ArticleBMC oral health2025
Impact of the severity and extension of dental caries lesions on Turkish preschool children's oral health-related quality of life: a cross-sectional study.
Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Early Childhood Caries and Oral Health-Related Quality of Life in Preschool Children: A Systematic Review.Journal of clinical medicine · 2026Review
- Quality and guideline adherence of child-oriented toothbrushing videos on YouTube: a comparative study of Turkish and English content.BMC oral health · 2026Article
- Does stunting modify the impact of salivary factors and early childhood caries on oral health-related quality of life?BMC public health · 2026Article
- Oral health related quality of life in a group of Egyptian preschool children with early childhood caries: a cross-sectional study.BMC oral health · 2026Observational
- Investigating oral microbiome profiles of children with cleft lip and palate in different states of caries.Journal of oral microbiology · 2026Article
- Maternal age and oral health-related quality of life in preschool children: the mediating role of dental caries in a cross-sectional study.Frontiers in oral health · 2026Article
- Association of parental oral health literacy, early childhood oral health behaviors, and caries severity with oral health-related quality of life among preschool children.BMC oral health · 2025Article
- COVID-19 and Its Aftermath on Pediatric Oral Health: A Study of Dental Caries and Hygiene in Romanian Children.Children (Basel, Switzerland) · 2025Article
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3 authors.
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Abstract
backgroundDental caries is a prevalent oral disease affecting young children, leading to significant negative impacts on oral health-related quality of life (OHRQoL). This study aims to evaluate the relationship between extension of dental caries lesions and OHRQoL in children aged 3-6 years using the Early Childhood Oral Health Impact Scale (ECOHIS).
methodsThis cross-sectional study involved 300 children aged 3-6 years and their parents or caregivers. Clinical examinations were conducted using the decayed, missing, and filled teeth (dmft) Index, the pufa Index, and the International Caries Detection and Assessment System (ICDAS) II. The ECOHIS was administered through interviews with parents or caregivers to assess the impact of dental caries on OHRQoL. Statistical analyses, including Kruskal-Wallis and binomial logistic regression, were performed to evaluate the relationship between pufa scores and ECOHIS results.
resultsThe findings revealed a significant negative impact of dental caries on OHRQoL (p < 0.05). The mean ECOHIS score was 0.62 ± 0.552, with higher scores observed in children with a pufa Index score > 0 compared to those with a pufa Index score of 0 (p < 0.05). Significant impacts were observed in specific ECOHIS items, such as oral/dental pain (mean score 1.61 ± 1.13), difficulty eating (mean score 1.26 ± 1.26), and trouble sleeping (mean score 0.528 ± 0.942). Parental distress was also notably high, with significant scores in feeling upset (mean score 1.07 ± 1.31) and feeling guilty (mean score 0.929 ± 1.26). Binomial logistic regression analysis showed that a higher pufa score was a significant predictor of increased ECOHIS scores (adjusted OR = 1.929, p = 0.039). The dmft score also significantly predicted higher ECOHIS scores (adjusted OR = 6.597, p = 0.048). Spearman correlation analysis revealed a significant positive correlation between pufa and ECOHIS scores (r = 0.33, p < 0.05).
conclusionsThe study demonstrates that extension of dental caries lesions, particularly when measured by the pufa Index, significantly impacts specific aspects of OHRQoL, including pain, eating difficulties, and sleep disturbances in children, as well as emotional distress in parents. Early detection and management of dental caries are crucial in improving the quality of life for affected individuals. Dental practitioners should prioritize preventive measures and parental education to mitigate the adverse effects of dental caries.
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