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Impact of Pulp Necrosis on Oral Health-Related Quality of Life of Children with Early Childhood Caries

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Purpose: To assess the impact of pulp necrosis on the oral health-related quality of life (OHRQoL) of children with early childhood caries and their caregivers.
Methods: A cross-sectional study was performed with a consecutive sample of children who were divided into three groups: (1) caries-free children; (2) with untreated carious lesions and without pulp necrosis; and (3) with untreated carious lesions and at least one tooth with pulp necrosis. Data were collected using a sociodemographic questionnaire, the Early Childhood Oral Health Impact Scale (ECOHIS) and a dental clinical examination using the International Caries Detection and Assessment System index. Descriptive statistics, Kruskal-Wallis tests, Mann-Whitney tests and Poisson regression were performed (P <0.05).
Results: A total of 532 children and their legal guardians participated in the study. Children with pulp necrosis had a greater negative impact on the OHRQoL versus those with untreated carious lesions without pulp necrosis (ratio of unadjusted and adjusted rates [RR] = 1.59; 95 percent confidence interval [95% CI] = 1.36 to 1.86; P <0.001), as measured by the total ECOHIS score. in Group 3, four- and five-year-old children had a greater negative impact on the OHRQoL than two- and three-year-old peers (RR = 1.36; 95% CI = 1.08 to 1.72; P <0,001).
Conclusion: The presence of pulp necrosis increased the negative impact on OHRQoL of children with untreated carious lesions and their guardians.

Keywords: EARLY CHILDHOOD CARIES; ORAL HEALTH; PRESCHOOL CHILDREN; PULP NECROSIS; QUALITY OF LIFE

Document Type: Research Article

Affiliations: 1: Drs. Gonçalves Nogueira, Graduate Student, Department of Pathology and Dental Clinics, School of Dentistry, Federal University of Piaui, Teresina, Piau??, Brazil 2: Drs. M.M. Lima, Associate Professors, Department of Pathology and Dental Clinics, School of Dentistry, Federal University of Piaui, Teresina, Piau??, Brazil 3: Drs. Moura, Graduate Student, Department of Pathology and Dental Clinics, School of Dentistry, Federal University of Piaui, Teresina, Piau??, Brazil 4: Drs. C.C.B. Lima, Associate Professors, Department of Pathology and Dental Clinics, School of Dentistry, Federal University of Piaui, Teresina, Piau??, Brazil 5: Drs. de Moura, Associate Professors, Department of Pathology and Dental Clinics, School of Dentistry, Federal University of Piaui, Teresina, Piau??, Brazil 6: Drs.Castro, Graduate Student, Department of Pathology and Dental Clinics, School of Dentistry, Federal University of Piaui, Teresina, Piau??, Brazil 7: Drs. de Deus Moura, Associate Professors, Department of Pathology and Dental Clinics, School of Dentistry, Federal University of Piaui, Teresina, Piau??, Brazil

Publication date: January 1, 2022

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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