Impact of early childhood caries severity on oral health-related quality of life among preschool children in Mexico: A cross-sectional study.

Autor: Lara JS; Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, Indiana, USA., Romano A; Department of Pediatric Dentistry, Dental School, Los Altos Campus, University of Guadalajara, Tepatitlan de Morelos, Mexico., Murisi PU; Department of Pediatric Dentistry, Dental School, Los Altos Campus, University of Guadalajara, Tepatitlan de Morelos, Mexico., Tedesco TK; Graduate program in Dentistry, Ibirapuera University, Sao Paulo, Brazil., Mendes FM; Department of Pediatric Dentistry, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil., Soto-Rojas AE; Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, Indiana, USA., Alonso C; Department of Pediatric Dentistry, Dental School, Los Altos Campus, University of Guadalajara, Tepatitlan de Morelos, Mexico., Campus G; Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Bern, Switzerland.
Jazyk: angličtina
Zdroj: International journal of paediatric dentistry [Int J Paediatr Dent] 2022 May; Vol. 32 (3), pp. 334-343. Date of Electronic Publication: 2021 Dec 16.
DOI: 10.1111/ipd.12889
Abstrakt: Background: Information is scarce on Early Childhood Caries (ECC) in Mexican preschool children and its impact on quality of life.
Aim: To evaluate the ECC prevalence and its impact on OHRQoL in 3-5 years-old Mexican children according to disease severity.
Design: Caries was determined at two thresholds: (1) children with at least one caries lesion (ICDAS-1-6) and (2) children with at least one lesion in dentin (ICDAS-3-6). OHRQoL was assessed through the Mexican Early Childhood Oral Health Impact Scale (M-ECOHIS). Associations among caries severity, M-ECOHIS, and other variables were assessed by ordinal logistic regression.
Results: A total of 409 children participated (53.8% girls, 46.2% boys). Caries prevalence was 82.2% considering all lesions, and 45.0% for dentinal lesions. Significant linear trends (p < .05) among caries levels and categories of exposure were found for socioeconomic variables, dietary habits, and toothbrushing habits. Attending rural private schools (OR = 1.39, 95%CI = 1.11-1.72; p < .01), two main meals/day (OR = 2.75, 95%CI = 1.26-6.03; p = .01) and unsupervised toothbrushing (OR = 3.20, 95%CI = 1.96-5.24; p < .01) increased the risk to have high caries severity levels. M-ECOHIS scores were statistically significant associated with caries levels (χ 2 (4)  = 175.85, p < .01; trend across groups z = 12.63 Prob > |z| < 0.01).
Conclusions: M-ECOHIS was significantly associated with caries severity. Type of school, age groups, parents' educational level, family income, and living conditions were correlated with caries, showing how distinctive risk indicators were associated with different caries stages.
(© 2021 BSPD, IAPD and John Wiley & Sons Ltd.)
Databáze: MEDLINE