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Original Research

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Evaluation of Oral Health-Related Quality of Life to Assess Dental Treatment in Preschool Children with Early Childhood Caries: A Preliminary Study

  • Ana Lúcia Vollú1
  • Maria da Encarnação Perez Requejo da Costa1
  • Lucianne Cople Maia1
  • Andréa Fonseca-Gonçalves1,*,

1Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil

DOI: 10.17796/1053-4628-42.1.7 Vol.42,Issue 1,January 2018 pp.37-44

Published: 01 January 2018

*Corresponding Author(s): Andréa Fonseca-Gonçalves E-mail: andreagantonio@yahoo.com.br

Abstract

Purpose: The oral health-related quality of life (OHRQoL) of preschool children with Early Childhood Caries (ECC) was used to assess the outcome of dental treatment. Study design: Children (3.56±1.31years) affected by ECC were selected. Anamnesis, clinical and radiographic exams were performed. Data about sociodemographic aspects, OHRQoL and dmf-t index were collected. The Brazilian version of Early Childhood Oral health Impact Scale (B-ECOHIS) was applied in two time intervals: before and after 30 days of treatment. B-ECOHIS scores and effect size (ES) were used to evaluate the OHRQoL of preschool children. The Student's-t test was used for comparison between the B-ECOHIS averages, considering the following aspects: gender, age, socioeconomic status, severity of caries and type of treatment. Results: The mean dmf-t was 6.25±4.20 and no differences between boys (6.00±4.32) and girls (6.83±4.35) (p=0,942) were found. Pain and psychological problems among children and parents feeling upset and guilty were the most frequently reported impacts at baseline. There was a greater impact on girls (17.67±8.68) than on boys (13.30±10.53) (p<0.001); and on children younger than 4 years (16.71±9.96) (p<0.05). The highest B-ECOHIS scores were observed in treatments involving dental extractions and space maintainers. There was no difference between the total B-ECOHIS scores of subjects from middle (16.24±10.30) and lower socioeconomic classes (15.97±10.26). The total scores of B-ECOHIS and its domains decreased after 30-day follow-up. Dental rehabilitation of preschool children showed a large effect size for these subjects (ES=1.19) and their families (ES=1.00). Conclusion: Dental treatment resulted in significant improvement of the preschool children's OHRQoL.

Keywords

Dental care for children, Dental caries, Quality of life, Dental treatment

Cite and Share

Ana Lúcia Vollú,Maria da Encarnação Perez Requejo da Costa,Lucianne Cople Maia,Andréa Fonseca-Gonçalves. Evaluation of Oral Health-Related Quality of Life to Assess Dental Treatment in Preschool Children with Early Childhood Caries: A Preliminary Study. Journal of Clinical Pediatric Dentistry. 2018. 42(1);37-44.

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