Traumatic Dental Injuries Treatment and Oral Health Related to Quality of Life
Condition: Trauma Dental; Quality of Life
Study type: Interventional

Summary: 
      The aim of this research was to assess the impact of Oral Health-Related Quality of Life
      (OHRQoL) on children and their families affected by Traumatic Dental Injury (TDI) after
      insertion into a Dental Trauma Care Program (DTCP). After a sample size calculation, this
      non-randomized clinical study was composed of a consecutive sample of 2 to 6-year-old
      children registered in the DTCP from 2012-2019. Parents/Caregivers were interviewed to fill
      up an OHRQoL questionnaire. The Brazilian version of the Early Childhood Oral Health Impact
      Scale (B-ECOHIS) was applied (in form of an interview) to evaluate the impact of TDI on
      OHRQoL before, and after treatment. The scores of the B-ECOHIS were calculated using the
      additive method, summing the numeric response codes for each item. The Andreassen
      classification was used to determine the TDI. The patients were treated (minimally
      intervention/invasive intervention) according to TDI severity (uncomplicated/complicated).
      The Kolmogorov-Smirnov test was performed to evaluate the normality of the data to determine
      the use of parametric or non-parametric tests. Mean or median comparisons were made for items
      in the overall scale and subscale scores to compare B-ECOHIS total scale/subscales/domains
      before and after insertion in DTCP. The responsiveness was assessed by analyzing the change
      in the scores on the scales and subscales. The changes were calculated by subtracting the
      post-treatment scores from the before-treatment scores. Positive change scores indicate an
      improvement in OHRQoL, while negative scores indicate deterioration. TDI severity and
      treatment-associated were also evaluated.
    

Detailed description: 
      It is recognized that measurements OHRQoL are essential strategies of oral health surveys,
      clinical trials, and studies evaluating the outcomes of preventive and therapeutic program.
      In the literature it is observed efficacy on OHRQoL outcomes focused on oral health education
      (OHE) associated to: atraumatic restorative treatment (ART), dental caries, gingivitis.

      In the literature it is also seen that the presence of TDI is associated to negative impact
      on OHRQoL)that affects physical and psychosocial consequences for children and their
      families. The treatment of TDI is a challenge, that it is related to an improvement on famil
      and on children from 8 to 14 years and attended in a center of surveillance for TDI.

      For a broader understanding of the consequences of outcomes of preventive and therapeutic
      program for TDI, it is important to expand the assessment of its performance using an OHRQoL
      measure for other ages of children.
    

Intervention name(s): TDI treatment
Intervention type(s): Procedure
Intervention description(s): The TDI treatment was performed according to its complexity. Uncomplicated TDI received minimally invasive treatment (simple restorations and clinical and radiographic follow-up). Complicated TDI received invasive treatment (more complex restorations, endodontic treatment, confection of aesthetic devices, restraints).
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: oral heath; quality of life; tooth injuries; children; family