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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2020

Open Access 01-12-2020 | Caries | Research

A cohort study of factors that influence oral health-related quality of life from age 12 to 18 in Hong Kong

Authors: Ling Sun, Hai Ming Wong, Colman P. J. McGrath

Published in: Health and Quality of Life Outcomes | Issue 1/2020

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Abstract

Background

There is a lack of cohort studies on the influence factors of oral health-related quality of life (OHRQoL). This study aimed to follow subjects from age 12 to 18 to analyse the sociodemographic and clinical factors that may influence OHRQoL.

Methods

This cohort study selected a representative sample from Hong Kong. Periodontal status and caries were examined according to WHO criteria. Four orthodontic indices were used to assess malocclusion. Child Perceptions Questionnaires (CPQ11–14) with 8 items (CPQ11–14-ISF: 8) and 37 items were used to assess OHRQoL at age 12 and age 15, respectively; Oral Health Impact Profile (OHIP-14) was used to assess OHRQoL at age 18. Wilcoxon signed ranks test and Friedman’s test were used to analyse the age-related change of OHRQoL and malocclusion from age 12 to 18. Generalized estimating equations were used to analyse the influence factors of OHRQoL and to calculate adjusted risk ratio (RR).

Results

Subjects recruited in this study were 589 (305 females, 284 males), 364 (186 females, 178 males) and 300 (165 females, 135 males) at age 12, 15 and 18, respectively. Among them, 331 subjects (172 females, 159 males) were followed from age 12 to 15, and 118 subjects (106 females, 82 males) were followed from age 12 to 18. Subjects had less severe malocclusion at age 12 than at ages 15 and 18 (p = 0.000, measured by Dental Aesthetic Index). Age, periodontal status, and malocclusion had an effect on OHRQoL. When compared with OHRQoL at age 12, worse OHRQoL was observed at age 15 (adjusted RR = 1.06, 95%CI = 1.01–1.12, p = 0.032), but not at age 18 (adjusted RR = 1.01, 95%CI = 0.95–1.08, p = 0.759). Unhealthy periodontal conditions had a negative effect on OHRQoL (adjusted RR = 1.14, 95%CI = 1.04–1.25, p = 0.007). Only severe malocclusions had a negative effect on OHRQoL; a more severe malocclusion was associated with a higher effect on OHRQoL (adjusted RR = 1.09, 95%CI = 1.01–1.18, p = 0.032 for severe malocclusion, and adjusted RR = 1.17, 95%CI = 1.07–1.28, p = 0.001 for very severe malocclusion measured by Dental Aesthetic Index).

Conclusion

Age, periodontal status, and malocclusion had an influence on OHRQoL from age 12 to 18. When clinicians attempt to improve subjects’ OHRQoL, it is necessary to consider these factors.
Literature
1.
Slade GD. Assessing change in quality of life using the Oral health impact profile. Community Dent Oral Epidemiol. 1998;26:52–61.PubMedCrossRef
2.
Sun L, Wong HM, McGrath CP. The factors that influence the oral health-related quality of life in 12-year-old children: baseline study of a longitudinal research. Health Qual Life Outcomes. 2017;15:155.PubMedPubMedCentralCrossRef
3.
Piovesan C, Antunes JLF, Guedes RS, Ardenghi TM. Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). Qual Life Res. 2010;19:1359–66.PubMedCrossRef
4.
Sun L, Wong HM, McGrath CP. The factors that influence oral health-related quality of life in 15-year-old children. Health Qual Life Outcomes. 2018;16:19.PubMedPubMedCentralCrossRef
5.
Locker D. Disparities in oral health-related quality of life in a population of Canadian children. Community Dent Oral Epidemiol. 2007;35:348–56.PubMedCrossRef
6.
Allison PJ, Locker D, Feine JS. Quality of life: a dynamic construct. Soc Sci Med. 1997;45:221–30.PubMedCrossRef
7.
Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nuttall N, Spencer AJ. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol. 2004;32:107–14.PubMedCrossRef
8.
McGrath C, Bedi R. The association between dental anxiety and oral health-related quality of life in Britain. Community Dent Oral Epidemiol. 2004;32:67–72.PubMedCrossRef
9.
Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol. 2004;31:454–7.PubMedCrossRef
10.
John MT, Koepsell TD, Hujoel P, Miglioretti DL, LeResche L, Micheelis W. Demographic factors, denture status and oral health-related quality of life. Community Dent Oral Epidemiol. 2004;32:125–32.PubMedCrossRef
11.
Ilma de Souza Cortes M, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12–14-year-old children. Community Dent Oral Epidemiol. 2002;30:193–8.CrossRef
12.
Thomson WM, Lawrence HP, Broadbent JM, Poulton R. The impact of xerostomia on oral-health-related quality of life among younger adults. Health Qual Life Outcomes. 2006;4:86.PubMedPubMedCentralCrossRef
13.
Sun L, Wong HM, McGrath CP. The relationship between the severity of malocclusion and Oral health related quality of life: a systematic review and meta-analysis. Oral Health Prev Dent. 2017;15:503–17.PubMed
14.
Sun L, Wong HM, McGrath CP. The association between the severity of malocclusion, assessed by occlusal indices, and Oral health related quality of life: a systematic review and meta-analysis. Oral Health Prev Dent. 2018;16:211–23.PubMed
15.
Dimberg L, Arnrup K, Bondemark L. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod. 2014;37:238–47.PubMedCrossRef
16.
Kragt L, Dhamo B, Wolvius EB, Ongkosuwito EM. The impact of malocclusions on oral health-related quality of life in children—a systematic review and meta-analysis. Clin Oral Investig. 2016;20:1881–94.PubMedCrossRef
17.
18.
Schooling CM, Hui LL, Ho LM, Lam T-H, Leung GM. Cohort profile:‘children of 1997’: a Hong Kong Chinese birth cohort. Int J Epidemiol. 2011;41:611–20.PubMedCrossRef
19.
Zhang M. Ph. D. Thesis: changes in children’s oral health related quality of life following orthodontic treatment. Hong Kong: The University of Hong Kong; 2007.
20.
Eldridge SM, Ashby D, Kerry S. Sample size for cluster randomized trials: effect of coefficient of variation of cluster size and analysis method. Int J Epidemiol. 2006;35:1292–300.PubMedCrossRef
21.
Killip S, Mahfoud Z, Pearce K. What is an intracluster correlation coefficient? Crucial concepts for primary care researchers. Ann Fam Med. 2004;2:204–8.PubMedPubMedCentralCrossRef
22.
Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002;81:459–63.PubMedCrossRef
23.
McGrath C, Pang HN, Lo E, King NM, HÄgg U, Samman N. Translation and evaluation of a Chinese version of the child Oral health-related quality of life measure. Int J Paediatr Dent. 2008;18:267–74.PubMedCrossRef
24.
Lau AW, Wong M, Lam K, McGrath C. Confirmatory factor analysis on the health domains of the child perceptions questionnaire. Community Dent Oral Epidemiol. 2009;37:163–70.PubMedCrossRef
25.
Jokovic A, Locker D, Guyatt G. Short forms of the child perceptions questionnaire for 11–14-year-old children (CPQ 11–14): development and initial evaluation. Health Qual Life Outcomes. 2006;4:4.PubMedPubMedCentralCrossRef
26.
Slade GD, Spencer AJ. Development and evaluation of the Oral health impact profile. Community Dent Health. 1994;11:3–11.PubMed
27.
Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25:284–90.PubMedCrossRef
28.
Wong M, Lo E, McMillan AS. Validation of a Chinese version of the oral health impact profile (OHIP). Community Dent Oral Epidemiol. 2002;30:423–30.PubMedCrossRef
29.
WHO. Oral Health Surveys: Basic Methods, ed 4. Geneva: World Health Organization; 1997.
30.
Bratthall D. Introducing the significant caries index together with a proposal for a new global oral health goal for 12-year-olds. Int Dent J. 2000;50:378–84.PubMedCrossRef
31.
Brook PH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod. 1989;11:309–20.PubMedCrossRef
32.
Shaw W, Richmond S, O'Brien K. The use of occlusal indices: a European perspective. Am J Orthod Dentofac Orthop. 1995;107:1–10.CrossRef
33.
Richmond S, Shaw W, O'brien K, Buchanan I, Jones R, Stephens C, Roberts C, Andrews M. The development of the PAR index (peer assessment rating): reliability and validity. Eur J Orthod. 1992;14:125–39.PubMedCrossRef
34.
Jenny J, Cons NC. Establishing malocclusion severity levels on the dental aesthetic index (DAI) scale. Aust Dent J. 1996;41:43–6.PubMedCrossRef
35.
Daniels C, Richmond S. The development of the index of complexity, outcome and need (ICON). J Orthod. 2000;27:149–62.PubMedCrossRef
36.
Cons NC, Kohout FJ, Jenny J. DAI--the dental aesthetic index. Iowa City: College of Dentistry, University of Iowa; 1986.
37.
38.
39.
Wong HM, Mak CM, Xu YF. A four-part setting on examining the anxiety-provoking capacity of the sound of dental equipment. Noise Health. 2011;13:385–91.PubMedCrossRef
40.
41.
Parthasarathy DS, McGrath CP, Bridges SM, Wong HM, Yiu CK, Au TK. Efficacy of instruments measuring oral health literacy: a systematic review. Oral Health Prev Dent. 2014;12:201–7.PubMed
42.
Clark G. Etiologic theory and the prevention of temporomandibular disorders. Adv Dent Res. 1991;5:60–6.PubMedCrossRef
43.
Geiger AM. Malocclusion as an etiologic factor in periodontal disease: a retrospective essay. Am J Orthod Dentofac Orthop. 2001;120:112–5.CrossRef
44.
Lunn H, Richmond S, Mitropoulos C. The use of the index of orthodontic treatment need (IOTN) as a public health tool: a pilot study. Community Dent Health. 1993;10:111–21.PubMed
Metadata
Title
A cohort study of factors that influence oral health-related quality of life from age 12 to 18 in Hong Kong
Authors
Ling Sun
Hai Ming Wong
Colman P. J. McGrath
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Caries
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-01317-z

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