Impacto da cárie precoce severa na infância na qualidade de vida relacionada à saúde bucal de pré-escolares sob privação social
Early childhood caries, especially in its severe form, which is characterized by an acute and aggressive nature, can have negative impacts on thequality of life of a child, due to effects such as difficulty in chewing, decreased appetite, weight loss, insomnia, changes in behavior and a decrea...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | Dissertação |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/17825 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | Early childhood caries, especially in its severe form, which is characterized by an acute and
aggressive nature, can have negative impacts on thequality of life of a child, due to effects
such as difficulty in chewing, decreased appetite, weight loss, insomnia, changes in behavior
and a decreased performance in school, among others. Moreover, the quality of life of the
child`s family can also be affected, as the pain and discomfort caused by this type of caries
result in loss of working days of parents, spending on dental treatments, changes in sleep
patterns and stress. The aim of this study was to evaluate the impact of severe early childhood
caries in the Oral Health-Related Quality of Life (OHRQoL) of public daycares`s preschool
children through the Escala de Impacto da Saúde Bucal na Primeira Infância, a Brazilian
version of the Early Childhood Oral Health Impact Scale (ECOHIS). A single calibrated
examiner (kappa=1.0) evaluated, through the dmfs index, the oral health of 116 children aged
between 3 and 5, which were included in one of three study groups: "caries-free", "not-severe
early childhood caries" and "severe early childhood caries". The parents responded to
ECOHIS, to assess their perception regarding the OHRQoL of their children, and a
questionnaire on socioeconomic conditions. The OHRQoL was measured through the total
scores and domains of ECOHIS. Descriptive analysis, Mann-Whitney test, Kruskal-Wallis
test, chi-square test and Poisson multiple regression with robust variance were used. Among
the children observed, 38.8% were caries-free, 27.6% showed not-severe early childhood
caries and 33.6% showed severe early childhood caries. Regarding the total score of ECOHIS,
severe early childhood caries had a greater negative impact on OHRQoL, compared to
caries-free and not-severe early childhood caries groups (p <0.001). Regarding the child
subscale, there was significant difference between the "severe early childhood caries" group
and the other groups in all domains, except for theone of self-image / social interaction. In the
family subscale domains, there was statistical significance between the severe early
childhood caries and the caries-free groups in all domains (p <0.001), whereas between the
"severe early childhood caries and not-severe early childhood caries groups there was a
statistically significant difference only in the domain of parental anguish (p <0.001).
Multivariate analysis showed that early childhood caries and the parent`s age were
significantly associated to OHRQoL (p <0.05), independently of the other variables in the
model. The presence of severe early childhood caries resulted in greater negative impact on
OHRQoL (AdjPR= 6.016; 95%CI = 3.12 11.56; p<0.001), while older parents reported
better OHRQoL (AdjPR = 0.603; 95%CI = 0.428 - 0.850; p = 0.004). The presence of severe
early childhood caries had a negative impact on OHRQoL of preschool children and their
families. |
|---|