Clinical Effects of Dental Caries on the Quality of Life of Paediatric Patients Aged 8-10 Years: Utilisation of the PUFA Index

Oral Health Prev Dent. 2023 Apr 4:21:113-120. doi: 10.3290/j.ohpd.b4009717.

Abstract

Purpose: Saudi children have poor oral health; however, little data are available on the effects of dental caries and its clinical complications on the oral health-related quality of life (OHRQoL) in school-aged children. This study evaluated the impact of caries and its clinical effects on the OHRQoL of a sample of 8- to 10-year-old children attending King Abdulaziz University Hospital.

Materials and methods: The following variables were assessed for each child: sociodemographic data, OHRQoL using an Arabic-validated Child Perception Questionnaire for 8- to 10-year-old children (CPQ8-10), and two global health rating questions. Caries and its clinical effects on oral health were also assessed using the decayed-missing-filled teeth (dmft/DMFT) and pulpal involvement, ulceration, fistula, and abscess (pufa/PUFA) indices. Descriptive statistics of the sociodemographic variables and responses to the CPQ8-10 questions are presented as absolute values and percentages. The CPQ8-10 scores between children with different dmft/DMFT and pufa/PUFA scores were compared.

Results: In total, 169 children participated in this study. The means ± SD of dmft and DMFT were 5.03 ± 2.5 and 2.35 ± 1.7, respectively. However, the pufa and PUFA scores were 1.03 ± 1.6 and 0.05 ± 0.2, respectively. The most common oral health complaint affecting OHRQoL was food stuck to the teeth. Participants with higher dmft and pufa/PUFA scores had statistically significantly higher CPQ8-10 scores than did their counterparts.

Conclusion: High dmft and pufa/PUFA scores have a statistically signifcantly negative effect on the OHRQoL among healthy 8- to 10-year-old children. Worse global health ratings correlate with lower OHRQoL.

Keywords: dental caries; oral health; paediatric dentistry; quality of life; school-age population.

MeSH terms

  • Child
  • DMF Index
  • Dental Caries* / epidemiology
  • Health Status
  • Humans
  • Oral Health
  • Quality of Life
  • Surveys and Questionnaires
  • Tooth Loss*

Grants and funding

This research work was funded by Institutional Fund Projects under grant no. IFPIP 335-165-1443. The authors gratefully acknowledge technical and financial support provided by the Ministry of Education and King Abdul Aziz University, DSR, Jeddah, Saudi Arabia. The authors would like to thank Dr. Dania Bhadila for her valuable comments and suggestions.