Impact of hypomineralised second primary molar on preschoolers' oral health-related quality of life-A hierarchical approach.

Autor: Cerqueira Silva RN; Postgraduate Program in Dentistry, Federal University of Piaui, Teresina, Brazil., Lima CCB; Postgraduate Program in Dentistry, Federal University of Piaui, Teresina, Brazil., Bendo CB; Department of Children and Adolescents Oral Health, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil., Lima LRS; Postgraduate Program in Dentistry, Federal University of Piaui, Teresina, Brazil., de Moura MS; Postgraduate Program in Dentistry, Federal University of Piaui, Teresina, Brazil., Moura LFAD; Postgraduate Program in Dentistry, Federal University of Piaui, Teresina, Brazil., Lima MDM; Postgraduate Program in Dentistry, Federal University of Piaui, Teresina, Brazil.
Jazyk: angličtina
Zdroj: International journal of paediatric dentistry [Int J Paediatr Dent] 2022 Mar; Vol. 32 (2), pp. 194-203. Date of Electronic Publication: 2021 Jun 15.
DOI: 10.1111/ipd.12844
Abstrakt: 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.
(© 2021 BSPD, IAPD and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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