

Watt

Heilmann

et al. 2021

Health Qual Life Outcomes

View full text Add to dashboard Cite

Background The oral health related quality of life (OHRQoL) of children in Bangladesh has not yet been measured, as there is no validated OHRQoL measure for that population. The aim of this study was to cross-culturally adapt the child self-report and parental proxy report versions of the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5) into Bengali and test their psychometric properties: face validity, construct validity (convergent and discriminant validity) and reliability (internal consistency and test–retest reliability), among 5–9-year-old children and their parents in Bangladesh and assess associations between dental caries/sepsis and OHRQoL in this population. Methods The forward–backward translated Bengali SOHO-5 was piloted among 272 children and their parents to test its face validity. The questionnaire was administered to 788 children and their parents to evaluate its psychometric properties. Internal consistency of Bengali SOHO-5 was assessed using Cronbach’s alpha, and test–retest reliability was assessed using Kappa. Convergent and discriminant validity were assessed through nonparametric tests. The calculation of effect sizes and standard error of measurement facilitated the assessment of minimally important difference (MID) for SOHO-5. The associations of reporting an oral impact with caries and sepsis were assessed via logistic regression models. Results Both child self-report and parental proxy report questionnaires showed good face validity. Cronbach’s alpha scores were 0.79 and 0.87 for child and parental questionnaire, respectively. A weighted Kappa score of 0.85 demonstrated test–retest reliability of child questionnaire. SOHO-5 scores were significantly associated with subjective oral health outcomes and discriminated clearly between different caries severity and sepsis groups. These differences were considerably higher than the MID. After adjusting for child’s age, sex, setting, maternal education and family income, the odds of reporting an oral impact were 2.25 (95% CI 1.98–2.56) and 4.44 (95% CI 3.14–6.28) times higher for each additional tooth with caries and sepsis, respectively. Conclusion This study provided strong evidence supporting the validity and reliability of both versions of Bengali SOHO-5 as OHRQoL measures. Dental caries and sepsis were associated with poor OHRQoL in this population. The Bengali SOHO-5 is expected to be a useful outcome measure for research and clinical purposes in Bengali speaking child populations.

show abstract

Section: Discussionmentioning

confidence: 84%

Cross cultural adaptation and psychometric properties of the Bengali version of the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5)

Mishu

Watt

Heilmann

et al. 2021

Health Qual Life Outcomes

View full text Add to dashboard Cite

show abstract

“…Because of possible complications and consequences of untreated caries, the oral health status of children was described not only with the use of dmft/DMFT index but also by the pufa index presented by Monse et al in 2010 [ 5 , 18 , 24 , 26 ], which evaluates the advanced caries stages with dental sepsis or pulp exposure [ 5 ]. It must be remembered that unexplained fever in children might be caused by an abscess associated with carious tooth with infection spreading into the bone of maxilla or mandible, which is a life-threatening complication [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The pufa index for primary dentition was recorded to evaluate the severity of pulpal diseases caused by the untreated carious process. The tooth was rated and scored as having pulpal involvement (p) when the coronal tissues were destroyed by the caries, and only roots and root fragments were left, or the opening of the pulp chamber was visible [ 18 , 24 ]. Ulceration (u) was diagnosed when there was a change of the surrounding soft tissues, e.g., buccal mucosa or tongue, caused by trauma from sharp pieces of a tooth structure, i.e., root fragments or a dislocated tooth with pulpal involvement.…”

Section: Methodsmentioning

confidence: 99%

Clinical Consequences of Dental Caries, Parents’ Perception of Child’s Oral Health and Attitudes towards Dental Visits in a Population of 7-Year-Old Children

Opydo-Szymaczek

Borysewicz−Lewicka

Andrysiak

et al. 2021

IJERPH

View full text Add to dashboard Cite

This cross-sectional study aimed to assess the occurrence of the consequences of dental caries and factors affecting dental service utilization in a population of 7-year-old children. The research included oral examination of 7-year-old schoolchildren and socio-medical study of their parents/legal caregivers. It was carried out in five primary schools of two provinces, i.e., Greater Poland and Lubusz. Dental examination was performed in accordance with World Health Organization (WHO) recommendations. The socio-medical study consisted of questionnaires with close-ended questions concerning socioeconomic characteristics of the family, reasons and time of the last visit at the dental office, consequences of child’s oral health problems, parents’ attitude towards dental visits, and parental opinion about their child’s teeth. Factors affecting utilization of dental services were statistically analyzed using univariate logistic regression assuming p < 0.05. The pufa index of examined children ranged from 0 to 7 (mean 0.80 ± 1.49), while the dmf index ranged from 0 to 14 (3.86 ± 3.32). Low financial burden of oral health expenditures and university education of at least one of the parents significantly increased the chance of visiting a dentist despite lack of pain (OR = 3.0 and 2.5, respectively). In spite of the availability of free dental care for children, socioeconomic factors still determine the utilization of dental services in Poland. Poor oral health status of examined population and negligence of regular dental check-ups emphasize a need to strengthen oral health literacy of parents and children, promoting proper attitudes towards dental care.

show abstract

“…Children’s oral health is an integral part of their overall health and influences their quality of life [ 1 ]. Regular public prevention programs and the involvement of pediatric dentists and dental surgeons have led to a decrease in caries incidence in France [ 2 , 3 ], but among specific at-risk populations, especially very young children, oral hygiene recommendations are not always complied with.…”

Section: Introductionmentioning

confidence: 99%

Perception of Dental Caries and Parental Difficulties in Implementing Oral Hygiene for Children Aged Less Than 6 Years: A Qualitative Study

et al. 2020

View full text Add to dashboard Cite

Background: Despite extensive prevention programs, dental hygiene remains inadequate, particularly among children under the age of six, and early childhood caries (ECC) are still a concern. Oral hygiene behavior and preventive practices seem difficult to change at a family level. Aim. The present study aimed to better understand the reasons behind this behavior and to identify the different barriers to the implementation of adequate preventive measures. Methods: A qualitative study was conducted in the pediatric dentistry service of the Montpellier University Hospital (France) in 2019. A thematic analysis concerning three domains was performed: family environment, dental literacy, and oral hygiene. Results. The main barriers encountered by the parents were, respectively, (1) a weakness in the organization of familial life, together with a low-medium family income and a lack of authority, (2) ignorance of the necessity of treating carious primary teeth, and (3) a lack of time for brushing or supervising their children’s teeth. Conclusion: These results showed that oral hygiene and primary teeth care could not be easily achieved in the family environment of the participants, and oral health strategies should be focused not only on children but also on their parents.

show abstract

Association between Early Childhood Caries and Quality of Life: Early Childhood Oral Health Impact Scale and Pufa Index

Cited by 20 publications

References 19 publications

Cross cultural adaptation and psychometric properties of the Bengali version of the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5)

Cross cultural adaptation and psychometric properties of the Bengali version of the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5)

Clinical Consequences of Dental Caries, Parents’ Perception of Child’s Oral Health and Attitudes towards Dental Visits in a Population of 7-Year-Old Children

Perception of Dental Caries and Parental Difficulties in Implementing Oral Hygiene for Children Aged Less Than 6 Years: A Qualitative Study

Contact Info

Product

Resources

About