Oral Health-Related Quality of Life: Association with Oral Health-Behavior of 5-year-old Children and Early Childhood Caries Assessed by Mothers

Febriana Setiawati; Ajeng Fitriana Febrian; Safira Khairinisa; Risqa Rina Darwita; Iwany Amalliah Badruddin

Authors

Febriana Setiawati
Ajeng Fitriana Febrian
Safira Khairinisa
Risqa Rina Darwita
Iwany Amalliah Badruddin

Keywords:

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

Abstract

Objective: To analyze the differences in oral health-related quality of life (OHRQoL) for children aged five with early childhood caries (ECC) based on oral health behavior risk factors in Indonesia. Material and Methods: 181 mother-child pairs participated in this study. Due to the pandemic during data collection, ECC status was examined by mothers through online guidelines provided by the researcher by four clinical stages of ECC. Parents completed questionnaires regarding their child's oral health behavior (tooth brushing, feeding, and dental visit related) and perceived quality of life using the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5) Questionnaire. Children are also involved in rating their quality of life. Spearman correlation, Mann-Whitney U, and Kruskal-Wallis were used to identify differences between multiple characteristics of children's oral health behavior. Results: OHRQoL is significantly correlated with ECC status. There are significant differences between oral health education (p=0.045 and 0.046), falling asleep while feeding (p<0.001 and 0.021), the frequency of sugar consumption (p=0.002 and 0.001), and the condition of the teeth (p<0.001) compared to children's oral health-related quality of life (OHRQoL) perceived by their mothers and themselves, respectively. No significant differences were found between the frequency of tooth brushing in a day, assisted child while tooth brushing, the starting age of a child's teeth brushed, dentist visits, food intake, and number of siblings (p>0.05). Conclusion: Oral health behavior related to early childhood caries and consequences in decreasing quality of life, both perceived by mothers or children themselves.

References

Chen J, Duangthip D, Gao SS, et al. Oral health policies to tackle the burden of early childhood caries: A review of 14 countries/regions. Front Oral Health 2021; 2:670154. https://doi.org/10.3389/froh.2021.670154

American Academy of Pediatric Dentistry. Policy on Early Childhood Caries (ECC): Classifications, consequences, and preventive strategies. Pediatr Dent 2016; 38(6):52-54.

Ministry of Health Republic Indonesia. Basic Health Survey. Jakarta: Ministry of Health Republic Indonesia. 2019. Available from: http://www.depkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf [Accessed on July 20, 2022]. [In Indonesian].

Ramadhani A, Khairinisa S, Setiawati F, Darwita RR, Maharani DA. The relationships among oral health practices, early childhood caries, and oral health-related quality of life in Indonesian preschool children: A cross-sectional study. J Int Soc Prev Community Dent 2021; 11(2):158-165. https://doi.org/10.4103/jispcd.JISPCD_388_20

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):216-224. https://doi.org/10.1111/cdoe.12279

Pakkhesal M, Riyahi E, Naghavi Alhosseini A, Amdjadi P, Behnampour N. Impact of dental caries on oral health-related quality of life among preschool children: Perceptions of parents. BMC Oral Health 2021; 21(1):68. https://doi.org/10.1186/s12903-021-01396-4

Chi DL, Scott JM. Added sugar and dental caries in children: A scientific update and future steps. Dent Clin North Am 2019; 63(1):17-33. https://doi.org/10.1016/j.cden.2018.08.003

AlMarshad LK, Wyne AH, AlJobair AM. Early childhood caries prevalence and associated risk factors among Saudi preschool children in Riyadh. Saudi Dent J 2021; 33(8):1084-1090. https://doi.org/10.1016/j.sdentj.2021.04.003

Almoudi MM, Hussein AS, Doss JG, Schroth RJ. Expectant mothers’ readiness to initiate preventive oral health care for their children. Saudi J Dent Res 2016; 7(2):118-126. https://doi.org/10.1016/j.sjdr.2016.04.006

Susi S, Murniwati M, Kasuma N, Minarni M. The relationship between maternal characteristics and early childhood caries. Padjadjaran Journal of Dentistry 2020; 32(1):22. https://doi.org/10.24198/pjd.vol32no1.23640

Chala S, Houzmali S, Abouqal R, Abdallaoui F. Knowledge, attitudes and self-reported practices toward children oral health among mother’s attending maternal and child’s units, Salé, Morocco. BMC Public Health 2018; 18(1):618. https://doi.org/10.1186/s12889-018-5542-2

Kafi MS, Abed BJ. EB49_Knowledge, Attitude of mothers towards infant oral healthcare in Baghdad City/ Al-Karkh. Med-Leg Update 2022; 22(4):35-41. https://doi.org/10.37506/mlu.v22i4.3331

Hallas D, Fernandez JB, Lim LJ, Catapano P, Dickson SK, Blouin KR, et al. OHEP: An oral health education program for mothers of newborns. J Pediatr Health Care 2015; 29(2):181-190. https://doi.org/10.1016/j.pedhc.2014.11.004

Hammad OA, Binsaad SM, Gasim RA, Jambi S, Haidary R, Amal Afandi A, et al. Assessing expectant mothers’ knowledge and beliefs about oral healthcare during infancy and pregnancy: A cross sectional survey in Saudi Arabia. Pesqui Bras Odontopediatria Clin Integr 2018; 18(1):e4027. https://doi.org/10.4034/PBOCI.2018.181.66

Kitchener R. Piaget’s theory of knowledge: Genetic epistemology and scientific reason. Yale University Press; 1986. https://doi.org/10.2307/j.ctt1xp3sbd

Khairinisa S, Setiawati F, Maharani DA, Darwita RR. Validity of mother-child self-perceived oral health for the assessment of 5 years old children’s oral health in Indonesia. BMC Oral Health 2023; 23(1):172. https://doi.org/10.1186/s12903-023-02876-5

Gilli M, Maringer D, Schumann E. Basic Methods. In: Gilli M, Maringer D, Schumann E. Numerical Methods and Optimization in Finance. Academic Press; 2011. https://doi.org/10.1016/b978-0-12-375662-6.00011-0

Malta M, Cardoso LO, Bastos FI, Magnanini MM, Silva CM. STROBE initiative: Guidelines on reporting observational studies. Rev Saude Publica 2010; 44(3):559-565. https://doi.org/10.1590/S0034-89102010000300021

Evans RW, Feldens CA, Phantunvanit P. A protocol for early childhood caries diagnosis and risk assessment. Community Dent Oral Epidemiol 2018; 46(5):518-525. https://doi.org/10.1111/cdoe.12405

Wang X, Wei Z, Li Q, Mei L. A longitudinal study of early childhood caries incidence in Wenzhou preschool children. BMC Oral Health 2017; 17(1):1-5. https://doi.org/10.1186/s12903-017-0394-1

Rachmawati Y, Pratiwi A, Maharani D. Cross-cultural adaptation and psychometric properties of the Indonesia version of the scale of oral health outcomes for 5-year-old children. J Int Soc Prev Community Dent 2017; 7(Suppl 2):S75-S81. https://doi.org/10.4103/jispcd.jispcd_272_17

Abanto J, Tsakos G, Paiva SM, Raggio DP, Celiberti P, Bönecker M. Agreement between children aged 5-6 years and their mothers in rating child oral health-related quality of life. Int J Paediatr Dent 2014; 24(5):373-379. https://doi.org/10.1111/ipd.12081

Clementino MA, Gomes MC, Pinto-Sarmento TC, Martins CC, Granville-Garcia AF, Paiva SM. Perceived impact of dental pain on the quality of life of preschool children and their families. PLoS ONE 2015; 10(6):e0130602. https://doi.org/10.1371/journal.pone.0130602

Furuta M, Fukai K, Aida J, Shimazaki Y, Ando Y, Miyazaki H, et al. Periodontal status and self-reported systemic health of periodontal patients regularly visiting dental clinics in the 8020 promotion foundation study of Japanese dental patients. J Oral Sci 2019; 61(2):238-245. https://doi.org/.2334/josnusd.18-0128

Toumba J. Tooth brushing before or after breakfast? Eur Arch Paediatr Dent 2012; 107(2012). https://doi.org/10.1007/BF03262854

Aliakbari E, Gray-Burrows KA, Vinall-Collier KA, Edwebi S, Marshman Z, McEachan RRC, et al. Home-based toothbrushing interventions for parents of young children to reduce dental caries: A systematic review. Int J Paediatr Dent 2021; 31(1):37-79. https://doi.org/10.1111/ipd.12658

Maharani DA, Adiatman M, Rahardjo A, Burnside G, Pine C. An assessment of the impacts of child oral health in Indonesia and associations with self-esteem, school performance and perceived employability. BMC Oral Health 2017; 17(1):5-9. https://doi.org/10.1186/s12903-017-0358-5

İnan-eroğlu E, Özşin-özler C, Erçim RE, Büyüktuncer Z. Is diet quality associated with early childhood caries in preschool children ? A descriptive study. Turk J Pediatr 2017; 59(5):537-547. https://doi.org/10.24953/turkjped.2017.05.006

Brega AG, Jiang L, Johnson RL, Wilson AR, Schmiege SJ, Albino J. Health literacy and parental oral health knowledge, beliefs, behavior, and status among parents of american Indian newborns. J Racial and Ethnic Health Disparities 2020; 7(4):598-608. https://doi.org/10.1007/s40615-019-00688-4

van Spreuwel PCJM, Jerković-Ćosić K, van Loveren C, van der Heijden GJMG. Parents’ willingness to invest in primary oral health prevention for their preschool children. Int J Environ Res Public Health 2021; 18(21):11437. https://doi.org/10.3390/ijerph182111437

Fadel HT, Alamray SF, Alsayed SS, Zolaly GY, Alsisi LH, Bahammam SA. Parents’ education level and children’s BMI explain caries distribution among kindergarten students: A cross-sectional study. East Mediterr Health J 2022; 28(3):190-196. https://doi.org/10.26719/emhj.21.074

Pinto GDS, Azevedo MS, Goettems ML, Correa MB, Pinheiro RT, Demarco FF. Are maternal factors predictors for early childhood caries? Results from a Cohort in Southern Brazil. Braz Dent J 2017; 28(3):391-397. https://doi.org/10.1590/0103-Dickensário.0000171718

Camacho-Morales A, Caba M, García-Juárez M, Caba-Flores MD, Viveros-Contreras R, Martínez-Valenzuela C. Breastfeeding contributes to physiological immune programming in the newborn. Front Pediatr 2021; 9:744104. https://doi.org/10.3389/fped.2021.744104

Branger B, Camelot F, Droz D, Houbiers B, Marchalot A, Bruel H, et al. Breastfeeding and early childhood caries. Review of the literature, recommendations, and prevention. Arch Pediatr 2019; 26(8):497-503. https://doi.org/10.1016/j.arcped.2019.10.004

Avila WM, Pordeus IA, Paiva SM, Martins CC. Breast and bottle feeding as risk factors for dental caries: A systematic review and meta-analysis. PLoS ONE 2015; 10(11):e0142922. https://doi.org/10.1371/journal.pone.0142922

Alshunaiber R, Alzaid H, Meaigel S, Aldeeri A, Adlan A. Early childhood caries and infant’s oral health; pediatricians’ and family physicians’ practice, knowledge and attitude in Riyadh city, Saudi Arabia. Saudi Dent J 2019; 31(Suppl):S96-S105. https://doi.org/10.1016/j.sdentj.2019.01.006

Martin CR, Ling PR, Blackburn GL. Review of infant feeding: Key features of breast milk and infant formula. Nutrients 2016; 8(5):279. https://doi.org/10.3390/nu8050279

de Souza PM do ES, Mello Proença MA, Franco MM, Rodrigues VP, Costa JF, Costa EL. Association between early childhood caries and maternal caries status: A cross-section study in São Luís, Maranhão, Brazil. Eur J Dent 2015; 9(1):122-126. https://doi.org/10.4103/1305-7456.149659

World Health Organization. Guideline: Sugars intake for adults and children. Geneva: World Health Organization; 2015. Executive summary. Available from: https://www.ncbi.nlm.nih.gov/books/NBK285538/. [Accessed on October 23, 2023].

Feldens CA, Pinheiro LL, Cury JA, Mendonça F, Groisman M, Costa RAH, et al. Added sugar and oral health: A position paper of the Brazilian academy of dentistry. Front Oral Health 2022; 3:869112. https://doi.org/10.3389/froh.2022.869112

Liu M, Yun Q, Zhao M, Chen W, Zhang H, Hou W, et al. Association of siblings' presence and oral health-related quality of life among children: A cross-sectional study. BMC Oral Health 2021; 21(1):153. https://doi.org/10.1186/s12903-021-01526-y

Bramantoro T, Prabandari YS, Ismail D, Tedjosasongko U. The development of early childhood caries impact on quality of life-Indonesia instrument as assessment instrument of dental caries impact on quality of life of children aged 3-5 years based on Indonesian community characteristics. Dent J 2015; 48(4):197. https://doi.org/10.20473/j.djmkg.v48.i4.p197-203

Saikia A, Aarthi J, Muthu MS, Patil SS, Anthonappa RP, Walia T, et al. Sustainable development goals and ending ECC as a public health crisis. Front Public Health 2022; 10:931243. https://doi.org/10.3389/fpubh.2022.931243

Gomes MC, Neves ÉTB, Perazzo MF, Paiva SM, Ferreira FM, Granville-Garcia AF. Contextual and individual determinants of oral health-related quality of life among five-year-old children: A multilevel analysis. PeerJ 2018; 6:e5451. https://doi.org/10.7717/peerj.5451

Singh N, Dubey N, Rathore M, Pandey P. Impact of early childhood caries on quality of life: Child and parent perspectives. J Oral Biol Craniofac Res 2020; 10(2):83-86. https://doi.org/10.1016/j.jobcr.2020.02.006

Althubaiti A. Information bias in health research: Definition, pitfalls, and adjustment methods. J Multidiscip Healthc 2016; 9:211-217. https://doi.org/10.2147/JMDH.S104807

Foster Page L, Gilchrist F, Broder H, Clark E, Thomson W. A comparison of three child OHRQoL measures. Dent J 2019; 7(1):19. https://doi.org/10.3390/dj7010019