Impact of caries and dental fluorosis on oral health-related quality of life: a cross-sectional study in schoolchildren receiving water naturally fluoridated at above-optimal levels

Álvaro García-Pérez, María Esther Irigoyen-Camacho, S. Aída Borges-Yáñez, Marco Antonio Zepeda-Zepeda, Irvin Bolona-Gallardo, Gerardo Maupome

Research output: Contribution to journalArticle

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Abstract

Purpose: The purpose of this study was to evaluate the impact of caries and fluorosis on oral health-related quality of life (OHRQoL) among schoolchildren living in areas with high concentrations of fluoride in water. Methods: Five hundred and twenty-four schoolchildren (8–12 year olds) residing in rural communities in central Mexico were examined for oral hygiene, caries (International Caries Detection and Assessment System, ICDAS II), and fluorosis (Thylstrup and Fejerskov Index, TFI). OHRQoL was evaluated with the Child Perceptions Questionnaire for two age groups (CPQ8–10 and CPQ11–14). Generalized structural equation models were constructed for data analysis. Results: Overall prevalence of caries was 88.5% and fluorosis 46.9%. In the group of 8–10 year olds, 48% of the children had advanced carious lesions in primary or permanent teeth (ICDAS ≥4), 22.6% had moderate/severe fluorosis, and 59.9% of children had an impact on OHRQoL. Schoolchildren with ICDAS ≥4 were more likely [OR = 1.75, (95% CI 1.34–2.28)] to suffer a negative impact on OHRQoL. In the group of 11–12 year olds, 19.9% of children had advanced carious lesions and 23.2% showed moderate/severe fluorosis; 67.3% of children reported had an impact on OHRQoL. Children 11–12 year olds with fluorosis (TFI ≥4) [OR = 2.39 (95% CI 2.12–2.69)], caries (ICDAS ≥4) [OR = 2.18 (95% CI 2.13–2.24)], and low brushing frequency [OR = 2.04 (95% CI 1.21–3.44)] were more likely to have deterioration on OHRQoL. Conclusion: A negative impact on OHRQoL was observed in children with caries and fluorosis. Clinical relevance: Deterioration on OHRQoL found in children as a sequel of caries and fluorosis should be considered when designing health policies leading to prevention and effective health promotion programs and incorporated to clinical guidelines for timely dental treatment.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalClinical Oral Investigations
DOIs
StateAccepted/In press - Mar 1 2017

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Dental Fluorosis
Oral Health
Cross-Sectional Studies
Quality of Life
Water
Tooth
Oral Hygiene
Structural Models
Rural Population
Health Policy
Mexico
Health Promotion
Fluorides
Age Groups
Guidelines

Keywords

  • Dental caries
  • Fluorosis
  • Quality of life
  • Schoolchildren

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Impact of caries and dental fluorosis on oral health-related quality of life : a cross-sectional study in schoolchildren receiving water naturally fluoridated at above-optimal levels. / García-Pérez, Álvaro; Irigoyen-Camacho, María Esther; Borges-Yáñez, S. Aída; Zepeda-Zepeda, Marco Antonio; Bolona-Gallardo, Irvin; Maupome, Gerardo.

In: Clinical Oral Investigations, 01.03.2017, p. 1-10.

Research output: Contribution to journalArticle

García-Pérez, Álvaro ; Irigoyen-Camacho, María Esther ; Borges-Yáñez, S. Aída ; Zepeda-Zepeda, Marco Antonio ; Bolona-Gallardo, Irvin ; Maupome, Gerardo. / Impact of caries and dental fluorosis on oral health-related quality of life : a cross-sectional study in schoolchildren receiving water naturally fluoridated at above-optimal levels. In: Clinical Oral Investigations. 2017 ; pp. 1-10.
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abstract = "Purpose: The purpose of this study was to evaluate the impact of caries and fluorosis on oral health-related quality of life (OHRQoL) among schoolchildren living in areas with high concentrations of fluoride in water. Methods: Five hundred and twenty-four schoolchildren (8–12 year olds) residing in rural communities in central Mexico were examined for oral hygiene, caries (International Caries Detection and Assessment System, ICDAS II), and fluorosis (Thylstrup and Fejerskov Index, TFI). OHRQoL was evaluated with the Child Perceptions Questionnaire for two age groups (CPQ8–10 and CPQ11–14). Generalized structural equation models were constructed for data analysis. Results: Overall prevalence of caries was 88.5{\%} and fluorosis 46.9{\%}. In the group of 8–10 year olds, 48{\%} of the children had advanced carious lesions in primary or permanent teeth (ICDAS ≥4), 22.6{\%} had moderate/severe fluorosis, and 59.9{\%} of children had an impact on OHRQoL. Schoolchildren with ICDAS ≥4 were more likely [OR = 1.75, (95{\%} CI 1.34–2.28)] to suffer a negative impact on OHRQoL. In the group of 11–12 year olds, 19.9{\%} of children had advanced carious lesions and 23.2{\%} showed moderate/severe fluorosis; 67.3{\%} of children reported had an impact on OHRQoL. Children 11–12 year olds with fluorosis (TFI ≥4) [OR = 2.39 (95{\%} CI 2.12–2.69)], caries (ICDAS ≥4) [OR = 2.18 (95{\%} CI 2.13–2.24)], and low brushing frequency [OR = 2.04 (95{\%} CI 1.21–3.44)] were more likely to have deterioration on OHRQoL. Conclusion: A negative impact on OHRQoL was observed in children with caries and fluorosis. Clinical relevance: Deterioration on OHRQoL found in children as a sequel of caries and fluorosis should be considered when designing health policies leading to prevention and effective health promotion programs and incorporated to clinical guidelines for timely dental treatment.",
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T2 - a cross-sectional study in schoolchildren receiving water naturally fluoridated at above-optimal levels

AU - García-Pérez, Álvaro

AU - Irigoyen-Camacho, María Esther

AU - Borges-Yáñez, S. Aída

AU - Zepeda-Zepeda, Marco Antonio

AU - Bolona-Gallardo, Irvin

AU - Maupome, Gerardo

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Purpose: The purpose of this study was to evaluate the impact of caries and fluorosis on oral health-related quality of life (OHRQoL) among schoolchildren living in areas with high concentrations of fluoride in water. Methods: Five hundred and twenty-four schoolchildren (8–12 year olds) residing in rural communities in central Mexico were examined for oral hygiene, caries (International Caries Detection and Assessment System, ICDAS II), and fluorosis (Thylstrup and Fejerskov Index, TFI). OHRQoL was evaluated with the Child Perceptions Questionnaire for two age groups (CPQ8–10 and CPQ11–14). Generalized structural equation models were constructed for data analysis. Results: Overall prevalence of caries was 88.5% and fluorosis 46.9%. In the group of 8–10 year olds, 48% of the children had advanced carious lesions in primary or permanent teeth (ICDAS ≥4), 22.6% had moderate/severe fluorosis, and 59.9% of children had an impact on OHRQoL. Schoolchildren with ICDAS ≥4 were more likely [OR = 1.75, (95% CI 1.34–2.28)] to suffer a negative impact on OHRQoL. In the group of 11–12 year olds, 19.9% of children had advanced carious lesions and 23.2% showed moderate/severe fluorosis; 67.3% of children reported had an impact on OHRQoL. Children 11–12 year olds with fluorosis (TFI ≥4) [OR = 2.39 (95% CI 2.12–2.69)], caries (ICDAS ≥4) [OR = 2.18 (95% CI 2.13–2.24)], and low brushing frequency [OR = 2.04 (95% CI 1.21–3.44)] were more likely to have deterioration on OHRQoL. Conclusion: A negative impact on OHRQoL was observed in children with caries and fluorosis. Clinical relevance: Deterioration on OHRQoL found in children as a sequel of caries and fluorosis should be considered when designing health policies leading to prevention and effective health promotion programs and incorporated to clinical guidelines for timely dental treatment.

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KW - Fluorosis

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