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VOLUME 23 , ISSUE 9 ( September, 2022 ) > List of Articles


Evaluation of Factors Influencing the Oral Health-related Quality of Life among Children with Early Childhood Caries: A Cross-sectional Study

Ahmed Ali Medabesh, Ahlam Khalid Mohammed Juraybi, Lamees Hussain Ahmed Abuzawah

Keywords : Early childhood caries, Oral health-related quality of life, Oral hygiene, Plaque

Citation Information : Medabesh AA, Juraybi AK, Abuzawah LH. Evaluation of Factors Influencing the Oral Health-related Quality of Life among Children with Early Childhood Caries: A Cross-sectional Study. J Contemp Dent Pract 2022; 23 (9):936-943.

DOI: 10.5005/jp-journals-10024-3405

License: CC BY-NC 4.0

Published Online: 07-02-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To evaluate the factors that affect the oral health-related quality of life (OHRQoL) among children with early childhood caries (ECC). Materials and methods: A total of 340 children aged between 3 and 6 who were diagnosed with ECC were enrolled in the study. Parents accompanying the children completed a questionnaire on the sociodemographic status and filled out the Early Childhood Oral Health Impact Scale (ECOHIS) for the evaluation of OHRQoL. Data were recorded, tabulated, and statistically analyzed. Results: The study population consisted of 189 (55.6%) boys and 151 girls (44.4%). A total of 96.4% had cavitated lesions; 31.2% of the children had pain at the time of evaluation. A significant association was seen between the Decayed Missing Filled Teeth (DMFT) score of the child (p < 0.001). Pain at the time of evaluation and DMFT status had a significant association with the ECOHIS (p < 0.001). Conclusion: Early childhood caries was found to impact the OHRQoL. Pain, visible dental plaque, family income, and parental education were found to be determinants that affect the OHRQoL. Clinical significance: Early childhood caries significantly reduces the OHRQoL of children and their families. Pain, visible dental plaque, family income, and parental education were found to influence the OHRQoL. Teaching parents the importance of oral health and preventive treatment will help prevent the occurrence of ECC.

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  1. Early childhood caries: IAPD Bangkok declaration. Int J Paediatr Dent 2019;29(3):384–386. DOI: 10.1111/ipd.12490.
  2. Grant CG, Daymont C, Rodd C, et al. Oral health-related quality of life of Canadian preschoolers with severe caries after dental rehabilitation under general anesthesia. Pediatr Dent 2019;41(3):221–228. PMID: 31171075.
  3. Colak H, Dülgergil CT, Dalli M, et al. Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med 2013;4(1):29–38. DOI: 10.4103/0976-9668.107257.
  4. Rajkumaar J, Mathew MG. Association of severe early childhood caries with salivary ferritin. J Family Med Prim Care 2020;9(8):3991–3993. DOI: 10.4103/jfmpc.jfmpc_9_20.
  5. Pierce A, Singh S, Lee J, et al. The burden of early childhood caries in Canadian children and associated risk factors. Front Public Health 2019;7:328. DOI: 10.3389/fpubh.2019.00328.
  6. Schroth RJ, Quiñonez C, Shwart L, et al. Treating early childhood caries under general anesthesia: A national review of Canadian data. J Can Dent Assoc 2016;82:g20. PMID: 27548666.
  7. Schroth RJ, Morey B. Providing timely dental treatment for young children under general anesthesia is a government priority. J Can Dent Assoc 2007;73(3):241–243. PMID: 17439708.
  8. Lai SHF, Wong MLW, Wong HM, et al. Factors influencing the oral health-related quality of life among children with severe early childhood caries in Hong Kong. Int J Dent Hyg 2019;17(4):350–358. DOI: 10.1111/idh.12414.
  9. Hooley M, Skouteris H, Boganin C, et al. Parental influence and the development of dental caries in children aged 0–6 years: A systematic review of the literature. J Dent 2012;40(11):873–885. DOI: 10.1016/j.jdent.2012.07.013.
  10. Chouchene F, Masmoudi F, Baaziz A, et al. Parental stress as a predictor of early childhood caries: A systematic review. Eur Arch Paediatr Dent 2021;22:111–119. DOI: 10.1007/s40368-020-00580-4.
  11. Duangthip D, Chen KJ, Gao SS, et al. Early childhood caries among 3- to 5-year-old children in Hong Kong. Int Dent J 2019;69(3):230–236. DOI: 10.1111/idj.12455.
  12. Zou J, Du Q, Ge L, et al. Expert consensus on early childhood caries management. Int J Oral Sci 2022;14;14(1):35. DOI: 10.1038/s41368-022-00186-0.
  13. Ganesh A, Muthu MS, Mohan A, et al. Prevalence of early childhood caries in India: A systematic review. Indian J Pediatr 2019;86(3):276–286. DOI: 10.1007/s12098-018-2793-y.
  14. Mansoori S, Mehta A, Ansari MI. Factors associated with oral health related quality of life of children with severe early childhood caries. J Oral Biol Craniofac Res 2019;9(3):222–225. DOI: 10.1016/j.jobcr.2019.05.005.
  15. Zaror C, Matamala–Santander A, Ferrer M, et al. Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis. Int J Dent Hyg 2022;20(1):120–135. DOI: 10.1111/idh.12494.
  16. Schroth RJ, Pierce A, Rodd C, et al. Improvement in iron and iron-related nutritional status following pediatric dental surgery to treat severe early childhood caries. Pediatr Dent 2022;44(1):58–66. PMID: 35232538.
  17. Boonyawong M, Auychai P, Duangthip D. Risk factors of dental caries in preschool children in Thailand: A cross-sectional study. Healthcare (Basel) 2022;10(5):794. DOI: 10.3390/healthcare10050794.
  18. Clementino MA, Gomes MC, de Almeida Pinto–Sarmento TC, et al. Perceived impact of dental pain on the quality of life of preschool children and their families. PLoS One 2015 19;10(6):e0130602. DOI: 10.1371/journal.pone.0130602.
  19. Shanbhog R, Godhi BS, Nandlal B, et al. Clinical consequences of untreated dental caries evaluated using PUFA index in orphanage children from India. J Int Oral Health 2013;5(5):1–9. PMID: 24324297.
  20. Winnier JJ, Mehta S, Parmar A, et al. Pediatric dental procedures: A survey of knowledge and attitudes of parents. Int J Dent Health Sci 2015;2(5):1171–1182.
  21. Corrêa–Faria P, Viana KA, Raggio DP, et al. Recommended procedures for the management of early childhood caries lesions: A scoping review by the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE). BMC Oral Health 2020;20(1):75. DOI: 10.1186/s12903-020-01067-w.
  22. Heima M, Lee W, Milgrom P, Nelson S. Caregiver's education level and child's dental caries in African Americans: A path analytic study. Caries Res. 2015;49(2):177-83.
  23. Camargo MB, Barros AJ, Frazao P, et al. Predictors of dental visits for routine check-ups and for the resolution of problems among preschool children. Rev Saude Publica 2012;46:87–97. DOI: 10.1590/s0034-89102012005000004.
  24. Hamasha AA, Warren JJ, Levy SM, et al. Oral health behaviors of children in low and high socioeconomic status families. Pediatr Dent 2006;28(4):310–315. PMID: 16903438.
  25. Albert DA, Park K, Findley S, et al. Dental caries among disadvantaged 3- to 4-year-old children in northern Manhattan. Pediatr Dent 2002;24(3):229–233. PMID: 12064497.
  26. Astrom AN, Kiwanuka SN. Examining intention to control preschool children's sugar snacking: A study of carers in Uganda. Int J Paediatr Dent 2006;16(1):10–18. DOI: 10.1111/j.1365-263X.2006.00671.x.
  27. Seow WK. Environmental, maternal, and child factors which contribute to early childhood caries: A unifying conceptual model. Int J Paediatr Dent 2012;22(3):157–168. DOI: 10.1111/j.1365-263X.2011.01186.x.
  28. Mathur MR, Tsakos G, Millett C, et al. Socioeconomic inequalities in dental caries and their determinants in adolescents in New Delhi, India. BMJ Open 2014;4(12):e006391. DOI: 10.1136/bmjopen-2014-006391.
  29. Balaji SM. Economic impact of dental caries in India. Indian J Dent Res 2018;29(2):132. DOI: 10.4103/ijdr.IJDR_253_18.
  30. Miglani S. Burden of dental caries in India: Current scenario and future strategies. Int J Clin Pediatr Dent 2020;13(2):155–159. DOI: 10.5005/jp-journals-10005-1733.
  31. Cianetti S, Lombardo G, Lupatelli E, et al. Dental caries, parents educational level, family income and dental service attendance among children in Italy. Eur J Paediatr Dent 2017;18(1):15–18. DOI: 10.23804/ejpd.2017.18.01.03.
  32. Folayan MO, El Tantawi M, Ramos–Gomez F, et al. Early childhood caries and its associations with sugar consumption, overweight and exclusive breastfeeding in low, middle and high-income countries: an ecological study. PeerJ 2020;8:e9413. DOI: 10.7717/peerj.9413.
  33. Dumas SA, Weaver KE, Park SY, et al. Accuracy of visible plaque identification by pediatric clinicians during well-child care. Clin Pediatr (Phila) 2013;52(7):645–651. DOI: 10.1177/0009922813483876.
  34. Chanpum P, Duangthip D, Trairatvorakul C, et al. Early childhood caries and its associated factors among 9- to 18-month old exclusively breastfed children in Thailand: A cross-sectional study. Int J Environ Res Public Health 2020;17(9):3194. DOI: 10.3390/ijerph17093194.
  35. Mattila ML, Rautava P, Sillanpää M, et al. Caries in five year-old children and associations with family-related factors. J Dent Res 2000;79(3):875–881. DOI: 10.1177/00220345000790031501.
  36. Longbottom P, Wrieden W, Pine CM. Is there a relationship between the food intakes of Scottish 5(1/2)–8(1/2)-year-olds and those of their mothers? J Hum Nutr Diet 2002;15(4):271–279. DOI: 10.1046/j.1365-277x.2002.00374.x.
  37. Marciel S, Marcenes W, Watt R, et al. The relationship between sweetness and preference and dental caries in mother/child pairs from Maringá-Pr Brazil. Int Dent J 2001;51(2):83–88. DOI: 10.1002/ j.1875-595x.2001.tb00827.x.
  38. Babar MG, Andiesta NS, Bilal S, et al. A randomized controlled trial of 6-month dental home visits on 24-month caries incidence in preschool children. Community Dent Oral Epidemiol 2022;50(6):559–569. DOI: 10.1111/cdoe.12710.
  39. Plonka KA, Pukallus ML, Barnett A, et al. A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries. Int J Paediatr Dent 2013;23(1):23–31. DOI: 10.1111/j.1365-263X.2011.01219.x.
  40. Brännemo I, Dahllöf G, Soares FC, et al. Impact of an extended postnatal home visiting programme on oral health among children in a disadvantaged area of Stockholm, Sweden. Acta Paediatr 2021;110(1):230–236. DOI: 10.1111/apa.15457.
  41. Koh R, Pukallus M, Kularatna S, et al. Relative cost-effectiveness of home visits and telephone contacts in preventing early child-hood caries. Community Dent Oral Epidemiol 2015;43(6):560–568. DOI: 10.1111/cdoe.12181.
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