Evidence map›Paper›PMID 28083880›Full record

ArticleCommunity dentistry and oral epidemiology2017

Oral health-related quality-of-life scores differ by socioeconomic status and caries experience.

Benjamin W Chaffee, Priscila Humbert Rodrigues, Paulo Floriani Kramer, Márcia Regina Vítolo, Carlos Alberto Feldens

Abstract read
In one paragraph

Article in Community dentistry and oral epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 4 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 4 syntheses or guidelines pooled it, 272 citations in OpenAlex.

  1. Pooled it
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  3. Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp therapy: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
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  19. Impact of pulp involvement due to caries on oral health-related quality of life in Brazilian schoolchildren: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
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44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Benjamin W ChaffeeDepartment of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, CA, USA.
Priscila Humbert RodriguesDepartment of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.
Paulo Floriani KramerDepartment of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.
Márcia Regina VítoloDepartment of Nutrition, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
Carlos Alberto FeldensDepartment of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.
Universidade Luterana do Brasil · BRUniversidade Federal de Ciências da Saúde de Porto Alegre · BRUniversity of California, San Francisco · US

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Biomarker Research in Musculoskeleton DiseaseK24AR051895 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BAUER, DOUGLAS C · 2005 to 2015
$1.5M
Maternal Nutrition Education and Early Childhood Caries: A Randomized Field TrialF30DE022208 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHAFFEE, BENJAMIN W · 2011 to 2012
$57k
NCATS NIH HHS KL2 TR000143NCATS NIH HHS KL2 TR001870NIAMS NIH HHS K24 AR051895NIDCR NIH HHS F30 DE022208
6 · The paper itself

Abstract

objectives(i) Quantify the relative association between child dental caries experience and maternal-reported child oral health-related quality of life (OHRQoL); (ii) examine whether that association differed according to family socioeconomic status (SES); and (iii) explore whether absolute OHRQoL varied by family SES at similar levels of child caries experience.

methodsThis study was a cross-sectional analysis of children in southern Brazil (n=456, mean age: 38 months) participating in an existing health centre-based intervention study. OHRQoL impact was quantified as mean score on the Brazilian Early Childhood Oral Health Impact Scale (ECOHIS) and compared over categories of caries experience (dmft: 0, dmft: 1-4, dmft: ≥5). Adjusted ECOHIS ratios between caries categories were calculated using regression modelling, overall and within socioeconomic strata defined by maternal education, social class and household income.

resultsCaries prevalence (dmft >0) was 39.7%, mean ECOHIS score was 2.0 (SD: 3.5), and 44.3% of mothers reported OHRQoL impact (ECOHIS score >0). Increasing child caries experience was associated with worsening child and family quality of life: ECOHIS scores were 3.0 times greater (95% CI: 2.0, 4.4) for children with dmft ≥5 vs dmft=0, a pattern that persisted regardless of family socioeconomic status (P for interaction: all >0.3). However, adjusted for dental status and sociodemographic characteristics, mean ECOHIS scores were lower when reported by mothers of less educational attainment (ratio: 0.7; 95% CI: 0.5, 1.0), lower social class (ratio: 0.7; 95% CI: 0.5, 1.0) or in lower income households (ratio: 0.8; 95% CI: 0.6, 1.3).

conclusionDental caries was associated with negative child and family experiences and lower OHRQoL across all social groups; yet, families facing greater disadvantage may report lesser quality-of-life impact at the same level of disease experience. Thus, subjective quality-of-life measures may differ under varying social contexts, with possible implications for service utilization, evaluating oral health interventions, or quantifying disease morbidity in low-SES groups.

Indexed as

Quality of LifeSocial ClassAdultBrazilChild, PreschoolCross-Sectional StudiesDental CariesFemaleHumansMaleMaternal AgeMothersOral HealthPrevalenceearly childhood cariesepidemiologyhealth disparitieshealth perceptionsquality of life

Identifiers

PMID28083880
PMCPMC5506781
OpenAlexW2577365655

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.