Thesis

Long-term oral and general health outcomes in adolescents who had extensive decay in early childhood

Publisher
Dentistry Diet Pacific Area
Description

Dental caries has been shown to be the most prevalent chronic disease in early childhood. Early childhood caries (ECC) has been linked to higher caries experience in adolescence. Common risk factors associated with dental caries – oral hygiene, diet, SES, and ethnicity – have also been associated with poorer oral health (dental erosion and periodontal health) and general health (adiposity and psychological health) conditions. Long-term studies suggest that behaviours established in early childhood are maintained into adulthood. The current study aimed to assess if children who had comprehensive dental treatment under general anaesthesia for early childhood caries had higher risk of poorer oral and general health in adolescence than children who had not. The specific objectives were to assess the effect of early childhood caries on oral and general health outcomes in adolescents, to assess the associations between oral and general health measures in adolescence, and to assess the impact of the common risk factors on health in adolescence. An in vivo matched case-control study was designed to assess the differences between children who had comprehensive dental treatment under general anaesthesia in early childhood and those who had minimal or no dental problems in early childhood. The case group was selected from Paediatric Dentistry records at the School of Dentistry. The control group was either volunteered by the case group or randomly identified from School Dental Service data. All children completed questionnaires to assess oral health behaviours, diet, self-esteem, dental anxiety, and oral-health-related-quality-of-life. They also received a clinical assessment that recorded dental caries status, erosion status, periodontal health status, and malocclusion status of the teeth. General health (adiposity) was clinically assessed through the child's height, weight, and waist circumference. Univariate and bivariate statistics were computed using SPSS version 19 and STATA version 10. The level of significance was set at p

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