Carlos Zaror1,2, Andrea Matamala-Santander3,4, Montse Ferrer5,6, Fernando Rivera-Mendoza7, Gerardo Espinoza-Espinoza2,8, María José Martínez-Zapata6,9. 1. Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile. 2. Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile. 3. Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile. 4. Grupo de Investigación en Gestión y Docencia Odontológica (GIDGO), Universidad Autónoma de Chile, Temuco, Chile. 5. Health Services Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. 6. CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. 7. Forensic Dentistry Lab, Centro de Investigación en Odontología Legal y Forense -CIO-, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile. 8. Department of Public Health, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile. 9. Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Abstract
OBJECTIVES: The aim of this study was to conduct a systematic review in order to assess the impact of early childhood caries (ECC) and its severity on Oral health-related quality of life (OHRQoL). MATERIALS AND METHODS: An electronic search was conducted in MEDLINE, EMBASE, Cochrane, SciELO and Lilacs databases. The study eligibility criteria were primary studies published in English, Spanish or Portuguese that assessed OHRQoL in preschool children with dental caries using validated instruments. Two researchers independently performed the selection process and data extraction. The Effective Public Health Practice Project's Quality Assessment Tool was used for the quality assessment. Random effects models were used to estimate the pooled effect for continuous and categorical data. RESULTS: Of 2,037 identified articles, thirty-five studies (37 articles) met the inclusion criteria. The methodological quality was judged mainly as moderate. Children with ECC were more likely to report any impact on OHRQoL than children without caries (OR: 1.99; 95% CI: 1.51-2.62; 6 studies). Severe ECC (dmft > 5) presented a higher effect (OR: 5.00; 95% CI: 3.70-6.74; 8 studies). Sensitivity analysis including only population studies showed uncertain results on the impact of ECC on OHRQoL (OR: 1.67; 95% CI: 0.99-2.82; I2 = 95%). The symptom and psychological domains were the most affected (SMD: 0.60, 95% CI: 0.38-0.81 and SMD: 0.61, 95% CI: 0.37-0.85 respectively). CONCLUSIONS: ECC has a negative impact on the OHRQoL of both preschoolers and their families. However, its impact on OHRQoL is diluted when it is evaluated at population level.
OBJECTIVES: The aim of this study was to conduct a systematic review in order to assess the impact of early childhood caries (ECC) and its severity on Oral health-related quality of life (OHRQoL). MATERIALS AND METHODS: An electronic search was conducted in MEDLINE, EMBASE, Cochrane, SciELO and Lilacs databases. The study eligibility criteria were primary studies published in English, Spanish or Portuguese that assessed OHRQoL in preschool children with dental caries using validated instruments. Two researchers independently performed the selection process and data extraction. The Effective Public Health Practice Project's Quality Assessment Tool was used for the quality assessment. Random effects models were used to estimate the pooled effect for continuous and categorical data. RESULTS: Of 2,037 identified articles, thirty-five studies (37 articles) met the inclusion criteria. The methodological quality was judged mainly as moderate. Children with ECC were more likely to report any impact on OHRQoL than children without caries (OR: 1.99; 95% CI: 1.51-2.62; 6 studies). Severe ECC (dmft > 5) presented a higher effect (OR: 5.00; 95% CI: 3.70-6.74; 8 studies). Sensitivity analysis including only population studies showed uncertain results on the impact of ECC on OHRQoL (OR: 1.67; 95% CI: 0.99-2.82; I2 = 95%). The symptom and psychological domains were the most affected (SMD: 0.60, 95% CI: 0.38-0.81 and SMD: 0.61, 95% CI: 0.37-0.85 respectively). CONCLUSIONS: ECC has a negative impact on the OHRQoL of both preschoolers and their families. However, its impact on OHRQoL is diluted when it is evaluated at population level.
Authors: Priscila Gomes de Oliveira; Juliana Morais de Sousa; Débora Gabriela Fernandes Assunção; Elias Kelvin Severiano de Araujo; Danielle Soares Bezerra; Juliana Fernandes Dos Santos Dametto; Karla Danielly da Silva Ribeiro Journal: Front Nutr Date: 2022-05-13
Authors: Gladys Remigia Acuña-González; Juan Alejandro Casanova-Sarmiento; Horacio Islas-Granillo; Sonia Márquez-Rodríguez; David Benítez-Valladares; Martha Mendoza-Rodríguez; Rubén de la Rosa-Santillana; José de Jesús Navarrete-Hernández; Carlo Eduardo Medina-Solís; Gerardo Maupomé Journal: Children (Basel) Date: 2022-07-18
Authors: Araya Phonghanyudh; Duangporn Duangthip; Sirinan Mabangkhru; Varangkanar Jirarattanasopha Journal: Int J Environ Res Public Health Date: 2022-07-24 Impact factor: 4.614