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- Title
Impact of hypomineralised second primary molar on preschoolers' oral health–related quality of life—A hierarchical approach.
- Authors
Cerqueira Silva, Renara Natália; Lima, Cacilda Castelo Branco; Bendo, Cristiane Baccin; Lima, Luciano Rodrigues Silva; de Moura, Marcoeli Silva; Moura, Lúcia de Fátima Almeida de Deus; Lima, Marina de Deus Moura de
- Abstract
Background: Hypomineralised second primary molar (HSPM) is a developmental enamel defect associated with dental caries. Aim: To evaluate the impact of HSPM on oral health–related quality of life (OHRQoL) in preschoolers through hierarchical analysis. Design: This population‐based cross‐sectional study assessed 834 5‐year‐old preschoolers, in Teresina, Piauí, Brazil, using sociodemographic questionnaires and Early Childhood Oral Health Impact Scale (ECOHIS). Dental examination was performed by two calibrated examiners (κ ≥ 0.80) for the diagnosis of HSPM (EAPD), dental caries (dmft and pufa indices), and malocclusion (Foster and Hamilton criteria). Analysis of the determinants of OHRQoL was stratified at three levels (P <.05). Results: Severe HSPM was associated with OHRQoL in bivariate analysis (P <.05). In adjusted final multivariate analysis (model 1), the presence of dental caries with or without clinical consequences was associated with worse OHRQoL (P <.05). In model 2, after the removal of dental caries, preschoolers with severe HSPM had greater probability of having a negative impact on OHRQoL in the child impact section (RR = 2.14; 95% CI = 1.26‐3.65), family impact section (RR = 1.99; 95% CI = 1.16‐3.42), and total score (RR = 2.09; 95% CI = 1.25‐3.49) of the ECOHIS. Conclusion: Severe HSPM had a negative impact on the OHRQoL of preschoolers and their families, but the presence of dental caries neutralised this impact.
- Subjects
TOOTH demineralization; QUALITY of life; RELATIVE medical risk; ORAL health; MALOCCLUSION; TEETH abnormalities; QUESTIONNAIRES; DENTAL caries in children
- Publication
International Journal of Paediatric Dentistry, 2022, Vol 32, Issue 2, p194
- ISSN
0960-7439
- Publication type
Article
- DOI
10.1111/ipd.12844