Effect of self-perceived oral habits on orofacial dysfunction and oral health-related quality of life among a group of Egyptian children: a cohort study

M A A A Abd-Elsabour, R M H Hanafy, O M Omar, M A A A Abd-Elsabour, R M H Hanafy, O M Omar

Abstract

Purpose: This study aims to investigate the relationship between OHRQoL and orofacial dysfunction in children practicing oral habits.

Methods: Thirty Egyptian Children, aged from five to seven years, practicing oral habits (habit practicing/exposed group), were examined for orofacial dysfunction using Nordic Orofacial Test-Screen (NOT-S). Their parents were asked to fill 8-item Parental-Caregiver Perception Questionnaire (P-CPQ), translated to Arabic, as an assessment tool for their children's OHRQoL. The scores of the habit practicing group were compared to those obtained from another 30 children with matched criteria not practicing oral habits (habit free/ control group).

Results: Children in the exposure group showed higher total NOT-S score (median 3, range 1-5) and higher P-CPQ (median 6, range 1-16) than the control group (median 0.5, range 0-2) and (median 4, range 1-8), with a statistical significance (p = 0.00, p = 0.014), respectively. A statistically significant moderate positive correlation was found between OHRQoL and orofacial dysfunction in the habit practicing group, (R = 0.384, p = 0.036). The exposure group was found to be 7.4 and 1.5 times the control group in developing orofacial dysfunction, and having inferior OHRQoL, respectively.

Conclusion: An existing association between the degree of orofacial dysfunction and OHRQoL in children practicing oral habit(s) is suggested.

Trial registration number: NCT04575792, date of registration: 26/9/2020, first posted (approved): 5/10/2020.

Keywords: Children; Oral habits; Oral health-related quality of life; Orofacial dysfunction.

Conflict of interest statement

The authors have no conflict of interest to declare that is relevant to the content of this article.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
Bar chart illustrating the distribution of oral habits among the habit practicing group by number (n) and percentage (%)
Fig. 2
Fig. 2
Bar chart illustrating mean scores in various Nordic Orofacial Test-Screen interview domains and examination part in habit practicing and habit free groups
Fig. 3
Fig. 3
Bar chart illustrating mean values of various Parental-Caregiver Perception Questionnaire parts and total score in habit practicing and habit free groups
Fig. 4
Fig. 4
Correlation between total Nordic Orofacial Test-Screen and total Parental-Caregiver Perception Questionnaire scores in the habit practice group

References

    1. Almoznino G, Zini A, Sharav Y, Yanko R, Lvovsky A, Aframian DJ. Overlap between dental anxiety, gagging and blood-injection-injury related fears — a spectrum of one multidimensional phenomenon. Physiol Behav. 2016;165:231–238. doi: 10.1016/j.physbeh.2016.07.021.
    1. Al-Riyami IA, Thomson WM, Al-Harthi LS. Testing the Arabic short form versions of the parental-caregivers perceptions questionnaire and the family impact scale in Oman. Saudi Dent J. 2016;28(1):31–35. doi: 10.1016/j.sdentj.2015.08.001.
    1. Avivi-Arber L, Sessle BJ. Jaw sensorimotor control in healthy adults and effects of ageing. J Oral Rehabil. 2018;45(1):50–80. doi: 10.1111/joor.12554.
    1. Avivi-Arber L, Lee J-C, Sessle BJ. Progress in brain research. Amsterdam: Elsevier; 2011. Face sensorimotor cortex neuroplasticity associated with intraoral alterations; pp. 135–150.
    1. Bakke M, Bergendal B, McAllister A, Sjögreen L, Asten P. Development and evaluation of a comprehensive screening for orofacial dysfunction. Swed Dent J. 2007;31(2):75–84.
    1. Bassi GS, Humphris GM, Longman LP. The etiology and management of gagging: a review of the literature. J Prosthet Dent. 2004;91(5):459–467. doi: 10.1016/j.prosdent.2004.02.018.
    1. Batra M, Shah Aa, Gupta M. Oral habits and their implications Aas. Annals Medicus. 2014;1(4):179–186.
    1. Berger TD, Kenny DJ, Casas MJ, Barrett EJ, Lawrence HP. Effects of severe dentoalveolar trauma on the quality-of-life of children and parents. Dent Traumatol. 2009;25(5):462–469. doi: 10.1111/j.1600-9657.2009.00809.x.
    1. Collado V, Pichot H, Delfosse C, Eschevins C, Nicolas E, Hennequin M. Impact of early childhood caries and its treatment under general anesthesia on orofacial function and quality of life: a prospective comparative study. Medicina Oral Patología Oral y Cirugia Bucal. 2017 doi: 10.4317/medoral.21611.
    1. Coutinho D, Clementino L, Martins P, Dantas PC, Martins Júnior PA, Marques L, Ramos-Jorge ML. Malocclusion negatively impacted the oral health-related quality of life of children of low socioeconomic status. Arquivos Em Odontologia. 2020 doi: 10.7308/aodontol/2020.56.e09.
    1. da Silva LC, Vedovello SAS, Vedovello Filho M, Meneghin MC, Ambrosano Bovi GM, Degan VV. Anxiety and oral habits as factors associated with malocclusion. Cranio. 2019;39(3):1–5. doi: 10.1080/08869634.2019.1633492.
    1. DeCoster J, Gallucci M, Iselin A-MR. Best practices for using median splits, artificial categorization, and their continuous alternatives. J Exp Psychopathol. 2011;2(2):197–209. doi: 10.5127/jep.008310.
    1. Engel G. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–136. doi: 10.1126/science.847460.
    1. Farrag N, Awad S. Prevalence of oral habits among a group of Egyptian school children, and thier knowledge regarding its bad effect on oral health. Egypt Dent J. 2016;62(2):1349–55. doi: 10.21608/edj.2016.96994.
    1. Ghanizadeh A. Association of nail biting and psychiatric disorders in children and their parents in a psychiatrically referred sample of children. Child Adolesc Psychiatry Ment Health. 2008 doi: 10.1186/1753-2000-2-13.
    1. Hashem A, Kelly A, O’Connell B, O’Sullivan M. Impact of moderate and severe hypodontia and amelogenesis imperfecta on quality of life and self-esteem of adult patients. J Dent. 2013;41(8):689–694. doi: 10.1016/j.jdent.2013.06.004.
    1. Hernández JF, Díaz FCA, Vilchis MCV. Emerging trends in oral health sciences and dentistry. London: InTech; 2015. Oral health related quality of life; pp. 619–715.
    1. Izu SC, Itamoto CH, Pradella-Hallinan M, Pizarro GU, Tufik S, Pignatari S, Fujita RR. Obstructive sleep apnea syndrome (OSAS) in mouth breathing children. Braz J Otorhinolaryngol. 2010;76(5):552–556. doi: 10.1590/S1808-86942010000500003.
    1. Kappen IFPM, Bittermann GKP, Stock NM, Mink van der Molen AB, Breugem CC, Swanenburg de Veye HFN. Quality of life and patient satisfaction in adults treated for a cleft lip and palate: a qualitative analysis. Cleft Palate Craniofac J. 2019;56(9):1171–1180. doi: 10.1177/1055665619843410.
    1. Karibe H, Shimazu K, Okamoto A, Kawakami T, Kato Y, Warita-Naoi S. Prevalence and association of self-reported anxiety, pain, and oral parafunctional habits with temporomandibular disorders in Japanese children and adolescents: a cross-sectional survey. BMC Oral Health. 2015 doi: 10.1186/1472-6831-15-8.
    1. Kasparaviciene K, Sidlauskas A, Zasciurinskiene E, Vasiliauskas A, Juodzbalys G, Sidlauskas M, Marmaite U. The prevalence of malocclusion and oral habits among 5–7-year-old children. Med Sci Monit: Int Med J Exp Clin Res. 2014;20:2036. doi: 10.12659/MSM.890885.
    1. Kolawole KA, Folayan MO, Agbaje HO, Oyedele TA, Onyejaka NK, Oziegbe EO. Oral habits and malocclusion in children resident in Ile-Ife Nigeria. Eur Arch Paediatr Dent. 2019;20(3):257–265. doi: 10.1007/s40368-018-0391-3.
    1. Leal RB, Gomes MC, Granville-Garcia AF, Goes PSA, de Menezes VA. Impact of breathing patterns on the quality of life of 9- to 10-year-old schoolchildren. Am J Rhinol Allergy. 2016;30(5):e147–e152. doi: 10.2500/ajra.2016.30.4363.
    1. Leme MS, Barbosa TS, Gavião MBD, de Souza Barbosa T, Gavião MBD. Relationship among oral habits, orofacial function and oral health-related quality of life in children. Braz Oral Res. 2013;27(3):272–8. doi: 10.1590/S1806-83242013000300006.
    1. Leme M, Barbosa T, Castelo P, Gavião MBM. Associations between psychological factors and the presence of deleterious oral habits in children and adolescents. J Clin Pediatr Dent. 2014;38(4):313–7. doi: 10.17796/jcpd.38.4.c48238322205466w.
    1. Liu Z, McGrath C, Hägg U. The impact of malocclusion/orthodontic treatment need on the quality of life. Angle Orthod. 2009;79(3):585–591. doi: 10.2319/042108-224.1.
    1. Manfredini D, Landi N, Romagnoli M, Bosco M. Psychic and occlusal factors in bruxers. Aust Dent J. 2004;49(2):84–89. doi: 10.1111/j.1834-7819.2004.tb00055.x.
    1. Mason RM. A retrospective and prospective view of orofacial myology. Int J Orofac Myol: Off Publ Int Assoc Orofac Myol. 2005;31(1):5–14. doi: 10.52010/ijom.2005.31.1.1.
    1. Michelotti A, Rongo R, D’Antò V, Bucci R. Occlusion, orthodontics, and temporomandibular disorders: cutting edge of the current evidence. J World Fed Orthod. 2020;9(3):S15–S18. doi: 10.1016/j.ejwf.2020.08.003.
    1. Montes ABM, Oliveira TM, Gavião MBD, De Souza Barbosa T, Barbosa TS. Orofacial functions and quality of life in children with unilateral cleft lip and palate. Braz Oral Res. 2019;33:1–9. doi: 10.1590/1807-3107bor-2019.vol33.0061.
    1. Reyes Romagosa DE, Paneque Gamboa MR, Almeida Muñiz Y, Quesada Oliva LM, Escalona Oliva D, Torres Naranjo S. Risk factors associated with deforming oral habits in children aged 5–11: a case-control study. Medwave. 2014;14(02):e5927–e5927. doi: 10.5867/medwave.2014.02.5927.
    1. Sardenberg F, Martins MT, Bendo CB, Pordeus IA, Paiva SM, Auad SM, Vale MP. Malocclusion and oral health-related quality of life in Brazilian school children. Angle Orthod. 2013;83(1):83–89. doi: 10.2319/010912-20.1.
    1. Sardenberg F, Cavalcante-Leão BL, Todero SRB, Ferreira FM, Rebellato NLB, Fraiz FC. A population-based study on the impact of orofacial dysfunction on oral health-related quality of life among Brazilian schoolchildren. Acta Odontol Scand. 2017;75(3):173–178. doi: 10.1080/00016357.2016.1275038.
    1. Schroeder U, Santibanex G. Gagging as a symptom of induced anxiety reactions. Stomatologie Der DDR. 1978;28(8):576–80.
    1. Sharna N, Ramakrishnan M, Samuel V, Ravikumar D, Cheenglembi K, Anil S. Association between early childhood caries and quality of life: early childhood oral health impact scale and Pufa index. Dent J. 2019;7(4):95. doi: 10.3390/dj7040095.
    1. The Whoqol Group The world health organization quality of life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998;46(12):1569–1585. doi: 10.1016/S0277-9536(98)00009-4.
    1. Thomson WM, Foster Page LA, Gaynor WN, Malden PE. Short-form versions of the parental-caregivers perceptions questionnaire and the family impact scale. Community Dent Oral Epidemiol. 2013 doi: 10.1111/cdoe.12036.

Source: PubMed

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