The impact of malocclusion on the oral health related quality of life of 11-14-year-old children

Jagan K Baskaradoss 1, Amrita Geevarghese 2, Waad Alsaadi 3, Huda Alemam 4, Amjad Alghaihab 5 6, Amal Saad Almutairi 7, Abeer Almthen 8

Affiliations

doi: 10.1186/s12887-022-03127-2

Abstract

Background: The relationship between malocclusion and the oral health related quality of life (OHRQoL) of children needs to be explored further as existing literature presents conflicting evidence. This study aims to determine the association between malocclusion and OHRQoL of 11-14-year-old children.

Methods: This cross-sectional study was conducted among 250 caregiver/child dyads seeking orthodontic consultation at a tertiary care hospital. The OHRQoL was assessed using child perception questionnaire for 11-14-year-old children (CPQ11-14) and the severity of malocclusion was assessed using the Dental Aesthetic Index (DAI). CPQ11-14 scores ranged from 0 to 64, with lower scores representing better quality of life. Analysis of variance (ANOVA) was used to assess differences between domain and total CPQ11-14 scores.

Results: The mean CPQ11-14 score was 19.89 ± 9.8. Mean scores for the oral symptoms, functional limitations, emotional well-being, and social well-being domains were 5.26 ± 3.22, 3.67 ± 3.58, 3.98 ± 3.89 and 2.08 ± 2.98, respectively. Normal or slight malocclusion was seen in 37.6%, definite malocclusion was seen in 22.4%, severe malocclusion in 15.2% and handicapping malocclusion in 24.8% of the subjects. In comparisons by pairs, it was found that children with handicapping malocclusion had significantly (p < 0.05) higher scores for the social well-being domain as compared with children having normal/minor malocclusion, indicating a poorer quality of life.

Conclusion: Handicapping malocclusion had a significant negative impact on the social well-being domain of OHRQoL among 11-14-year-old children in this population.

Conflict of interest statement

The authors declare that they have no competing interests.

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References

  1.  
    1. Baskaradoss JK, Bhagavatula P. Burt and Eklund' s Dentistry, Dental Practice, and the Community. In: Mascarenhas AK, Okunseri C, Dye B, editors. Measurement and Distribution of Malocclusion, Trauma, and Congenital Anomalies. 7. Philadelphia: WB Saunders Company; 2020. pp. 208–217.
  2.  
    1. Proffit WR, Fields HW, Jr, Moray LJ. Prevalence of malocclusion and orthodontic treatment need in the United States: estimates from the NHANES III survey. Int J Adult Orthodon Orthognath Surg. 1998;13(2):97–106. - PubMed
  3.  
    1. Thilander B, Pena L, Infante C, Parada SS, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod. 2001;23(2):153–167. doi: 10.1093/ejo/23.2.153. - DOI - PubMed
  4.  
    1. Borzabadi-Farahani A, Borzabadi-Farahani A, Eslamipour F. Malocclusion and occlusal traits in an urban Iranian population. An epidemiological study of 11- to 14-year-old children. Eur J Orthod. 2009;31(5):477–484. doi: 10.1093/ejo/cjp031. - DOI - PubMed
  5.  
    1. Grippaudo C, Paolantonio EG, Deli R, La Torre G. Orthodontic treatment need in the Italian child population. Eur J Paediatr Dent. 2008;9(2):71–75. - PubMed
  6.  
    1. Dawoodbhoy I, Delgado-Angulo EK, Bernabe E. Impact of malocclusion on the quality of life of Saudi children. Angle Orthod. 2013;83(6):1043–1048. doi: 10.2319/012713-83.1. - DOI - PMC - PubMed
  7.  
    1. World Health Organization (WHO) Health through oral health: guidelines for planning and monitoring for oral health care. World Health Organization (WHO) and Fédération Dentarie Internationale. London: Quintessence; 1989.
  8.  
    1. Gift HC, Atchison KA, Dayton CM. Conceptualizing oral health and oral health-related quality of life. Soc Sci Med. 1997;44(5):601–608. doi: 10.1016/S0277-9536(96)00211-0. - DOI - PubMed
  9.  
    1. Aldrigui JM, Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bonecker M, Raggio DP. Impact of traumatic dental injuries and malocclusions on quality of life of young children. Health Qual Life Outcomes. 2011;9:78. doi: 10.1186/1477-7525-9-78. - DOI - PMC - PubMed
  10.  
    1. Barbosa TS, Gaviao MB. Oral health-related quality of life in children: part II. Effects of clinical oral health status. a systematic review. Int J Dent Hyg. 2008;6(2):100–107. doi: 10.1111/j.1601-5037.2008.00293.x. - DOI - PubMed
  11.  
    1. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25(4):284–290. doi: 10.1111/j.1600-0528.1997.tb00941.x. - DOI - PubMed
  12.  
    1. Broder HL, McGrath C, Cisneros GJ. Questionnaire development: face validity and item impact testing of the Child Oral Health Impact Profile. Community Dent Oral Epidemiol. 2007;35(Suppl 1):8–19. doi: 10.1111/j.1600-0528.2007.00401.x. - DOI - PubMed
  13.  
    1. Pahel BT, Rozier RG, Slade GD. Parental perceptions of children's oral health: the Early Childhood Oral Health Impact Scale (ECOHIS) Health Qual Life Outcomes. 2007;5:6. doi: 10.1186/1477-7525-5-6. - DOI - PMC - PubMed
  14.  
    1. Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002;81(7):459–463. doi: 10.1177/154405910208100705. - DOI - PubMed
  15.  
    1. Feu D, de Oliveira BH, de Oliveira Almeida MA, Kiyak HA, Miguel JA. Oral health-related quality of life and orthodontic treatment seeking. Am J Orthod Dentofacial Orthop. 2010;138(2):152–159. doi: 10.1016/j.ajodo.2008.09.033. - DOI - PubMed
  16.  
    1. Brown A, Al-Khayal Z. Validity and reliability of the Arabic translation of the child oral-health-related quality of life questionnaire (CPQ11-14) in Saudi Arabia. Int J Paediatr Dent. 2006;16(6):405–411. doi: 10.1111/j.1365-263X.2006.00775.x. - DOI - PubMed
  17.  
    1. Bhayat A, Ali MA. Validity and reliability of the Arabic short version of the child oral health-related quality of life questionnaire (CPQ 11–14) in Medina. Saudi Arabia East Mediterr Health J. 2014;20(8):477–482. doi: 10.26719/2014.20.8.477. - DOI - PubMed
  18.  
    1. Cons NC, Jenny J, Kohout FJ, Songpaisan Y, Jotikastira D. Utility of the dental aesthetic index in industrialized and developing countries. J Public Health Dent. 1989;49(3):163–166. doi: 10.1111/j.1752-7325.1989.tb02054.x. - DOI - PubMed
  19.  
    1. World Health Organization. Oral health surveys: basic Methods, 5th edition. Geneva: World Health Organization; 2013.
  20.  
    1. Baskaradoss JK, Geevarghese A, Roger C, Thaliath A. Prevalence of malocclusion and its relationship with caries among school children aged 11–15 years in southern India. Korean J Orthod. 2013;43(1):35–41. doi: 10.4041/kjod.2013.43.1.35. - DOI - PMC - PubMed
  21.  
    1. Cons NC, Jenny J, Kohout FJ, Jakobsen J, Shi Y, Ying WH, Pakalns G. Comparing ethnic group-specific DAI equations with the standard DAI. Int Dent J. 1994;44(2):153–158. - PubMed
  22.  
    1. Agou S, Locker D, Streiner DL, Tompson B. Impact of self-esteem on the oral-health-related quality of life of children with malocclusion. Am J Orthod Dentofacial Orthop. 2008;134(4):484–489. doi: 10.1016/j.ajodo.2006.11.021. - DOI - PubMed
  23.  
    1. Barbosa TS, Tureli MC, Gaviao MB. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health. 2009;9:13. doi: 10.1186/1472-6831-9-13. - DOI - PMC - PubMed
  24.  
    1. Locker D, Allen F. What do measures of 'oral health-related quality of life' measure? Community Dent Oral Epidemiol. 2007;35(6):401–411. doi: 10.1111/j.1600-0528.2007.00418.x. - DOI - PubMed
  25.  
    1. Kolawole KA, Otuyemi OD, Oluwadaisi AM. Assessment of oral health-related quality of life in Nigerian children using the Child Perceptions Questionnaire (CPQ 11–14) Eur J Paediatr Dent. 2011;12(1):55–59. - PubMed
  26.  
    1. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, Initiative S. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS medicine. 2007;4(10):e296. doi: 10.1371/journal.pmed.0040296. - DOI - PMC - PubMed
  27.  
    1. Jenny J, Cons NC, Kohout FJ, Jakobsen J. Predicting handicapping malocclusion using the Dental Aesthetic Index (DAI) Int Dent J. 1993;43(2):128–132. - PubMed
  28.  
    1. Kragt L, Dhamo B, Wolvius EB, Ongkosuwito EM. The impact of malocclusions on oral health-related quality of life in children-a systematic review and meta-analysis. Clin Oral Investig. 2016;20(8):1881–1894. doi: 10.1007/s00784-015-1681-3. - DOI - PMC - PubMed
  29.  
    1. Jenny J, Cons NC. Establishing malocclusion severity levels on the Dental Aesthetic Index (DAI) scale. Aust Dent J. 1996;41(1):43–46. doi: 10.1111/j.1834-7819.1996.tb05654.x. - DOI - PubMed
  30.  
    1. Locker D, Jokovic A, Tompson B, Prakash P. Is the Child Perceptions Questionnaire for 11–14 year olds sensitive to clinical and self-perceived variations in orthodontic status? Community Dent Oral Epidemiol. 2007;35(3):179–185. doi: 10.1111/j.1600-0528.2006.00324.x. - DOI - PubMed
  31.  
    1. Kassis A, El Osta N, Tubert-Jeannin S, Hennequin M, El Osta L, Ghoubril J. Cross-cultural adaptation and validation of the child perceptions questionnaire (CPQ11-14) among children in Lebanon. BMC Oral Health. 2018;18(1):18. doi: 10.1186/s12903-018-0482-x. - DOI - PMC - PubMed
  32.  
    1. Foster Page LA, Thomson WM, Jokovic A, Locker D. Validation of the Child Perceptions Questionnaire (CPQ 11–14) J Dent Res. 2005;84(7):649–652. doi: 10.1177/154405910508400713. - DOI - PubMed
  33.  
    1. de Paula Junior DF, Santos NC, da Silva ET, Nunes MF, Leles CR. Psychosocial impact of dental esthetics on quality of life in adolescents. Angle Orthod. 2009;79(6):1188–1193. doi: 10.2319/082608-452R.1. - DOI - PubMed
  34.  
    1. Tessarollo FR, Feldens CA, Closs LQ. The impact of malocclusion on adolescents' dissatisfaction with dental appearance and oral functions. Angle Orthod. 2012;82(3):403–409. doi: 10.2319/031911-195.1. - DOI - PubMed

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