Association between treated/untreated traumatic dental injuries and impact on quality of life of Brazilian schoolchildren

Abstract

BackgroundTraumatic dental injury (TDI) could have physical and psychosocial consequences for children. Thus, it is important to measure the impact of TDI on the quality of life of children (QoL). The aim of the present study was to investigate the association between treated/untreated TDI and the impact on the quality of life of 11-to-14-year-old Brazilian schoolchildren.MethodsA cross-sectional study was carried out involving 1612 male and female schoolchildren aged 11 to 14 years attending public and private elementary schools in the city of Belo Horizonte, Brazil. A multi-stage sampling technique was adopted to select the children. Three calibrated examiners used the Andreasen classification for the diagnosis of TDI. Oral health-related quality of life was assessed using the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - Impact Short Form (ISF:16), composed of 16 items and self-administered by all children. Other oral conditions (dental caries and malocclusion) and the Social Vulnerability Index were determined and used as controlling variables.ResultsTwo hundred nineteen children were diagnosed with untreated TDI and 64 were diagnosed with treated TDI. There were no statistically significant associations between untreated or treated TDI and overall CPQ11-14 (Fisher = 0.368 and Fisher = 0.610, respectively). Children with an untreated TDI were 1.4-fold (95% CI = 1.1-2.1) more likely to report impact on the item "avoided smiling/laughing" than those without TDI, whereas children with a treated TDI were twofold (95% CI = 1.1-3.5) more likely to report impact on the item "other children asked questions" than those without TDI.ConclusionsNeither treated nor untreated TDI was associated with oral symptoms, functional limitations or emotional wellbeing. However, children with a TDI in the anterior teeth experienced a negative impact on social wellbeing, mainly with regard to avoiding smiling or laughing and being concerned about what other people may think or say.

Impact of Dental Caries on Oral Health Related Quality of Life Among Indian Adolescents – An Exploratory Study.

“…Results also indicate that dental caries was not significantly associated with social well-being domain of OHRQoL (O'brien et al, 2007;Bendo et al, 2010).This is in contrast with those reported by Krisdapong et al (2012), who reported that caries had a significant impact on the daily activities of participants. One has to keep in mind the different tools used for measuring child OHRQoL by different researchers.…”

Impact of Dental Caries onQuality of Life of School Children

“…OHRQoL indices show buccal and dental disorders can impair social, psychological and physical activities, and disturb children's functional performance such as eating and speaking, psychological performance such as showing teeth and smiling without embarrassment, and social performance by damaging their social life [9,[11][12][13][14][15][16][17][18].…”

Estudo transversal em escolares de 12 anos de idade sobre a necessidade de tratamento, etiologia e ocorrência de traumatismo dentário em Montes Claros, brasil.

“…Em estudos avaliando o impacto que as fraturas de esmalte e dentina não restauradas [28][29] e restauradas 30 causaram na vida diária dos escolares, o traumatismo dentário apresentou grande impacto na qualidade de vida dos adolescentes suscitando limitações em suas atividades diárias como sociabilizar, sorrir, mastigar e pronunciar determinadas palavras.…”