Impact of dental caries on quality of life of babies between 1 and 3 years old and their families

?rea de concentra??o: Odontopediatria.Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-12-22T13:35:04Z No. of bitstreams: 2 izabella_barbosa_fernandes.pdf: 2088859 bytes, checksum: 015e8cf831539e0c08c0656e3ff8e95e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-12-22T13:35:37Z (GMT) No. of bitstreams: 2 izabella_barbosa_fernandes.pdf: 2088859 bytes, checksum: 015e8cf831539e0c08c0656e3ff8e95e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2015-12-22T13:35:37Z (GMT). No. of bitstreams: 2 izabella_barbosa_fernandes.pdf: 2088859 bytes, checksum: 015e8cf831539e0c08c0656e3ff8e95e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2014A c?rie dent?ria n?o tratada ? a condi??o bucal mais frequentemente associada com um impacto negativo na qualidade de vida de crian?as por estar associada ? dor, desconforto, dificuldades na mastiga??o, problemas de fala, dist?rbios no sono, problemas psicol?gicos, dificuldades na escola e dificuldades na intera??o social da crian?a. Essa associa??o tem sido frequentemente verificada em adultos, adolescentes, crian?as escolares e pr?-escolares. A associa??o de impacto da c?rie dent?ria em beb?s sobre a qualidade de vida ? ainda desconhecida. O objetivo deste estudo foi avaliar o impacto de diferentes est?gios de progress?o da c?rie dent?ria na qualidade de vida de beb?s e de suas fam?lias na cidade de Diamantina, Minas Gerais. Uma amostra de 308 beb?s de 1 a 3 anos de idade foi submetida a um exame cl?nico para avaliar a c?rie dent?ria atrav?s do Sistema Internacional de Avalia??o e Detec??o de C?rie - International Caries Detection and Assessment System (ICDAS). As m?es dos beb?s foram convidadas a responder dois question?rios: um sobre qualidade de vida relacionada ? sa?de bucal (QVRSB) das crian?as e de suas fam?lias, o Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS) e outro sobre as caracter?sticas e condi??es sociodemogr?ficas dos beb?s e de suas fam?lias. A an?lise estat?stica foi realizada atrav?s do programa SPSS - Statistical Package for Social Sciences (SPSS for Windows, version 20.0, SPSS Inc. Chicago, IL, USA) e envolveu an?lise descritiva, os testes Kappa, Kruskal Wallis, Mann-Whitney e modelos de regress?o de Poisson hierarquicamente ajustados. A preval?ncia de c?rie n?o tratada foi de 64,3%. A maioria dos beb?s com c?rie apresentava c?rie em seu est?gio severo de progress?o (53,5%). Houve uma diferen?a significativa entre o est?gio de progress?o da c?rie e QVRSB no beb? e na fam?lia. O est?gio severo de c?rie dent?ria [RP IC95%= 2.80 (1.90-4.12)] e a menor idade da m?e [RP IC95%= 1.69 (1.27-2.25) foram associados com o maior impacto na qualidade de vida. Concluiu-se que les?es de c?rie em est?gios mais avan?ados de progress?o foram associados a uma pior qualidade de vida em beb?s e em suas fam?lias.Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Zootecnia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014.ABSTRACT Untreated dental caries is the most often oral condition associated with negative impact on quality of life in children by being associated with pain, discomfort, difficulty in chewing, speech problems, sleep disorders, psychological problems, difficulties in school and social interaction of the child. This association has been frequently seen in adults, adolescents, school children and preschoolers. The impact of dental caries in the quality of life of babies still unknown. The aim of this study was to evaluate the impact of different stages of progression of dental caries in the quality of life of babies and their families in Diamantina, Minas Gerais. A sample of 308 babies aged 1-3 years old underwent a clinical examination to assess dental caries through the International Caries Detection and Assessment System (ICDAS). Parents of babies were asked to answer two questionnaires: one about oral health related quality of life (OHRQoL) of children and their families using the Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS) and another about sociodemographic characteristics and conditions of babies and their families. Statistical analysis was performed using SPSS - Statistical Package for Social Sciences (SPSS for Windows, version 20.0, SPSS Inc. Chicago, IL, USA) and involved descriptive analysis, Kappa, Kruskal-Wallis and Mann-Whitney test and Poisson model regression adjusted hierarchically. The prevalence of untreated dental caries was 64.3%. Most babies with caries had caries in severe progression stage (53.5%). There was a significant difference between the stage of caries progression and OHRQoL on babies and their families. Severe stage of dental caries [OR = 2.80 95% CI (1.90-4.12)] and lower mother's age [OR = 1.69 95% CI (1:27 to 2:25) were associated with the greatest impact on quality of life. It was concluded that dental caries in more advanced stages of progression were associated with worse quality of life in babies and their families