Oral Health-Related Quality of Life Following Root Canal Treatment of First Permanent Molars Among Children. A Cross-Sectional Study

Abstract

Aim This study aimed to assess the Oral Health-Related Quality of Life (OHRQoL) of pediatric patients (9–18 years old) who underwent root canal treatment (RCT) on first permanent molars (FPMs). Methods A cross-sectional study was conducted at three healthcare centers in Jeddah, Saudi Arabia. Participants (n = 482) completed the validated OHIP5-Ar questionnaire to assess OHRQoL. Responses were classified as “optimal” (no problems) or “less than optimal” (any reported problems). Logistic regression analyzed the relationship between OHRQoL and sociodemographic factors. Results There were 66.8% children reported optimal OHRQoL after RCT. Logistic regression showed no significant association between optimal OHRQoL and gender, family income, or location of treated tooth. However, although not statistically significant. Treating only one FPM with RCT (compared to multiple teeth) and lower family income (compared to higher income) were more likely to have decreased or increased odds of optimal OHRQoL (AOR = 0.684 or 1.424; respectively). Conclusion RCT on FPMs can be a successful treatment option for pediatric patients, offering optimal oral health-related quality of life.

Oral Health-Related Quality of Life Following Root Canal Treatment of First Permanent Molars Among Children. A Cross-Sectional Study [Letter]

“…In this research, Nada Othman Bamashmous et al found that there was no significant relationship between optimal OHRQoL and gender, family income, and location of the tooth being treated, however treating one FPM with root canal treatment (RCT) provided an opportunity to increase optimal OHRQoL. 1 However, it should be noted that in children, dental caries lesions in the anterior and posterior segments will have a greater impact on posterior teeth after OHRQoL. In addition, the greater number of teeth affected by carious lesions in early childhood will have a negative impact on OHRQoL over time.…”

“…We have read the paper written by Nada Othman Bamashmous et al about Oral Health-Related Quality of Life Following Root Canal Treatment of First Permanent Molars Among Children. 1 We congratulate all authors who have provided information about the importance of maintaining First permanent molars (FPM) which play an important role in mastication and facial development, especially in children. First permanent molars are closely related to dental health and are an important parameter that determines oral health.…”

“…The study conducted by Nada Othman Bamashmous et al used a cross-sectional study conducted at three health centers in Jeddah and the OHIP5-Ar questionnaire was validated to assess the OHRQoL of patients. 1 The method used was in accordance with the targets to be achieved, however We recommend adding an assessment of quality of life in four domains, namely oral symptoms, functional limitations, emotional well-being, and social well-being, as well as using a visual analogue scale (VAS) to assess discomfort during the first month of treatment. 4 …”

“…In conclusion, we agree that RCTs on FPM can be a successful treatment option for pediatric patients that can offer a better quality of life related to optimal oral health. 1 However, it is necessary to review the overall OHRQoL to assess adaptation and discomfort during treatment and compare the results with other dental services such as restorative, prosthodontic and periodontal treatment. 5 Guidance and care are needed to control plaque on primary molars immediately after eruption with reducing consumption of sweet foods and drinks, as well as providing special oral health services to treat posterior tooth lesions in young children.…”