Four‐dimensional oral health‐related quality of life impact in children: A systematic review

Abstract

Oral health‐related quality of life (OHRQoL) is an important dental patient‐reported outcome which is commonly based on 4 dimensions, namely Oral Function, Orofacial Pain, Orofacial Appearance and Psychosocial Impact. The Oral Health Impact Profile (OHIP) is the most used OHRQoL instrument designed for adults; nevertheless, it is used off‐label for children as well. Our aim was to describe the OHRQoL impact on children measured by OHIP and map the information to the 4‐dimensions framework of OHRQoL. A systematic literature review following the PRISMA statement was conducted to include studies assessing OHRQoL of children ≤ 18 years using OHIP. The OHIP seven‐domain information was converted to the OHRQoL 4‐dimension scores accompanied by their means and 95% confidence interval. Risk of bias was assessed using a six‐item modified version of quality assessment tool for prevalence studies. We identified 647 articles, after abstracts screening, 111 articles were reviewed in full text. Twelve articles were included, and their information was mapped to the 4‐dimensional OHRQoL. Most included studies had low risk of bias. OHRQoL highest impact was observed for Oral Function, Orofacial Pain, and Orofacial Appearance for children with: Decayed‐Missing‐Filled‐Surface (DMFS) of ≥10, anterior tooth extraction without replacement and untreated fractured anterior teeth, respectively. Across all oral health conditions, Psychosocial Impact was less affected than the other three dimensions. OHIP has been applied to a considerable number of children and adolescents within the literature. One instrument and a standardised set of 4‐OHRQoL dimensions across the entire lifespan seem to be a promising measurement approach in dental and oral medicine.

The impact of oro‐facial pain conditions on oral health‐related quality of life: A systematic review

“…This rich information is complemented by information for 154 dental patient populations suffering from substantial functional OHRQoL impact, 43 63 patient populations suffering from a principal aesthetical impact 44 and 25 patient populations suffering from broader psychosocial impact 45 . Interestingly, while OHIP is a dPROM for adults, standardised OHRQoL information, including Orofacial Pain data, is also available for a substantial number of paediatric populations 46 . All these dental patient populations also have standardised Orofacial Pain information, however, based on conceptual and technical reasons, 29 we did not present them in this article.…”

Mapping Oral Disease Impact with a Common Metric (MOM)—Project summary and recommendations

“…In a systematic review, MOM identified four‐dimensional impact information for 22 populations, that is distinct and clinically relevant groups of individuals, 15 contained in 12 publications. On average, 1.2 samples were available per population.…”

How researchers should select the best outcomes for randomised clinical trials in paediatric dentistry?

“…However, alternative outcomes are also considered clinically relevant, since they are perceived by children and/or their caregivers and have presented a significantly negative impact on children's quality of life 20‐22 . A clinically relevant outcome related to dental caries is frankly cavitated lesions 20,23 . Other examples of clinically relevant conditions are complicated traumatic dental injuries, 20,23,24 anterior open bite, 23 and dental pain 20,23 …”

“…A clinically relevant outcome related to dental caries is frankly cavitated lesions 20,23 . Other examples of clinically relevant conditions are complicated traumatic dental injuries, 20,23,24 anterior open bite, 23 and dental pain 20,23 …”