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      Caries dental y sus consecuencias clínicas relacionadas al impacto en la calidad de vida de preescolares de una escuela estatal Translated title: Dental caries and its clinical consequences related to the impact on the quality of life of preschoolers of a state school

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          Abstract

          Objetivo: Determinar la presencia de caries dental y sus consecuencias clínicas relacionadas al impacto en la calidad de vida de preescolares de la institución educativa N° 2051 El Progreso en el 2018. Materiales y métodos: Estudio transversal y observacional. Se realizó una exploración clínica a 95 niños de 3-5 años, registrando la caries dental mediante los índices ceo-d y pufa. Se aplicó el ECOHIS dirigido a los responsables, para evaluar el impacto en la calidad de vida de los niños y sus familias. Las pruebas estadísticas utilizadas fueron t-Student, Kruskal-Wallis y U Mann-Whitney, con significancia 0,05; y Coeficiente de Spearman 0,01. Resultados: La frecuencia de caries dental 98,84%, con índice ceo-d 9,58±3,45 correspondiente al nivel de severidad muy alto; y las consecuencias clínicas de caries dental no tratada 83,16%, índice pufa 7,65±4,97 y radio pufa 83,18%. El ECOHIS mostró un promedio 23,41±11,82, siendo las dimensiones más afectadas limitación funcional y aspectos psicológicos, reflejando un impacto negativo en la calidad de vida relacionada a su salud bucal. Según el coeficiente de Spearman, la relación entre la presencia de caries dental (r=0,630) y sus consecuencias clínicas (r=0,649), con el impacto en la calidad de vida, muestran una correlación directa positiva moderada significativa (p=0,000). Los índices del sexo masculino fueron ceo-d 24,46±12,11 y pufa 28,88±7,03; y del grupo de 5 años fueron ceo-d 29,71±6,30 y pufa 29,71±6,30. Conclusiones: La caries dental y sus consecuencias clínicas están relacionadas al impacto negativo en la calidad de vida a nivel bucal de los preescolares, interfiriendo en sus actividades diarias.

          Translated abstract

          Objectives: To determine the presence of dental caries and its clinical consequences related to the impact on the quality of life of preschool children of the educational institution N° 2051 El Progreso in 2018. Materials and methods: Cross-sectional and observational study. A clinical examination was performed on 95 children aged 3-5 years, recording dental caries by means of the ceo-d and pufa indexes. The ECOHIS was applied to those responsible, to assess the impact on the quality of life of children and their families. The statistical tests used were t-Student, Kruskal-Wallis and U Mann-Whitney, with significance 0.05; and Spearman coefficient 0.01. Results: The frequency of dental caries 98.84%, with ceo-d index 9.58 ± 3.45 corresponding to the level of very high severity; and the clinical consequences of untreated dental caries 83.16%, index pufa 7.65 ± 4.97 and radio frequency 83.18%. The ECOHIS showed an average of 23.41 ± 11.82, the dimensions most affected being functional limitation and psychological aspects, reflecting a negative impact on the quality of life related to oral health. According to the Spearman coefficient, the relationship between the presence of dental caries (r = 0.630) and its clinical consequences (r = 0.649), with the impact on quality of life, show a positive direct correlation moderate significant (p = 0.000). The male sex indexes were ceo-d 24.46 ± 12.11 and pufa 28.88 ± 7.03; and of the group of 5 years were ceo-d 29.71 ± 6.30 and pufa 29.71 ± 6.30. Conclusions: Dental caries and its clinical consequences are related to the negative impact on the quality of life at the oral level of preschoolers, interfering with their daily activities.

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          Most cited references 16

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          Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL).

            (1993)
          The World Health Organization (WHO) has undertaken a project to develop an instrument (the WHOQOL) for measuring quality of life. Quality of life is defined as an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. It is a broad ranging concept affected in a complex way by the person's physical health, psychological state, level of independence, social relationships, and their relationship to salient features of their environment. The instrument will be developed in the framework of a collaborative project involving numerous centres in different cultural settings. In addition, it will have proven psychometric properties of validity, responsiveness and reliability and will be sensitive to the cultural setting in which it is applied, whilst maintaining comparability of scores across different cultural settings. This paper outlines the characteristics of the planned instrument and the study protocol governing work on its development. To date steps 1 through 5 have been completed and work is progressing on step 6. It is anticipated that the instrument will be available for piloting in July 1993 and a final version available for use in June 1994.
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            PUFA--an index of clinical consequences of untreated dental caries.

            Dental caries is a global public health problem, especially in children. Most caries in developing countries remains untreated. Only limited data are available on the clinical consequences of untreated dental caries because there is no measure to quantify the prevalence and severity of oral conditions resulting from untreated dental caries. To present a new index to evaluate the prevalence and severity of oral conditions resulting from untreated dental caries. To validate the index within the Philippines National Oral Health Survey, 2006. The PUFA index records the presence of severely decayed teeth with visible pulpal involvement (P/p), ulceration caused by dislocated tooth fragments (U/u), fistula (F/f) and abscess (A/a). Good kappa values show the reliability of the index. The prevalence of PUFA/pufa >0 was 85% and 56% for 6- and 12-year-olds, respectively. The mean number of teeth affected (PUFA/pufa) was 3.5 and 1.2 for 6- and 12-year-olds, respectively. In 6- and 12-year-olds, 40% and 41% of decayed teeth had progressed to odontogenic infections. The PUFA index complements classical caries indices with relevant information for epidemiologists and health care planners.
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              Exploring the impact of oral diseases and disorders on quality of life of preschool children.

              To assess the impact of oral health outcomes on Oral Health-Related Quality of Life (OHRQoL) in a school-based sample of Brazilian preschool children and their families. A cross-sectional study was conducted in 1036 children aged 2-5 years attending all the public nurseries in Canoas, Brazil. Caregivers were asked to complete questionnaire on socioeconomic status and the Early Childhood Oral Health Impact Scale (ECOHIS) on their perception of the children's OHRQoL. Clinical assessment included dental caries, traumatic dental injuries (TDI) and malocclusion. Multivariable Poisson regression models with robust variance were fitted to assess covariates for the prevalence of impacts on OHRQoL following a theoretical hierarchical framework. 17.4% of the caregivers reported that their child had an impact on at least one ECOHIS item. Negative impacts were more prevalent on items related to pain, difficult drinking and eating some foods. The multivariable Poisson regression analysis showed that dental caries, TDI and malocclusion were associated with the outcome. The prevalence of having any impact on OHRQoL was almost three times higher for children with dental caries (PR 2.74 95% CI 2.02-3.72) compared to those who were caries free; and approximately 1.5 times higher for those who presented TDI (PR 1.70 95% CI 1.27-2.27) and malocclusion (PR 1.42 95% CI 1.04-1.94). The findings showed that caregivers of young children with oral disease and disorders perceived that both the children and other family members had poorer quality of life. Oral health policies should be included into general health programs based on common risk approach. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                reh
                Revista Estomatológica Herediana
                Rev. Estomatol. Herediana
                Universidad Peruana Cayetano Heredia. Facultad de Estomatología (Lima, , Peru )
                1019-4355
                January 2019
                : 29
                : 1
                : 17-29
                Affiliations
                Lima orgnameUniversidad Alas Peruanas orgdiv1Escuela Profesional de Estomatología Perú
                Lima orgnameUniversidad Alas Peruanas orgdiv1Escuela de Post Grado Perú
                Cusco orgnameUniversidad Andina del Cusco orgdiv1Escuela de Post Grado Perú
                Lima orgnameUniversidad Privada Juan Pablo II orgdiv1Dirección de Investigación Perú
                Lima orgnameUniversidad Privada Telesup Perú
                Article
                S1019-43552019000100003
                10.20453/reh.v29i1.3491

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 28, Pages: 13
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                Product Information: SciELO Peru
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