Oral health and quality of life of children and adolescents with juvenile idiopathic arthritis according to their caregivers’ perceptions

Abstract

The aim of this study was to assess the correlation between oral health indicators and oral health-related quality of life (OHRQoL) of children and adolescents with juvenile idiopathic arthritis (JIA) according to their caregivers' perceptions. Parents or guardians (mean age, 40.6 years; standard deviation [SD] = 10.97 years) of children and adolescents with JIA (n = 17; mean age, 9.8 years; SD = 2.86) and parents or guardians of healthy children and adolescents (n = 15; mean age, 10.7 years; SD = 2.16) filled the short form of the Brazilian Parental-Caregiver Questionnaire (SF: 13 - B-PCPQ). Dental evaluations were performed on all children. There was no significant difference in SF: 13 - B-PCPQ scores of the two groups. Children and adolescents with JIA had fewer caries in their primary dentition and more gingival bleeding after probing than those without JIA. The frequency of temporomandibular disorders was 50.0% for JIA patients and 46.7% for their healthy counterparts. There was no correlation between oral health indicators and SF: 13 - B-PCPQ scores. As perceived by caregivers, JIA did not negatively impact the well-being of their children and adolescents as related to oral health, and their OHRQoL did not correlate with oral health status.

Comprehensive Assessment of Orofacial Health and Disease Related Parameters in Adolescents with Juvenile Idiopathic Arthritis—A Cross-Sectional Study

“…Other studies reporting this effect of increased caries experience showed clearly higher values than the current study [24]. On the other hand, recent studies could not find differences in the dmf-t/DMF-T [12,13,[16][17][18][19]. It is thereby conspicuous that studies with high caries experience [24] were performed before 2000, while caries prevalence in general has been reduced during past years [33].…”

“…The score for gingival inflammation showed an increase of one point in JIA-patients in this study compared to the general healthy population [33] (Table 4). Significantly higher presence of gingival inflammation [16,18,19] and dental plaque [12,17,19] have been reported but not by all available studies [12,13,16,18]. Reasons for the increased gingival and periodontal inflammation might be a generally increased inflammatory potential in rheumatic diseases [34] as well as affected oral behavior caused by general disease burden.…”

“…Previous studies about JIA patients showed inhomogeneous and controversial results regarding oral diseases [12,13,[16][17][18][19][20][21][22][23][24]. Some studies showed increased dental caries experience [24], gingival inflammation [16,18,19] and dental biofilm accumulation [12,17,19] whereas other studies could not confirm these results [12,13,[16][17][18][19]. Only a few studies have investigated signs of periodontitis in JIA patients.…”

Impact of untreated dental caries on oral health-related quality of life of children with special health care needs

“…5,6,7,8 In Brazilian people with SHCN, the higher prevalence of caries is associated with a negative impact. 5,8,9 Investigations in healthy children have shown that health problems such as dental caries can affect a person functionally, psychologically, and socially, in addition Declaration of Interests: The authors certify that they have no commercial or associative interest that represents a conflict of interest in connection with the manuscript.…”

Lingual frenotomy of a patient with Juvenile Idiopathic Arthritis and Attention Deficit Hyperactivity Disorder

“…The caries experienced did not show statistically significant differences between children with JIA and controls. 18,19 Although the pathogenesis of JIA is still not well understood, it is believed that all subtypes have autoimmune and inflammatory components. 1 Consequently, JIA is often treated with immunosuppressive agents.…”