Association of Oral Health-Related Quality of Life with the Longevity of ART-Restorations in Children

Authors

  • Juana Rosmeri Salas-Huamani
  • Karina Guedes de Sousa
  • Gabriellen Fernanda Gomes
  • Amanda Fernandes Silva
  • Thalita Lucas Brum Moreira da Silva
  • Fabíola Galbiatti de Carvalho
  • Renata Andrea Salvitti de Sá Rocha
  • Taís de Souza Barbosa

Keywords:

Dental Caries, Quality of Life, Dental Atraumatic Restorative Treatment

Abstract

Objective: To evaluate the association of oral health-related quality of life (OHRQoL) with the longevity of ART-restorations in children after 18 months. Material and Methods: A longitudinal clinical study with 62 six- to seven-year-old children, both genders, 31 of whom underwent four weeks of oral health education strategy (OHES) followed by ART (GOHES+ART) and the others only ART (GART). The Brazilian short-version of the Child Perceptions Questionnaire (16-CPQ8-10) was used to evaluate the OHRQoL and the perception of change in oral health was assessed by a single question. Data was analyzed using Mann-Whitney, Wilcoxon and Friedman's tests. Results: After 18 months, GOHES+ART reported a greater impairment on OHRQoL, mainly in oral symptoms domain (p<0.05). In this period, greater impairment of oral symptoms was reported in children with failed restorations and with treatment considered to have a minor failure (p<0.05). In inter-group analysis, the GOHES+ART, with 2 to 4 restorations, Class I, of small size, located in the upper arch and with a smaller failure, reported more oral symptoms than the GARTConclusion: In the long-term, children submitted to OHES followed by ART reported more oral symptoms. Factors such as number, class, size and location of the restorations need to be considered for the implementation of an efficient and effective oral health program, as well as for greater longevity of ART-restorations.

References

Chaffee BW, Rodrigues PH, Kramer PF, Vítolo MR, Feldens CA. Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol 2017; 45(3):216-24. https://doi.org/10.1111/cdoe.12279

Mijan MC, Leal SC, Bronkhorstc EM, Frenckend JE. Children's Oral Health-related Quality of Life (OHRQoL) three years after implementation of treatment protocols for managing cavitated carious dentine lesions. Oral Health Prev Dent 2019; 17(1):83-9. https://doi.org/10.3290/j.ohpd.a41984

Rollon-Ugalde V, Coello-Suanzes JA, Lopez-Jimenez AM, Herce-Lopez J, Toledano-Valero P, Montero-Martin J, et al. Oral health-related quality of life after dental treatment in patients with intellectual disability. Med Oral Patol Oral Cir Bucal 2020; 25(5):e576-e583. https://doi.org/10.4317/medoral.23549

Antunes LA, Andrade MR, Leão AT, Maia LC, Luiz RR. Systematic review: change in the quality of life of children and adolescents younger than 14 years old after oral health interventions: a systematic review. Pediatr Dent 2013; 35(1):37-42.

Kragt L, Dhamo B, Wolvius EB, Ongkosuwito EM. The impact of malocclusions on oral health-related quality of life in children - a systematic review and meta-analysis. Clin Oral Investig 2016; 20(8):1881-94. https://doi.org/10.1007/s00784-015-1681-3

Mashoto KO, Astrøm AN, Skeie MS, Masalu JR. Changes in the quality of life of Tanzanian school children after treatment interventions using the Child-OIDP. Eur J Oral Sci 2010; 118(6):626-34. https://doi.org/10.1111/j.1600-0722.2010.00776.x

Paula JS, Tôrres LH, Ambrosano GM, Mialhe FL. Association between oral health-related quality of life and atraumatic restorative treatment in school children: an exploratory study. Indian J Dent Res 2012; 23(6):738-41. https://doi.org/10.4103/0970-9290.111249

Leal SC, Bronkhorst EM, Fan M, Frencken JE. Untreated cavitated dentine lesions: impact on children’s quality of life. Caries Res 2012; 46(2):102-6. https://doi.org/10.1159/000336387

Leal SC, Bronkhorst EM, Fan M, Frencken JE. Effect of different protocols for treating cavities in primary molars on the quality of life of children in Brazil - 1 year follow-up. Int Dent J 2013; 63(6):329-35. https://doi.org/0.1111/idj.12054

Gaynor WN, Thomson WN. Changes in young children’s OHRQoL after dental treatment under general anaesthesia. Int J Paediatr Dent 2012; 22(4):258-64. https://doi.org/10.1111/j.1365-263X.2011.01190.x

Calache H, Hopcraft MS, Martin JM. Minimum intervention dentistry--a new horizon in public oral health care. Aust Dent J 2013; 58:17-25. https://doi.org/10.1111/adj.12046

Estupiñán-Day S, Tellez M, Kaur S, Milner T, Solari A. Managing dental caries with atraumatic restorative treatment in children: successful experience in three Latin American countries. Rev Panam Salud Publica 2013; 33(4):237-43. https://doi.org/10.1590/s1020-49892013000400001

Arrow P, Klobas E. Minimum intervention dentistry approach to managing early childhood caries: a randomized control trial. Community Dent Oral Epidemiol 2015; 43(6):511-20. https://doi.org/10.1111/cdoe.12176

Dorri M, Martinez-Zapata MJ, Walsh T, Marinho VC, Sheiham A, Zaror C. Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries. Cochrane Database Syst Rev 2017; 12(12):CD008072. https://doi.org/10.1002/14651858.CD008072.pub2

Abanto J, Paiva SM, Sheiham A, Tsakos G, Mendes FM, Cordeschi T, et al. Changes in preschool children’s OHRQoL after treatment of dental caries: responsiveness of the B-ECOHIS. Int J Paediatr Dent 2016; 26(4):259-65. https://doi.org/10.1111/ipd.12192

Paula JS, Sarracini KL, Ambrosano GM, Pereira AC, Meneghim MC, Mialhe FL. Impact of a dental care program on the quality of life of children with and without caries. Braz Oral Res 2016; 30(1):e139. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0139

Jiang M, Chun M, Wong M, Chu CH, Dai L, Man EC. Effects of restoring SDF-treated and untreated dentine caries lesions on parental satisfaction and oral health related quality of life of preschool children. J Dent 2019; 88:103171. https://doi.org/10.1016/j.jdent.2019.07.009

Sousa KG, Gavião MBD, Castelo PM, Huamani JRS, Freitas CN, Mialhe FL, et al. Effect of educational strategy combined with ART on oral health-related quality of life: a controlled clinical trial. Braz Oral Res 2021; 35:e136. https://doi.org/10.1590/1807-3107bor-2021.vol35.0136

Zanata RL, Fagundes TC, Freitas MC, Lauris JR, Navarro MF. Ten-year survival of ART restorations in permanent posterior teeth. Clin Oral Investig 2011; 15(2):265-71. https://doi.org/10.1007/s00784-009-0378-x

Holmgren CJ, Lo ECM, Hu DY, Wan HC. ART restorations and sealants placed in Chinese school children: results after three years. Community Dent Oral Epidemiol 2000; 28(4):314-20. https://doi.org/10.1034/j.1600-0528.2000.280410.x

Plutzer K, Spencer AJ. Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Community Dent Oral Epidemiol 2008;3 6(4):335-46. https://doi.org/10.1111/j.1600-0528.2007.00414.x

Alsumait A, ElSalhy M, Amin M. Long-term effects of school-based oral health program on oral health knowledge and practices and oral health-related quality of life. Med Princ Pract 2015; 24(4):362-8. https://doi.org/10.1159/000430096

Salas Huamani JR, Barbosa TS, de Freitas CN, Sousa KG, Gavião MBD, Leal SC, et al. Assessment of anxiety and stress markers in children submitted to educational strategies and ART-restoration: a randomized clinical trial. Arch Oral Biol 2019; 97:191-7. https://doi.org/10.1016/j.archoralbio.2018.10.032

Programa das Nações Unidas para o Desenvolvimento. Índice de Desenvolvimento Humano Municipal Brasileiro. 2013. – Brasília: PNUD, IPEA, FJP, 2013. 96 p. Available from: https://www.br.undp.org/ [Accessed on December 18, 2021]. [In Portuguese].

Chan AW, Tetzlaff JM, Gøtzsche PC, Altman DG, Mann H, Berlin JA, et al. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ 2013; 346:e7586. https://doi.org/10.1136/bmj.e7586

Barbosa TS, Tureli MC, Gavião MB. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health 2009; 9:13. https://doi.org/10.1186/1472-6831-9-13

World Health Organization. Oral Health Surveys: Basic Methods. Geneva: World Health Organization; 1997.

Taifour D, Frencken JE, Beiruti N, van’t Hof MA, Truin GJ, Van Palenstein-Heldermann W. Comparison between restorations in the permanent dentition produced by hand and rotary instrumentation - survival after 3 years. Community Dent Oral Epidemiol 2003; 31(2):122-8. https://doi.org/10.1034/j.1600-0528.2003.00027.x

Frencken JE, Holmgren CJ. Caries management through the Atraumatic Restorative Treatment (ART) approach and glass-ionomers: update 2013. Braz Oral Res 2014; 28:5-8. https://doi.org/10.1590/S1806-83242013000600001

Barbosa TS, Vicentin MD, Gavião MB. Quality of life and oral health in children - Part I: Brazilian version of the Child Perceptions Questionnaire 8-10. Cien Saude Colet 2011; 16(10):4077-85. https://doi.org/10.1590/s1413-81232011001100013 [In Portuguese].

Innes NP, Evans DJ, Stirrups DR. The Hall Technique; a randomized controlled clinical trial of a novel method of managing carious primary molars in general dental practice: acceptability of the technique and outcomes at 23 months. BMC Oral Health 2007; 7:18. https://doi.org/10.1186/1472-6831-7-18

Barbosa TS, Gavião MB. Oral health-related quality of life in children: part II. Effects of clinical oral health status. A systematic review. Int J Dent Hyg 2008; 6(2):100-7. https://doi.org/10.1111/j.1601-5037.2008.00293.x

Genderson MW, Sischo L, Markowitz K, Fine D, Broder HL. An overview of children's oral health-related quality of life assessment: from scale development to measuring outcomes. Caries Res 2013; 47:13-21. https://doi.org/10.1159/000351693

Nammontri O, Robinson PG, Baker SR. Enhancing oral health via sense of coherence: a cluster-randomized trial. J Dent Res 2013; 92(1):26-31. https://doi.org/10.1177/0022034512459757

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

Fernandes IB, Pereira TS, Souza DS, Ramos-Jorge J, Marques LS, Ramos-Jorge ML. Severity of dental caries and quality of life for toddlers and their families. Pediatr Dent 2017; 39(2):118-23.

Guiselini MJ, Deana AM, da Silva DFT, Koshoji NH, Mesquita-Ferrari RA, do Vale KL, et al. Pilot study on laser propagation in maxillary and mandibular bone: Grey level image analysis for optical measurements. Photodiagnosis Photodyn Ther 2017; 18:226-31. https://doi.org/10.1016/j.pdpdt.2017.03.013

Arrow P, Forrest H. Atraumatic restorative treatments improve child oral health-related quality of life: a noninferiority randomized controlled trial. Community Dent Oral Epidemiol 2020; 48(4):349-56. https://doi.org/10.1111/cdoe.12539

Bonifácio CC, Werner A, Kleverlann CJ. Coating glass-ionomer cements with a nanofilled resin. Acta Odontol Scand 2012; 70(6):471-7. https://doi.org/10.3109/00016357.2011.639307

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Published

2023-09-22

How to Cite

Salas-Huamani, J. R., de Sousa, K. G., Gomes, G. F., Silva, A. F., da Silva, T. L. B. M., de Carvalho, F. G., Rocha, R. A. S. de S., & Barbosa, T. de S. (2023). Association of Oral Health-Related Quality of Life with the Longevity of ART-Restorations in Children. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 23, e220056. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/2637

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