Factors Influencing Oral Health-Related Quality of Life Among Preschool Children in District of Kota Bharu, Malaysia: A Cross-Sectional Study

Sharina  Dolah; Sumaiya Zabin  Eusufzai; Mohammad Khursheed  Alam; Wan Muhamad Amir Wan  Ahmad

Authors

Sharina Dolah
Sumaiya Zabin Eusufzai
Mohammad Khursheed Alam
Wan Muhamad Amir Wan Ahmad

Keywords:

Dental Caries, Quality of Life, Child, Preschool, Oral Health

Abstract

Objective: To assess caries experience and its association with oral health-related quality of life (OHRQoL) of preschool children in Kota Bharu, Kelantan, Malaysia. Material and Methods: A sample of 169 preschool children of 5-6-year-old at a private preschool in the district of Kota Bharu, Kelantan was participated and were subjected to an oral examination to determine their caries experience by a single calibrated dentist. The parents were responding to self-administered Malay-ECOHIS and their socio- demographic background. Descriptive, Chi-square test and Spearman correlation were done to analyse the data required in this study. Results: Subjects comprised of girls (55.6%) with most parents (39%) had a secondary level of education, and 47.9% of them had a monthly income of RM1000-RM2999. Caries prevalence was 74.6% with a mean (SD) dmft was 5.27(5.22). The impacts on OHRQoL were more prevalent in the family section of Malay-ECOHIS (12.5%; 95%CI: 7.5%-17.5%) than the child section (4.2%; 95%CI: 1.16%-7.24%). Items related to ‘felt guilty’ (22.5%; 95%CI: 16%-29%) and ‘been upset’ (20.2%; 95%CI: 14.1%-26.3%) were the frequently reported on the family impact section. In child impact section, the item related to ‘pain’ (36.7%; 95%CI: 30%-43%) and ‘difficulty eating’ (20.8%; 95%CI: 14.7%-26.9%) were reported more frequently. Children with caries experience were significantly associated with the impact on family OHRQoL (p<0.05). Conclusion: The presence of dental caries was a significant predictor of poor OHRQoL.

References

Singhal DK, Acharya S, Thakur AS. Dental caries experience among pre-school children of Udupi Taluk, Karnataka, India. J Oral Health Community Dent 2015; 9(1):5-9.

Gupta D, Momin RK, Mathur A, Srinivas KT, Jain A, Dommaraju N, et al. Dental caries and their treatment needs in 3-5-year-old preschool children in a rural district of India. N Am J Med Sci 2015; 7(4):143-50. https://doi.org/10.4103/1947-2714.156010

Kashetty MV, Patil S, Kumbhar S, Patil P. Prevalence of dental caries among 3–6-year-old Anganwadi children in Mudhol town, Karnataka, India. J Indian Assoc Public Health Dent 2016; 14(4):403-8. https://doi.org/10.4103/2319-5932.195840

Malaysia. Ministry of Health. Oral Health Division. National Oral Health Survey of Preschool Children 2015 (NOHPS 2015). Vol. 1: Oral Health Status and Caries Treatment Needs of 5-Year-Old Children. Ministry of Health. Malaysia; 2015. p.3-58.

R Jaidka, Jaidka S, Sunil MK, Singh DJ, Singh S, Sharma M. An assessment of the oral health status of 5-year-old government school children in Meerut, Uttar Pradesh, India. J Indian Assoc Public Health Dent 2011; 9(6):503-8.

Petersen PE. World Health Organization. The World Oral Health Report 2003. Continuous Improvement of Oral Health in the 21st Century - The Approach of the WHO Global Oral Health Programme. Geneva: World Health Organization; 2003.

Ramos-Jorge J, Ramos-Jorge ML, Paiva SM, Marques LS, Pordeus IA. Dental Caries and Quality of Life Among Preschool Children. In: Virdi M. Emerging Trends in Oral Health Sciences and Dentistry. London: IntechOpen, 2015.

Shilpa M, Jain J, Ananda SR, Hiregouda M, Abhishek KN, Sneha CK. Knowledge, attitude, and practices of anganwadi workers regarding oral health of children in Virajpet Taluk. J Adv Oral Res 2014; 5(3):18-23. https://doi.org/10.1177/2229411220140304

Vollú AL, da Costa MDEPR, Maia LC, Fonseca-Gonçalves A. Evaluation of oral health-related quality of life to assess dental treatment in preschool children with early childhood caries: a preliminary study. J Clin Pediatr Dent 2018; 42(1):37-44. https://doi.org/10.17796/1053-4628-42.1.7

BaniHani A, Deery C, Toumba J, Munyombwe T, Duggal M. The impact of dental caries and its treatment by conventional or biological approaches on the oral health‐related quality of life of children and carers. Int J Paediatr Dent 2018; 28(2):266-76. https://doi.org/10.1111/ipd.12350

Hashim AN, Yusof ZY, Esa R. The Malay version of the early childhood oral health impact scale (Malay-ECOHIS)– assessing validity and reliability. Health Qual Life Outcomes 2015; 13:190. https://doi.org/10.1186/s12955-015-0386-2.

Scarpelli AC, Paiva SM, Viegas CM, Carvalho AC, Ferreira FM, Pordeus IA. Oral health‐related quality of life among Brazilian preschool children. Community Dent Oral Epidemiol 2013; 41(4):336-44. https://doi.org/10.1111/cdoe.12022

World Health Organization. Oral Health Surveys: Basic Methods. Geneva: World Health Organization; 2013.

Gomes MC, Pinto-Sarmento TC, Costa EM, Martins CC, Granville-Garcia AF, Paiva SM. Impact of oral health conditions on the quality of life of preschool children and their families: a cross-sectional study. Health Qual Life Outcomes 2014; 12(1):55. https://doi.org/10.1186/1477-7525-12-55

Martins-Júnior PA, Vieira-Andrade RG, Corrêa-Faria P, Oliveira-Ferreira F, Marques LS, Ramos-Jorge ML. Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Res 2013; 47(3):211-8. https://doi.org/10.1159/000345534

Ortiz FR, Ramadan YH, González RA, Ardenghi TM. Factors associated with oral health-related quality of life of preschool children in Southern Brazil. RGO 2016; 64(3):256-62. https://doi.org/10.1590/1981-863720160003000033254

Krisdapong S, Somkotra T, Kueakulpipat W. Disparities in Early Childhood Caries and its impact on oral health– related quality of life of preschool children. Asia Pacific J Public Health 2014; 26(3):285-94. https://doi.org/10.1177/1010539512438608

Hallett KB, O'Rourke PK. Pattern and severity of early childhood caries. Community Dent Oral Epidemiol 2006; 34(1):25-35. https://doi.org/10.1111/j.1600-0528.2006.00246.x

Maciel SM, Marcenes W, Watt RG, Sheiham A. The relationship between sweetness preference and dental caries in mother/child pairs from Maringá, PR, Brazil. Int Dent J 2001; 51(2):83-8.

Verrips GH, Frencken JE, Kalsbeek H, Ter Horst G, Filedt Kok‐Weimar TL. Risk indicators and potential risk factors for caries in 5‐year‐olds of different ethnic groups in Amsterdam. Community Dent Oral Epidemiol 1992; 20(5):256-60. https://doi.org/10.1111/j.1600-0528.1992.tb01694.x

López RR, García CR, Villena-Sarmiento R, Bordoni NE. Cross cultural adaptation and validation of the Early Childhood Health Impact Scale (ECOHIS) in Peruvian preschoolers. Acta Odontol Latinoam 2013; 26(2):60-7.

Pahel BT, Rozier RG, Slade GD. Parental perceptions of children's oral health: the Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes 2007; 5:6.

Peker K, Uysal Ö, Bermek G. Cross-cultural adaptation and preliminary validation of the Turkish version of the Early Childhood Oral Health Impact Scale among 5-6-year-old children. Health Qual Life Outcomes 2011; 9:118. https://doi.org/10.1186/1477-7525-9-118

Naidu R, Nunn J, Donnelly-Swift E. Oral health-related quality of life and early childhood caries among preschool children in Trinidad. BMC Oral Health 2016; 16(1):128. https://doi.org/10.1186/s12903-016-0324-7

Arrow P, Klobas E. Evaluation of the early childhood oral health impact scale in an Australian preschool child population. Aust Dent J 2015; 60(3):375-81. https://doi.org/10.1111/adj.12236

Wong HM, McGrath CP, King NM, Lo EC. Oral health-related quality of life in Hong Kong preschool children. Caries Res 2011; 45(4):370-6. https://doi.org/10.1159/000330231

Carvalho TS, Abanto J, Mendes FM, Raggio DP, Bönecker M. Association between parental guilt and oral health problems in preschool children. Braz Oral Res 2012; 26(6):557-63. https://doi.org/10.1590/S1806-83242012000600012

Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health‐related quality of life of preschool children. Community Dent Oral Epidemiol 2011; 39(2):105-14. https://doi.org/10.1111/j.1600-0528.2010.00580.x

Feitosa S, Colares V, Pinkham J. The psychosocial effects of severe caries in 4-year-old children in Recife, Pernambuco, Brazil. Cad Saude Publica 2005; 21(5):1550-6. https://doi.org/10.1590/s0102-311x2005000500028

Lee GH, McGrath C, Yiu CK, King NM. A comparison of a generic and oral health–specific measure in assessing the impact of early childhood caries on quality of life. Community Dent Oral Epidemiol 2010; 38(4):333-9. https://doi.org/10.1111/j.1600-0528.2010.00543.x

Ferreira MC, Ramos-Jorge ML, Marques LS, Ferreira FO. Dental caries and quality of life of preschool children: discriminant validity of the ECOHIS. Braz Oral Res 2017; 31:e24. https://doi.org/10.1590/1807-3107BOR-2017.vol31.0024

Thomson WM, Poulton R, Milne BJ, Caspi A, Broughton JR, Ayers KM. Socioeconomic inequalities in oral health in childhood and adulthood in a birth cohort. Community Dent Oral Epidemiol 2004; 32(5):345-53. https://doi.org/10.1111/j.1600-0528.2004.00173.x

Cunnion DT, Spiro A, Jones JA, Rich SE, Papageorgiou CP, Tate A, et al. Pediatric oral health-related quality of life improvement after treatment of early childhood caries: a prospective multisite study. J Dent Child 2010; 77(1):4-11.

Foster Page LA, Thomson WM, Jokovic A, Locker D. Validation of the child perceptions questionnaire (CPQ11-14). J Dent Res 2005; 84(7):649-52. https://doi.org/10.1177/154405910508400713

Blumenshine SL, Vann Jr WF, Gizlice Z, Lee JY. Children's school performance: impact of general and oral health. J Public Health Dent 2008; 68(2):82-7. https://doi.org/10.1111/j.1752-7325.2007.00062.x

Karande S, Kulkarni M. Poor school performance. Indian J Pediatr 2005; 72(11):961-7.

Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006; 201(10):625-6. https://doi.org/10.1038/sj.bdj.4814259

Lee GH, Mcgrath C, Yiu CK, King NM. Translation and validation of a Chinese language version of the Early Childhood Oral Health Impact Scale (ECOHIS). Int J Paediatr Dent 2009; 19(6):399-405. https://doi.org/10.1111/j.1365-263X.2009.01000.x

Abanto J, Tsakos G, Paiva SM, Carvalho TS, Raggio DP, Bönecker M. Impact of dental caries and trauma on quality of life among 5‐to 6‐year‐old children: perceptions of parents and children. Community Dent Oral Epidemiol 2014; 42(5):385-94. https://doi.org/10.1111/cdoe.12099

Casamassimo PS, Thikkurissy S, Edelstein BL, Maiorini E. Beyond the dmft: the human and economic cost of early childhood caries. J Am Dent Assoc 2009; 140(6):650-7. https://doi.org/10.14219/jada.archive.2009.0250