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Effects of dental treatment and systemic disease on oral health-related quality of life in Korean pediatric patients

Cited 3 time in Web of Science Cited 3 time in Scopus
Authors
Song, Ji-Soo; Hyun, Hong-Keun; Shin, Teo Jeon; Kim, Young-Jae
Issue Date
2018-05-29
Publisher
BioMed Central
Citation
BMC Oral Health, 18(1):92
Keywords
ChildDental treatmentSystemic diseaseOral health-related quality of life
Abstract
Background
The findings that not only dental caries but also systemic disease can exert a negative effect on oral health-related quality of life (OHRQoL), and that dental treatment can improve OHRQoL have been confirmed in multiple studies. The purpose of this study is to investigate the impact of dental treatment on OHRQoL of Korean pediatric patients and the differences in OHRQoL between patients with and without systemic disease.

Methods
All the primary caregivers of pediatric patients who underwent dental treatments under either general anesthesia or intravenous deep sedation at Seoul National University Dental Hospital completed abbreviated versions of the Child Oral Health Impact Profile (COHIP-14) and Family Impact Scale (FIS-12) surveys on OHRQOL pre- and post-treatment (average: 2.4 ± 1.7 months after dental treatment). This is a case control study with patients divided into two groups according to the presence or absence of systemic disease.

Results
Data from 93 pediatric patients (46 male and 47 female, average patient age: 5.0 ± 3.4 years) were analyzed to compare OHRQoL before and after treatment with the Wilcoxon signed-rank test and to calculate the effect size using Cohens d. All of the patients exhibited an improvement in OHRQoL (COHIP-14: p <  0.001, effect size = 1.0; FIS-12: p <  0.001, effect size = 0.7). Patients with systemic diseases demonstrated lower OHRQoL in both pre- and post-treatment surveys than patients without systemic diseases (Wilcoxon Rank-sum test, both COHIP-14 and FIS-12: p <  0.05). The COHIP-14 appears to have a greater impact on the FIS-12 in patients with systemic disease than those without (explanatory power of 65.3 and 44.6%, respectively).

Conclusions
Based on the primary caregivers perceptions, dental treatment can improve the OHRQoL in Korean pediatric patients. Systemic disease results in a reduced OHRQoL, and the awareness of patients oral health appeared to have a greater impact on OHRQoL for family members of patients with a systemic disease.


Trial registration
KCT0002473(Clinical Research Information Service, Republic of Korea) and 22 Sep 2017, retrospectively registered.
ISSN
1472-6831
Language
English
URI
https://hdl.handle.net/10371/142751
DOI
https://doi.org/10.1186/s12903-018-0552-0
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College of Dentistry/School of Dentistry (치과대학/치의학대학원)Dental Research Institute (치학연구소)Journal Papers (저널논문_치학연구소)
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