Skip to main content
Top
Published in: European Archives of Paediatric Dentistry 6/2022

19-08-2022 | Caries | Original Scientific Article

Oral health-related quality of life in portuguese pre-school children: a cross-sectional study

Authors: M. Freire, S. R. Graça, S. Dias, S. Mendes

Published in: European Archives of Paediatric Dentistry | Issue 6/2022

Login to get access

Abstract

Purpose

To study Oral Health related Quality of Life (OHRQoL) of pre-school children and its associated factors.

Methods

Cross-sectional study with sample data collected through an on-line questionnaire to a non-probabilistic sample. The questionnaire included the Portuguese version of the Early Childhood Oral Health Impact Scale (ECOHIS) and questions about sociodemographic characteristics, oral health behaviours, and reported oral health of the child. Data analyses included descriptive statistics, Mann–Whitney and Kruskal–Wallis tests and Linear regression (α = 0.05).

Results

The sample consisted of 1475 parents of pre-school children (3–5 years-old), residing in Portugal. The mean ECOHIS total score was 1.5 (sd = 3.4). In the bivariate analysis the child’s age, starting toothbrushing after one year of age, frequent intake of sugary food and drinks, previous appointment with an oral health professional, all reported of oral health problems, and a negative perception of oral health were negatively associated with OHRQoL (p < 0,05). In the regression model the factors that most contributed to a worse quality of life were dental caries and abscess, contributing to an ECOHIS average increase of 2.56 and 3.34, respectively.

Conclusions

The studied population presented a good OHRQoL, with the item related to pain being the most relevant for the ECOHIS score. Worst OHRQoL was found in older children, whose parents negatively rated the children's oral health and with reported dental caries, trauma, and abscess.
Literature
go back to reference Bica I, Duarte J, Camilo A, Jesus A, Ferreira C, Oliveira F, et al. Qualidade de Vida Relacionada com a Saúde Oral: Perceção Parental das Crianças em Idade Pré-Escolar. Millenium. 2016;47:141–52. Bica I, Duarte J, Camilo A, Jesus A, Ferreira C, Oliveira F, et al. Qualidade de Vida Relacionada com a Saúde Oral: Perceção Parental das Crianças em Idade Pré-Escolar. Millenium. 2016;47:141–52.
go back to reference Bittencourt JM, Martins LP, Paiva SM, Pordeus IA, Martins-Júnior PA, Bendo CB. Early childhood caries and oral health-related quality of life of Brazilian children: does parents’ resilience act as moderator? Int J Paediatr Dent. 2021;31:383–93. https://doi.org/10.1111/ipd.12727.CrossRef Bittencourt JM, Martins LP, Paiva SM, Pordeus IA, Martins-Júnior PA, Bendo CB. Early childhood caries and oral health-related quality of life of Brazilian children: does parents’ resilience act as moderator? Int J Paediatr Dent. 2021;31:383–93. https://​doi.​org/​10.​1111/​ipd.​12727.CrossRef
go back to reference Carminatti M, Lavra-Pinto B, Franzon R, Rodrigues JA, de Araújo FB, Gomes E. Impacto da cárie dentária, maloclusão e hábitos orais na qualidade de vida relacionada à saúde oral em crianças pré-escolares. Audiol Commun Res. 2017;22:1–8.CrossRef Carminatti M, Lavra-Pinto B, Franzon R, Rodrigues JA, de Araújo FB, Gomes E. Impacto da cárie dentária, maloclusão e hábitos orais na qualidade de vida relacionada à saúde oral em crianças pré-escolares. Audiol Commun Res. 2017;22:1–8.CrossRef
go back to reference Kirthiga M, Murugan M, Saikia A, Kirubakaran R. Risk factors for early childhood caries: a systematic review and meta-analysis of case control and cohort studies. Pediatr Dent. 2019;41:95–112. Kirthiga M, Murugan M, Saikia A, Kirubakaran R. Risk factors for early childhood caries: a systematic review and meta-analysis of case control and cohort studies. Pediatr Dent. 2019;41:95–112.
go back to reference Milani AJ, Fonseca Alves N, Martins Do Espiroto-Santo T, Gonçalves Ribeiro L, Ammari MM, Antunes LS, et al. Impact of traumatic dental injuries on oral health-related quality of life of preschool children and their families attending a dental trauma care program. Port J Public Health. 2019;37:19–25. https://doi.org/10.1159/000501525.CrossRef Milani AJ, Fonseca Alves N, Martins Do Espiroto-Santo T, Gonçalves Ribeiro L, Ammari MM, Antunes LS, et al. Impact of traumatic dental injuries on oral health-related quality of life of preschool children and their families attending a dental trauma care program. Port J Public Health. 2019;37:19–25. https://​doi.​org/​10.​1159/​000501525.CrossRef
go back to reference Moghaddam LF, Vettore MV, Bayani A, Bayat AH, Ahounbar E, Hemmat M, Armoon B, Fakhri Y. The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral health-related quality of life among children: a systematic review and Meta-analysis. BMC Pediatr. 2020;20:489. https://doi.org/10.1186/s12887-020-02371-8.CrossRef Moghaddam LF, Vettore MV, Bayani A, Bayat AH, Ahounbar E, Hemmat M, Armoon B, Fakhri Y. The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral health-related quality of life among children: a systematic review and Meta-analysis. BMC Pediatr. 2020;20:489. https://​doi.​org/​10.​1186/​s12887-020-02371-8.CrossRef
go back to reference Zaror C, Atala-Acevedo C, Espinoza-Espinoza G, Muñoz-Millán P, Muñoz S, Martínez-Zapata MJ, et al. Cross-cultural adaptation and psychometric evaluation of the early childhood oral health impact scale (ECOHIS) in Chilean population. Health Qual Life Outcomes. 2018;16:1–11. https://doi.org/10.1186/s12955-018-1057-x.CrossRef Zaror C, Atala-Acevedo C, Espinoza-Espinoza G, Muñoz-Millán P, Muñoz S, Martínez-Zapata MJ, et al. Cross-cultural adaptation and psychometric evaluation of the early childhood oral health impact scale (ECOHIS) in Chilean population. Health Qual Life Outcomes. 2018;16:1–11. https://​doi.​org/​10.​1186/​s12955-018-1057-x.CrossRef
go back to reference Zaror C, Matamala-Santander A, Ferrer M, Rivera-Mendoza F, Espinoza-Espinoza G, Martínez-Zapata MJ. Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis. Int J Dent Hyg. 2022;20:120–35. https://doi.org/10.1111/idh.12494.CrossRef Zaror C, Matamala-Santander A, Ferrer M, Rivera-Mendoza F, Espinoza-Espinoza G, Martínez-Zapata MJ. Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis. Int J Dent Hyg. 2022;20:120–35. https://​doi.​org/​10.​1111/​idh.​12494.CrossRef
Metadata
Title
Oral health-related quality of life in portuguese pre-school children: a cross-sectional study
Authors
M. Freire
S. R. Graça
S. Dias
S. Mendes
Publication date
19-08-2022
Publisher
Springer Berlin Heidelberg
Keyword
Caries
Published in
European Archives of Paediatric Dentistry / Issue 6/2022
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-022-00741-7

Other articles of this Issue 6/2022

European Archives of Paediatric Dentistry 6/2022 Go to the issue