Determinants of parental report of dental pain and discomfort in preschool children—The Dental Discomfort Questionnaire

Background Pain is a major consequence of caries, which negatively impacts the quality of life of children and their families. Aim To analyse the parental report of dental pain and discomfort in preschool children, and to identify clinical and sociodemographic factors associated. Design This cross‐s...

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Bibliographic Details
Published in:International journal of paediatric dentistry 2020-07, Vol.30 (4), p.436-444
Main Authors: Felipak, Patricia Kochany, Menoncin, Bruna Leticia Vessoni, Reyes, Magdalena Raquel Torres, Costa, Luciane Rezende, Souza, Juliana Feltrin, Menezes, José Vitor Nogara Borges
Format: Article
Language:English
Subjects:
Caregivers
Children
Dental caries
Dentistry
Families & family life
Pain
Pain perception
Preschool children
Quality of life
Questionnaires
Sociodemographics
Socioeconomic factors
Toothache
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Summary:Background Pain is a major consequence of caries, which negatively impacts the quality of life of children and their families. Aim To analyse the parental report of dental pain and discomfort in preschool children, and to identify clinical and sociodemographic factors associated. Design This cross‐sectional study involved 375 four‐ and five‐year‐old preschoolers enrolled in the city of Campo Magro public school system, along with their parents and caregivers. Parents/caregivers answered the Brazilian version of the Dental Discomfort Questionnaire (DDQ‐B) and a sociodemographic questionnaire. Two examiners (kappa > 0.79) performed clinical examinations using dmf‐t and pufa index. The associations were statistically analysed by univariate and multiple Poisson regression with robust variance (α = 0.05). Results The prevalence of dental pain and discomfort was 70.3% (66%‐75% 95% CI). Children from non‐nuclear families (PRa 1.33; 95% CI: 1.01‐1.76) and whose parents presented a lower level of education (PRa 2.43; 95% CI 1.66‐3.55) presented a higher prevalence of dental pain or discomfort. Considering the clinical determinants, after adjusting, only the presence of clinical consequences of untreated dental caries (pufa ≥ 1) (PRa 1.37; 95% CI 1.02‐1.84) was significantly associated with higher dental pain or discomfort. Conclusions Dental pain and discomfort were associated with socioeconomic factors and with the presence of clinical consequences of untreated dental caries.
ISSN:0960-7439
1365-263X
DOI:10.1111/ipd.12614