Oral health-related quality of life in 4-16-year-olds with and without juvenile idiopathic arthritis.

Autor: Gil EG; Department of Clinical Dentistry, University of Bergen, Bergen, Norway. elisabeth.gil@uib.no., Skeie MS; Department of Clinical Dentistry, University of Bergen, Bergen, Norway.; Center for Oral Health Services and Research, TkMidt, Trondheim, Norway., Halbig J; Public Dental Health Competence Centre of Northern Norway (TkNN), Tromsø, Norway.; Department of Clinical Medicine, The Arctic University of Norway, Tromsø, Norway., Jönsson B; Public Dental Health Competence Centre of Northern Norway (TkNN), Tromsø, Norway.; Department of Periodontology, Institute of Odontology, University of Gothenburg, Gothenburg, Sweden., Lie SA; Department of Clinical Dentistry, University of Bergen, Bergen, Norway., Rygg M; Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; Department of Pediatrics, St. Olavs Hospital, Trondheim, Norway., Fischer J; Department of Clinical Dentistry, University of Bergen, Bergen, Norway., Rosén A; Department of Clinical Dentistry, University of Bergen, Bergen, Norway.; Department of Oral and Maxillofacial Surgery, Haukeland University Hospital, Bergen, Norway., Bletsa A; Department of Clinical Dentistry, University of Bergen, Bergen, Norway.; Oral Health Centre of Expertise in Western Norway, Vestland, Norway., Luukko K; Department of Clinical Dentistry, University of Bergen, Bergen, Norway., Shi XQ; Department of Clinical Dentistry, University of Bergen, Bergen, Norway.; Department of Oral Maxillofacial Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden., Frid P; Public Dental Health Competence Centre of Northern Norway (TkNN), Tromsø, Norway.; Department of Clinical Medicine, The Arctic University of Norway, Tromsø, Norway.; Department of Otorhinolaryngology, Division of Oral and Maxillofacial Surgery, University Hospital of North Norway, Tromsø, Norway., Cetrelli L; Center for Oral Health Services and Research, TkMidt, Trondheim, Norway.; Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway., Tylleskär K; Department of Pediatrics, Haukeland University Hospital, Bergen, Norway., Rosendahl K; Department of Clinical Medicine, The Arctic University of Norway, Tromsø, Norway.; Department of Radiology, University Hospital of North Norway, Tromsø, Norway., Åstrøm AN; Department of Clinical Dentistry, University of Bergen, Bergen, Norway.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2022 Sep 06; Vol. 22 (1), pp. 387. Date of Electronic Publication: 2022 Sep 06.
DOI: 10.1186/s12903-022-02400-1
Abstrakt: Background: Few studies have investigated oral health-related quality of life (OHRQoL) in young individuals with juvenile idiopathic arthritis (JIA). Aims were to investigate whether OHRQoL differs between children and adolescents with JIA compared to controls without JIA, while adjusting for socio-demographic-, behavioral- and oral health-related covariates. Furthermore, to explore whether socio-behavioral and oral health-related covariates of OHRQoL vary according to group affiliation and finally, specifically for individuals with JIA, to investigate whether disease-specific features associate with OHRQoL. We hypothesized that participants with JIA have poorer OHRQoL compared to participants without JIA.
Methods: In this comparative cross-sectional study participants with JIA (n = 224) were matched to controls without JIA (n = 224). OHRQoL was assessed according to Early Childhood Oral Health Impact Scale (ECOHIS) (4-11-years-olds) and the child version of Oral Impacts on Daily Performances (Child-OIDP) (12-16-years-olds). JIA-specific characteristics were assessed by pediatric rheumatologists and socio-demographic, behavioral and self-reported oral health information collected by questionnaires. Index teeth were examined for caries by calibrated dentists. Multiple variable analyses were performed using logistic regression, reporting odds ratio (OR) and 95% confidence interval (CI). Two-way interactions were tested between group affiliation and the socio-behavioral- and oral health-related variables on the respective outcome variables.
Results: In total, 96 participants with JIA and 98 controls were evaluated according to ECOHIS, corresponding numbers for Child-OIDP was 125 and 124. Group affiliation was not associated with impaired ECOHIS or Child-OIDP in adjusted analyses (OR = 1.95, 95% CI 0.94-4.04 and OR = 0.99, 95% CI 0.46-2.17, respectively). Female adolescents with JIA were more likely than males to report oral impacts according to Child-OIDP. Continued activity or flare was found to adversely affect Child-OIDP, also self-reported outcome measures in JIA associated with Child-OIDP.
Conclusions: This study did not provide consistent evidence to confirm the hypothesis that children and adolescents with JIA are more likely to have impaired OHRQoL compared to their peers without JIA. However, female adolescents with JIA were more likely than males to report impacts on OHRQoL. Furthermore, within the JIA group, adolescents with continued disease activity, flare or reporting pain, physical disability, had higher risk than their counterparts of impaired OHRQoL.
(© 2022. The Author(s).)
Databáze: MEDLINE
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