Does maternal dental anxiety influence the report of oral health-related quality of life in preschool children?

Authors

  • Amanda Borges Rocha Universidade Federal de Minas Gerais
  • Valéria Silveira Coelho Universidade Federal de Minas Gerais
  • Bianca Spuri Tavares Universidade Federal de Minas Gerais
  • Izabella Barbosa Fernandes Universidade Federal de Minas Gerais
  • Joana Ramos Jorge Universidade Federal de Minas Gerais
  • Maria Letícia Ramos Jorge Universidade Federal dos Vales do Jequitinhonha e Mucuri

DOI:

https://doi.org/10.35699/2178-1990.2023.40886

Keywords:

Mothers, Dental Anxiety, Quality of life, Child, Oral Health

Abstract

Aim: This study aimed to evaluate the association between maternal dental anxiety and the impact on oral health-related quality of life (HRQoL) of preschool children.

Methods: A cross-sectional study was conducted with a sample of 150 children, aged between 4 and 5 years, living in the city of Diamantina, MG, Brazil. Maternal dental anxiety was assessed using the Dental Anxiety Scale (DAS) prior to a clinical examination appointment to detect oral alterations. The children were also clinically evaluated for the presence of dental caries and dental trauma. Clinical assessments were conducted by examiners trained and calibrated to these criteria. Mothers answered the Early Childhood Oral Health Impact Scale (ECOHIS) and filled out a form to provide sociodemographic and economic characteristics. Data analysis involved descriptive statistics and Poisson regression.

Results: Moderate to high dental anxiety was found in 12% (n=18) of the mothers and was associated with a poorer quality of life in preschoolers in the unadjusted analysis. The adjusted analysis showed a significant association between the child at 5 years of age (PR = 4.45; CI = 2.38-8.30; p ≤ 0.001) and untreated dental caries (PR = 2.77; CI = 1.64-4.65; p ≤ 0.001) with a negative impact on children’s quality of life. Moderate to high maternal anxiety was associated with a negative impact on preschoolers’ quality of life in the unadjusted analysis, but the association was lost after adjustment for other variables.

Conclusion: No association was found between maternal dental anxiety and their children’s HRQoL.

Downloads

Download data is not yet available.

References

Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264-70.

Do LG, Spencer A. Oral health-related quality of life of children by dental caries and fluorosis experience. J Public Health Dent. 2007;67(3):132-9.

Machry RV, Knorst JK, Tomazoni F, Ardenghi TM. School environment and individual factors influence oral health related quality of life in brazilian children. Braz Oral Res. 2018;32:e63.

Kumar S, Kroon J, Lalloo R. A systematic review of the impact of parental socio-economic status and home environment characteristics on children’s oral health related quality of life. Health Qual Life Outcomes. 2014;12:41.

Scarpelli AC, Paiva SM, Viegas CM, Carvalho AC, Ferreira FM, Pordeus IA. Oral health-related quality of life among brazilian preschool children. Community Dent Oral Epidemiol. 2013;41(4):336-44.

Fernandes IB, Costa DC, Coelho VS, Sá-Pinto AC, Ramos-Jorge J, Ramos-Jorge ML. Association between sense of coherence and oral health-related quality of life among toddlers. Community Dent Health. 2017;34(1):37-40.

Esa R, Jamaludin M, Yusof ZYM. Impact of maternal and child dental anxiety on oral health-related quality of life of 5–6-year-old preschool children. Health Qual Life Outcomes. 2020;18:319.

Cianetti S, Lombardo G, Lupatelli E, Pagano S, Abraha I, Montedori A, et al. Dental fear/anxiety among children and adolescents: a systematic review. Eur J Paediatr Dent. 2017;18(2):121-30.

Silveira ER, Cademartori MG, Schuch HS, Armfield JA, Demarco FF. Estimated prevalence of dental fear in adults: a systematic review and meta-analysis. J Dent. 2021;108:103632.

Goettems ML, Ardenghi TM, Romano AR, Demarco FF, Torriani DD. Influence of maternal dental anxiety on the child’s dental caries experience. Caries Res. 2012;46(1):3-8.

Wigen TI, Skaret E, Wang NJ. Dental avoidance behaviour in parent and child as risk indicators for caries in 5-year-old children. Int J Paediatr Dent. 2009;19(6):431-7.

Goettems ML, Ardenghi TM, Romano AR, Demarco FF, Torriani DD. Influence of maternal dental anxiety on oral health–related quality of life of preschool children. Qual Life Res. 2011;20(6):951-9.

Costa FS, Azevedo MS, Ardenghi TM, Pinheiro RT, Demarco FF, Goettems ML. Do maternal depression and anxiety influence children’s oral health-related quality of life? Community Dent Oral Epidemiol. 2017;45(5):398-406.

Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review. Aust Dent J. 2013;58(4):390-407.

Moreno-Peral P, Conejo-Cerón S, Fernández A, Berenguera A, Martínez-Andrés M, Pons-Vigués M, et al. Primary care patients’ perspectives of barriers and enablers of primary prevention and health promotion: a meta-ethnographic synthesis. PLoS One. 2015;10(5):e0125004.

Malta M, Cardoso LO, Bastos FI, Magnanini MM, Silva CMFP. STROBE initiative: guidelines on reporting observational studies. Rev Saude Publica. 2010;44(3):559-65.

Instituto Brasileiro de Geografia e Estatística. Censo Brasileiro de 2010. Rio de Janeiro: IBGE; 2012.

Hu LW, Gorenstein C, Fuentes D. Portuguese version of Corah’s Dental Anxiety Scale: transcultural adaptation and reliability analysis. Depress Anxiety. 2007;24(7):467-71.

Corah NL, Gale EN, Illig SJ. Assessment of a dental anxiety scale. J Am Dent Assoc. 1978;97(5):816-9.

Martins-Júnior PA, Ramos-Jorge J, Paiva SM, Marques LS, Ramos-Jorge ML. Validations of the brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). Cad Saude Publica. 2012;28(2):367-74.

Pitts N. “ICDAS”: an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health. 2004;21(2):193-8.

Andreasen, JO, Andreasen, FM. Fundamentos de traumatismo dental: guia de tratamento passo a passo. 2. ed. Porto Alegre: Artmed; 2001.

Leal SC, Bronkhorst EM, Fan M, Frencken JE. Untreated cavitated dentine lesions: impact on children’s quality of life. Caries Res. 2012;46(2):102-6.

Ramos-Jorge J, Pordeus IA, Ramos-Jorge ML, Marques LS, Paiva SM. Impact of untreated dental caries on quality of life of preschool children: different stages and activity. Community Dent Oral Epidemiol. 2014;42(4):311-22.

Barasuol JC, Santos PS, Moccelini BS, Magno MB, Bolan M, Martins-Júnior PA, et al. Association between dental pain and oral health-related quality of life in children and adolescents: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2020;48(4):257-63.

Fernandes IB, Ramos-Jorge J, Coelho VS, Pinto ACS, Pordeus IA, Paiva SM, et al. Association between different stages of dental caries in preschoolers and familial socioeconomic factors. Braz Oral Res. 2022;36:e018.

Ortiz FR, Tomazoni F, Oliveira MDM, Piovesan C, Mendes F, Ardenghi TM. Toothache, associated factors, and its impact on Oral Health-Related Quality of Life (OHRQoL) in preschool children. Braz Dent J. 2014;25(6):546-53.

Feldens CA, Day P, Borges TS, Feldens EG, Kramer PF. Enamel fracture in the primary dentition has no impact on children’s quality of life: implications for clinicians and researchers. Dent Traumatol. 2016;32(2):103-9.

Born CD, Jackson TH, Koroluk LD, Divaris K. Traumatic dental injuries in preschool-age children: prevalence and risk factors. Clin Exp Dent Res. 2019;5(2):151-9.

Motta-Rego T, Soares MEC, Souto-Souza D, Souza EA, Paiva SM, Ramos-Jorge ML, et al. Association of the prevalence and severity of untreated traumatic dental injuries with body mass index among brazilian preschool children. Dent Traumatol. 2022;38(3):206-12.

Knorst JK, Sfreddo CS, Meira GF, Zanatta FB, Vettore MV, Ardenghi TM. Socioeconomic status and oral health-related quality of life: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2021;49(2):95-102.

Dimberg L, Arnrup K, Bondemark L. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod. 2015;37(3):238-47.

AlRatroot S, Alotaibi G, AlBishi F, Khan S, Nazir MA. Dental anxiety amongst pregnant women: relationship with dental attendance and sociodemographic factors. Int Dent J. 2022;72(2):179-85.

Published

2024-02-20

How to Cite

Rocha, A. B., Coelho, V. S., Tavares, B. S., Fernandes, I. B., Jorge, J. R., & Jorge, M. L. R. (2024). Does maternal dental anxiety influence the report of oral health-related quality of life in preschool children?. Arquivos Em Odontologia, 59, 164–172. https://doi.org/10.35699/2178-1990.2023.40886

Issue

Section

Artigos

Most read articles by the same author(s)