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- Title
Impact of Pulp Necrosis on Oral Health-Related Quality of Life of Children with Early Childhood Caries.
- Authors
Nogueira, Natália Gonçalves; Moura Lima, Marina de Deus; Silva Moura, Joyce Samandra; Branco Lima, Cacilda Castelo; de Moura, Marcoeli Silva; Vaz Soares Castro, Marcus Victor; Almeida de Deus Moura, Lucia de Fátima
- Abstract
Purpose: To assess the impact of pulp necrosis on the oral health-related quality of life (OHRQoL) of children with early childhood caries and their caregivers. Methods: A cross-sectional study was performed with a consecutive sample of children who were divided into three groups: (1) caries-free children; (2) with untreated carious lesions and without pulp necrosis; and (3) with untreated carious lesions and at least one tooth with pulp necrosis. Data were collected using a sociodemographic questionnaire, the Early Childhood Oral Health Impact Scale (ECOHIS) and a dental clinical examination using the International Caries Detection and Assessment System index. Descriptive statistics, Kruskal-Wallis tests, Mann-Whitney tests and Poisson regression were performed (P<0.05). Results: A total of 532 children and their legal guardians participated in the study. Children with pulp necrosis had a greater negative impact on the OHRQoL versus those with untreated carious lesions without pulp necrosis (ratio of unadjusted and adjusted rates [RR] = 1.59; 95 percent confidence interval [95% CI] = 1.36 to 1.86; P<0.001), as measured by the total ECOHIS score. in Group 3, four- and five-year-old children had a greater negative impact on the OHRQoL than two- and three-year-old peers (RR = 1.36; 95% CI = 1.08 to 1.72; P<0,001). Conclusion: The presence of pulp necrosis increased the negative impact on OHRQoL of children with untreated carious lesions and their guardians.
- Subjects
TREATMENT of dental caries; DENTAL pulp diseases; KRUSKAL-Wallis Test; CAREGIVERS; CONFIDENCE intervals; ORAL health; CROSS-sectional method; MANN Whitney U Test; CHILDREN'S dental care; QUALITY of life; QUESTIONNAIRES; DESCRIPTIVE statistics; SOCIODEMOGRAPHIC factors; NECROSIS; POISSON distribution; DISEASE complications; CHILDREN
- Publication
Journal of Dentistry for Children, 2022, Vol 89, Issue 1, p11
- ISSN
1551-8949
- Publication type
Article