Robinson P.G., Nalweyiso N., Busingye J., Whitworth J.
School of Clinical Dentistry, University of Sheffield, United Kingdom; Medical Research Council Programme on AIDS, c/o Uganda Virus Research Institute, Entebbe, Uganda; School of Clinical Dentistry, University of Sheffield, Claremont Cresent, Sheffield S10 2TA, United Kingdom
Robinson, P.G., School of Clinical Dentistry, University of Sheffield, United Kingdom, School of Clinical Dentistry, University of Sheffield, Claremont Cresent, Sheffield S10 2TA, United Kingdom; Nalweyiso, N., Medical Research Council Programme on AIDS, c/o Uganda Virus Research Institute, Entebbe, Uganda; Busingye, J., Medical Research Council Programme on AIDS, c/o Uganda Virus Research Institute, Entebbe, Uganda; Whitworth, J., Medical Research Council Programme on AIDS, c/o Uganda Virus Research Institute, Entebbe, Uganda
Objective: Describe the oral health related quality of life among a group of children in rural Uganda and compare impacts on oral health related quality of life associated with dental caries and fluorosis. Basic Research Design: Cross-sectional clinical and questionnaire analytical study. Participants: Proportional sample of 174 12 year olds attending primary schools in a rural sub-county of Uganda. Outcome measures: Clinical assessments using WHO basic methods and the Thylstrup and Fejerskov index of Fluorosis (TFI). Child Oral Health Related Quality of Life data collected with self-administered child perception questionnaire (CPQ 11-14). Results: Two thirds of children reported a dental impact 'often' or 'everyday'. The mean number of impacts per child at this threshold was 2.6 and the mean total CPQ 11-14 score was 25.8 (sd 21.1). Mean DMFT was 0.68. No children had fillings. Forty-one children had dental fluorosis with 10 having scores greater than 2. CPQ 11-14 showed acceptable criterion validity and reliability. The number of sites with gingivitis or the presence of calculus or trauma were not associated with summary measures of CPQ 11-14 whereas having any dental caries or treatment experience was associated with higher total scores and more impacts. Socially noticeable fluorosis (TFI >2) was associated with more impacts but not with higher total scores. Conclusions: Despite low levels of oral disease these children experience appreciable impacts on oral health related quality of life. The greatest burden was associated with dental caries and to a lesser extent, fluorosis. © BASCD 2005.
article; attitude to health; child; classification; cross-sectional study; dental caries; female; gingivitis; health; health survey; human; male; mouth hygiene; psychological aspect; quality of life; reproducibility; tooth calculus; tooth disease; tooth pain; Uganda; Attitude to Health; Child; Cross-Sectional Studies; Dental Calculus; Dental Caries; DMF Index; Female; Fluorosis, Dental; Gingivitis; Humans; Male; Oral Hygiene; Quality of Life; Reproducibility of Results; Rural Health; Toothache; Uganda