Cameron L Randall1, Erin Wallace2, Lisa J Heaton3, Matthew Christiansen4, Amy Kim5, Ana Lucia Seminario6, Christy M McKinney7. 1. Dr. Randall is an acting assistant professor, Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, Wash., USA;, Email: clr333@uw.edu. 2. Dr. Wallace is a clinical research scientist, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, University of Washington, Seattle, Wash., USA. 3. Dr. Heaton is an assistant professor, Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, Wash., USA. 4. Mr. Christiansen is a clinical research coordinator, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, University of Washington, Seattle, Wash., USA. 5. Dr. Kim is an associate director, Advanced Education in General Dentistry Program, at the NYU Langone Health Dental Medicine-Family Health Centers, Brooklyn, N.Y. USA. 6. Dr. Seminario is an associate professor, Department of Pediatric Dentistry, School of Dentistry, and adjunct associate professor, Department of Global Health, School of Public Health, University of Washington, Seattle, Wash., USA. 7. Dr. McKinney is an associate professor, Division of Craniofacial Medicine, Department of Pediatrics, School of Medicine, University of Washington, and principal investigator, Seattle Children's Research Institute, Seattle, Wash., USA;, Email: Christy.McKinney@seattlechildrens.org.
Abstract
Purpose: To document mid- and long-term changes in oral health-related quality of life (OHRQoL) following dental intervention in a sample of restorative treatment-naïve children receiving different levels of care, with and without general anesthesia (GA). Methods: This prospective cohort study followed 132 children. Parents completed the pediatric OHRQoL instrument (POQL) before, 16 weeks after (i.e., posttreatment), and 18 to 45 (mean equals 29.5) months after (i.e., follow-up) child receipt of treatment. Parents provided child demographic and oral health information. The number of restored surfaces and anesthesia type were abstracted from dental records. The mean differences in POQL scores were compared across groups. Results: The sample was 49 percent female (age range equals four to 12 years; mean±standard deviation equals 5.8±1.8). Overall, from pretreatment to posttreatment, mean POQL scores decreased by 4.5 points (P<0.001), representing improved OHRQoL. Only among children with 10 or more surfaces restored or who received GA did follow-up POQL scores remain significantly lower than pretreatment scores (mean difference equals -7.4 and -8.0, respectively, P<0.01). Overall, follow-up scores were significantly higher than posttreatment scores, representing a decline from the initial improvement. Conclusions: Regardless of disease severity, children experience an immediate improvement in OHRQoL following restorative treatment. Improvements in OHRQoL are sustained over the long-term only among children with more extensive pretreatment needs.
Purpose: To document mid- and long-term changes in oral health-related quality of life (OHRQoL) following dental intervention in a sample of restorative treatment-naïve children receiving different levels of care, with and without general anesthesia (GA). Methods: This prospective cohort study followed 132 children. Parents completed the pediatric OHRQoL instrument (POQL) before, 16 weeks after (i.e., posttreatment), and 18 to 45 (mean equals 29.5) months after (i.e., follow-up) child receipt of treatment. Parents provided child demographic and oral health information. The number of restored surfaces and anesthesia type were abstracted from dental records. The mean differences in POQL scores were compared across groups. Results: The sample was 49 percent female (age range equals four to 12 years; mean±standard deviation equals 5.8±1.8). Overall, from pretreatment to posttreatment, mean POQL scores decreased by 4.5 points (P<0.001), representing improved OHRQoL. Only among children with 10 or more surfaces restored or who received GA did follow-up POQL scores remain significantly lower than pretreatment scores (mean difference equals -7.4 and -8.0, respectively, P<0.01). Overall, follow-up scores were significantly higher than posttreatment scores, representing a decline from the initial improvement. Conclusions: Regardless of disease severity, children experience an immediate improvement in OHRQoL following restorative treatment. Improvements in OHRQoL are sustained over the long-term only among children with more extensive pretreatment needs.
Authors: Jo E Frencken; Praveen Sharma; Laura Stenhouse; David Green; Dominic Laverty; Thomas Dietrich Journal: J Clin Periodontol Date: 2017-03 Impact factor: 8.728
Authors: Erin R Hager; Anna M Quigg; Maureen M Black; Sharon M Coleman; Timothy Heeren; Ruth Rose-Jacobs; John T Cook; Stephanie A Ettinger de Cuba; Patrick H Casey; Mariana Chilton; Diana B Cutts; Alan F Meyers; Deborah A Frank Journal: Pediatrics Date: 2010-07 Impact factor: 7.124