Department of Paediatric Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil.
Department of Paediatric Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil.
J Dent. 2023 Jun;133:104506. doi: 10.1016/j.jdent.2023.104506. Epub 2023 Apr 5.
To identify a structural model for the identification of psychosocial associated factors of early childhood caries (ECC) and oral health-related quality of life (OHRQoL) in preschool children and their families.
A population-based cross-sectional study was conducted with 533 preschool children from 4 to 6 years-old public and private preschools, from Ribeirão das Neves, MG. Parents/caregivers self-completed the Brazilian versions of the Early Childhood Oral Health Impact Scale (B-ECOHIS) and Resilience Scale as well as a structured questionnaire addressing socioeconomic status and child's oral health behavior. Two dentists who had undergone training and calibration exercises for ICDAS‑epi and pufa index (Kappa≥0.95) performed the examinations for ECC. Stages of ECC were classified as free of visible carious lesion, initial caries, moderate caries, extensive caries without pulp consequences and extensive caries with pulp consequences. Data were analyzed using structural equation modeling, using Mplus version 8.6.
Lower socioeconomic status (b=-0.250; p<0.001) and higher frequency of free sugar consumption (b = 0.122; p = 0.033) were directly associated with a more severe stage of ECC. Lower parental resilience had an indirect impact on more severe stage of ECC which was mediated by the variable 'frequency of free sugar consumption' (b=-0.089; p = 0.048). ECC was associated with lower child's OHRQoL (b = 0.587; p<0.001) and lower family's OHRQoL (b = 0.506; p<0.001).
Structural modeling revealed that the severity of ECC negatively impacted the OHRQoL of preschoolers and their families. The main associated factors of the severity of ECC were lower socioeconomic status, higher frequency of free sugar consumption and lower parental resilience.
T The findings indicate that psychosocial and behavior variables can be associated with the severity of ECC, and ECC can be associated with negative impact on wellbeing and ability to perform daily activities of preschoolers and their families.
确定一个结构模型，以识别与学龄前儿童的心理社会相关因素和口腔健康相关生活质量（OHRQoL）相关的因素，并分析这些因素与早期儿童龋（ECC）的关系。
本研究为基于人群的横断面研究，共纳入了来自米纳斯吉拉斯州里贝朗普雷图市的 533 名 4 至 6 岁的公立和私立幼儿园的学龄前儿童及其家长/照顾者。家长/照顾者自行完成了巴西版早期儿童口腔健康影响量表（B-ECOHIS）和韧性量表的测试，同时还填写了一份关于社会经济状况和儿童口腔健康行为的结构化问卷。两位经过 ICDAS-epi 和 pufa 指数培训和校准的牙医（Kappa≥0.95）对 ECC 进行了检查。ECC 的分期为无可见龋损、初始龋、中度龋、无牙髓影响的广泛龋和有牙髓影响的广泛龋。使用 Mplus 版本 8.6 进行结构方程模型分析。
较低的社会经济地位（b=-0.250；p<0.001）和较高的游离糖消费频率（b=0.122；p=0.033）与 ECC 更严重的分期直接相关。较低的父母韧性对 ECC 更严重的分期有间接影响，这种影响是通过“游离糖消费频率”这一变量来介导的（b=-0.089；p=0.048）。ECC 与儿童口腔健康相关生活质量（b=0.587；p<0.001）和家庭口腔健康相关生活质量（b=0.506；p<0.001）的降低有关。
结构模型表明，ECC 的严重程度对学龄前儿童及其家庭的口腔健康相关生活质量有负面影响。ECC 严重程度的主要相关因素为较低的社会经济地位、较高的游离糖消费频率和较低的父母韧性。
心理社会和行为变量可能与 ECC 的严重程度相关，ECC 可对学龄前儿童及其家庭的生活质量和日常活动能力产生负面影响。
