Oral Health-Related Quality of Life among Children Aged 11-14 Years Old with and without Parental Care in South-East of Iran

Kamyabi, Homa; Darijani, Mohammad Amin; Amanpour, Sara; Yazdi-Feyzabadi, Vahid; Fereidooni, Rahim; Fardisi, Sorena

doi:10.1590/pboci.2023.069

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ORIGINAL ARTICLE • Pesqui. Bras. Odontopediatria Clín. Integr. 23 • 2023 • https://doi.org/10.1590/pboci.2023.069 copy

Oral Health-Related Quality of Life among Children Aged 11-14 Years Old with and without Parental Care in South-East of Iran

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To measure the Oral Health-Related Quality of Life (OHRQoL) and compare children with and without parental care.

Material and Methods:

This cross-sectional study was conducted on 160 schoolchildren with parental care and 100 orphans in Kerman, Iran. After fulfilling the questionnaire voluntarily, a clinical examination was performed, and indices such as decayed, missing, and filled teeth (DMFT), molar-incisor hypoplasia (MIH), modified gingival index (MGI), traumatic dental injury (TDI), and malocclusion were recorded. Data were statistically analyzed using SPSS version 25 via the ANOVA, Pearson's correlation coefficient test, Chi-Square test, and descriptive statistics.

Results:

Children without parents scored poorly for OHQRoL items compared to those with parents (p<0.001). DMFT was not significantly related to OHRQoL; however, missing teeth were correlated with the CPQ_11-14 overall. Also, the TDI index had a significant relationship with CPQ mean score (p=0.02). Moreover, the difference in the mean CPQ_11-14 score in children with TDI in the two groups was significant regarding the quality of life (0.031).

Conclusion:

OHRQoL differed significantly between children in the two groups, which can be influenced by gender and habits. Due to the vulnerability of welfare-supported children without parental care, these findings emphasize the value of preventive and health-promoting measures for this group of children.

Keywords:
Quality of Life; Oral Health; Child; Child Welfare

Domains	With Parental Care	Without Parental Care	p-value
	Mean (SD)	Mean (SD)
Oral Symptoms	5.03 ± 3.917	9.47 ± 4.800	<0.001
Functional Impairments	6.06 ± 4.194	14.60 ± 6.893	<0.001
Social Well-Being	5.90 ± 5.696	18.60 ± 7.903	<0.001
Emotional Well-Being	7.58 ± 5.652	13.10 ± 5.699	<0.001
Total	25.72 ± 16.365	55.77 ± 20.680	<0.001

Regular Dental Check-Up
Groups	Never	More than 12 months ago	Less than 12 months ago	Planned	Unplanned
	%	%	%	%	%
With Parental Care	>23.8	>43.1	>33.1	>40.9	>59.1
Without Parental Care	11.0	56.0	33.0	42.0	58.0

Domains	Group	D	M	F	DMFT
Oral Symptoms	Without Parental Care	0.047	0.128	0.130	0.062
	With Parental Care	0.162	0.098	0.068	0.213^* * High correlation coefficient.
Functional Impairments	Without Parental Care	0.048	0.2S2^* * High correlation coefficient.	0.13	0.168
	With Parental Care	0.082	0.122	0.022	0.100
Social Health	Without Parental Care	0.068	0.197^* * High correlation coefficient.	0.067	0.183
	With Parental Care	0.114	0.125	0.12S	0.016
Emotional Health	Without Parental Care	0.147	0.083	0.042	0.1S2
	With Parental Care	0.046	0.138	0.020	0.094
Total	Without Parental Care	0.093	0.212^* * High correlation coefficient.	0.020	0.182
	With Parental Care	0.020	0.2S6^* * High correlation coefficient.	0.126	0.146

Groups	TDI Index	Mean score of CPQ (± SD)	p-value
With Parental Care	With TDI	29.87 ± 21.13	0.037
	Without TDI	21.32 ± 15.92
Without Parental Care	With TDI	58.35 ± 23.52	0.029
	Without TDI	51.43 ± 19.13

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[1] Correspondence: Sorena Fardisi, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kerman University of Medical Sciences, Kerman, Iran. E-mail: sorenafardisi@gmail.com