Oral health related quality of life of preschoolers with severe caries after dental rehabilitation under general anesthesia
| dc.contributor.author | Grant, Cameron | |
| dc.contributor.examiningcommittee | Rodd, Celia (Pediatrics and Child Health), Moffatt, Michael (Community Health and Science), Daymont, Carrie (Pediatrics and Child Health and Penn State University Children's Hospital) | en_US |
| dc.contributor.supervisor | Schroth, Robert (Preventive Dental Science) | en_US |
| dc.date.accessioned | 2018-09-08T16:59:36Z | |
| dc.date.available | 2018-09-08T16:59:36Z | |
| dc.date.issued | 2018-06-26 | en_US |
| dc.date.submitted | 2018-06-26T20:09:22Z | en |
| dc.degree.discipline | Preventive Dental Science | en_US |
| dc.degree.level | Master of Dentistry (M.Dent.) | en_US |
| dc.description.abstract | Purpose: To determine changes in the oral-health related quality of life (OHRQoL) of preschool-aged children with severe early childhood caries (S-ECC) following dental surgery under general anesthesia (GA). Methods: Parents/caregivers completed a questionnaire including the Early Childhood Oral Health Impact Scale (ECOHIS). Data analysis included descriptive statistics, bivariate analyses, effect size, and multiple linear regression. A p value ≤ 0.05 was significant. Results: Overall, 150 children were enrolled; mean age 47.7±14.2 months and 52% female. Mean total ECOHIS score was 6.3±5.3. Higher scores (more negative OHRQoL) were associated with single parent and low income households (<$28,000/year), higher dmft scores, and having dental extractions (p≤0.05). Low household income (p=0.01) and the child not having registered First Nation status (p=0.03) were significantly and independently associated with higher total baseline ECOHIS scores. The 103 follow-up children had a mean baseline total ECOHIS score of 6.27 ±5.4 and follow-up of 3.48 ±2.9. Change in total ECOHIS and three of four Child Impact Section domains (symptoms, function, and psychological) showed significant improvement (p<0.001). Symptoms and psychological domains demonstrated a moderate effect size; 0.66 and 0.56 respectively. No significant improvements were observed in the Family Impact Section; effect size (0.03). Follow-up ECOHIS scores were associated with low income households (<$28,000/year) (p=0.01) and not having registered First Nation status (p=0.03). Conclusion: Significant improvements in OHRQoL were observed following dental surgery. ECOHIS could be used as a tool to help prioritize children waiting for dental surgery under GA. | en_US |
| dc.description.note | October 2018 | en_US |
| dc.identifier.uri | http://hdl.handle.net/1993/33265 | |
| dc.language.iso | eng | en_US |
| dc.rights | open access | en_US |
| dc.subject | Preschooler, Early childhood caries, Severe early childhood caries, ECOHIS, Quality of life | en_US |
| dc.title | Oral health related quality of life of preschoolers with severe caries after dental rehabilitation under general anesthesia | en_US |
| dc.type | master thesis | en_US |
| local.subject.manitoba | yes | en_US |