ArticleOral health & preventive dentistry2026
Impact of Caries-Related Pulp Involvement on Oral Health-Related Quality of Life Among Turkish Preschool Children: A Cross-Sectional Study.
Article in Oral health & preventive dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo assess the impact of early childhood caries (ECC) and caries-related pulpal involvement on the oral health-related quality of life (OHRQoL) of Turkish preschool children aged 12 to 72 months using the Early Childhood Oral Health Impact Scale (ECOHIS). MATERIALS AND
methodsA total of 354 children aged 12 to 72 months with ECC and their parents/caregivers participated in this cross-sectional study. Oral examinations were performed using the decayed, missing, and filled teeth (dmft) index and the pufa index, which records pulpal involvement (P/p), ulceration (U/u), fistula (F/f), and abscess (A/a), followed by a structured interview with parents/caregivers to complete the validated Turkish version of the 13-item ECOHIS questionnaire.
resultsThe prevalence and mean scores of ECC (dmft) and pufa were 77.1%/5.77 ± 4.78 and 50.8%/1.54 ± 2.11, respectively. Increasing severity of ECC was significantly associated with poorer OHRQoL (P 0.001). Children with pufa > 0 had significantly higher ECOHIS scores (15.64 ± 7.69) compared to those with pufa = 0 (7.16 ± 6.67) (P 0.001). Multiple linear regression analysis revealed that pulpal involvement was the strongest predictor of OHRQoL deterioration (B = 7.656, 95% CI 5.790 to 9.523, P 0.001), explaining 28% of the variance in ECOHIS scores.
conclusionECC and pulpal involvement adversely affected the OHRQoL of Turkish preschool children and their families. The pufa index provides a clinically meaningful complement to the dmft index in assessing the true burden of untreated caries.
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