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Evaluation of quality of life with the Parental-Caregiver Perceptions Questionnaire (P-CPQ) in children requiring general anesthesia for dental treatment

Year 2025, Volume: 59 Issue: 2, 108 - 113, 21.05.2025
https://doi.org/10.26650/eor.20241258790

Abstract

Purpose: The aim of this study is to evaluate the quality of life of patients scheduled to complete all oral rehabilitation under general anesthesia (GA).

Materials and Methods: The study included 65 parents of children aged 4-14 years who were scheduled for dental treatment under GA. Parents provided demographic information, including their children's tooth brushing habits, frequency, and attitudes towards general oral and dental health. Subsequently, the parent/caregiver completed the 31-item Parental-Caregiver Perceptions Questionnaire (P-CPQ). Oral examinations of the children were performed by a pediatric dentist, and dmft/DMFT indexes and pufa/ PUFA indexes were recorded. Statistical analysis was performed using the SPSS (version 23.0) program, with a significance level set at p≤0.05. The Mann-Whitney U test was used for non-parametric variables, and the Shapiro-Wilk test was used for variables with a normal distribution. The Spearman correlation coefficient was used to demonstrate the relationship between continuous data.

Results: The majority of parents reported that their children brush their teeth once or twice a day (78.5%) and that their children's general oral and dental health status is moderate (53.8%). There was no statistically significant difference in P-CPQ total and subgroup scores between genders. It was determined that the P-CPQ total value decreased as the education level of both the mother (p=0.001) and father (p=0.043) increased. As DMFT/S values increased, P-CPQ total and subgroups 1, 2, and 3 increased (p<0.05).

Conclusion: Based on the results of this study, it can be concluded that an increase in the number of primary tooth decays and a decrease in the education level of the parents might negatively impact their children's quality of life.

References

  • Tesch FC, Oliveira BH, Leao A. Measuring the impact of oral health problems on children's quality of life: conceptual and methodological issues. Cad Saude Publica 2007;23:2555-64. google scholar
  • Bonecker M, Abanto J, Tello G, Oliveira LB. Impact of dental caries on preschool children's quality of life: an update. Braz Oral Res 2012;26 Suppl 1:103-7. google scholar
  • Mitsea AG, Karidis AG, Donta-Bakoyianni C, Spyropoulos ND. Oral health status in Greek children and teenagers, with disabilities. J Clin Pediatr Dent 2001;26:111-8. google scholar
  • MC Donald RE AD, Stookey Gk, Chin JR, Kowalik JE. Dental caries in child and Adolescent 10th ed ed. MC Donald RE AD, Dean JA., editor. St Louis, Missouri: Mosby Co; 2016. google scholar
  • Ramos-Jorge J, Pordeus IA, Ramos-Jorge ML, Marques LS, Paiva SM. Impact of untreated dental caries on quality of life of preschool children: different stages and activity. Community Dent Oral Epidemiol 2014;42:311-22. google scholar
  • Thomson WM, Poulton R, Milne BJ, Caspi A, Broughton JR, Ayers KM. Socioeconomic inequalities in oral health in childhood and adulthood in a birth cohort. Community Dent Oral Epidemiol 2004;32:345-53. google scholar
  • White HR, Lee JY, Rozier RG. The effects of general anesthesia legislation on operating room visits by preschool children undergoing dental treatment. Pediatric Dentistry 2008;30:70-5. google scholar
  • Kalsbeek H, Verrips GH, Eijkman MA, Kieft JA. Changes in caries prevalence in children and young adults of Dutch and Turkish or Moroccan origin in The Netherlands between 1987 and 1993. Caries Res 1996;30:334-41. google scholar
  • Anaise JZ. Measurement of dental caries experience-modification of the DMFT index. Community Dent Oral Epidemiol 1984;12:43-6. google scholar
  • Theunissen NCM, Vogels TGC, Koopman HM, Verrips GHW, Zwinderman KAH, Verloove-Vanhorick SP, et al. The proxy problem: child report versus parent report in health-related quality of life research. Quality of Life Research 1998;7:387-97. google scholar
  • Yang C, Crystal YO, Ruff RR, Veitz-Keenan A, McGowan RC, Niederman R. Quality Appraisal of Child Oral Health-Related Quality of Life Measures: A Scoping Review. JDR Clin Trans Res 2020;5:109-17. google scholar
  • Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Measuring parental perceptions of child oral health-related quality of life. J Public Health Dent 2003;63:67-72. google scholar
  • Jokovic A, Locker D, Tompson B, Guyatt G. Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent 2004;26:512-8. google scholar
  • Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res 2002;81:459-63. google scholar
  • Do LG, Spencer A. Oral health-related quality of life of children by dental caries and fluorosis experience. Journal of Public Health Dentistry 2007;67:132-9. google scholar
  • Johal A, Cheung MY, Marcene W. The impact of two different malocclusion traits on quality of life. Br Dent J 2007;202:E2. google scholar
  • Zhang M, McGrath C, Hagg U. Who knows more about the impact of malocclusion on children's quality of life, mothers or fathers? Eur J Orthodont 2007;29:180-5. google scholar
  • Klaassen MA, Veerkamp JS, Hoogstraten J. Dental treatment under general anaesthesia: the short-term change in young children's oral-health-related quality of life. Eur Arch Paediatr Dent 2008;9:130-7. google scholar
  • McGrath C, Pang HN, Lo EC, King NM, Hagg U, Samman N. Translation and evaluation of a Chinese version of the Child Oral Health-related Quality of Life measure. Int J Paediatr Dent 2008;18:267-74. google scholar
  • Albites U, Abanto J, Bonecker M, Paiva SM, Aguilar-Galvez D, Castillo JL. Parental-caregiver perceptions of child oral health-related quality of life (P-CPQ): Psychometric properties for the peruvian spanish language. Med Oral Patol Oral Cir Bucal 2014;19:e220-4. google scholar
  • 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;41:441-50. google scholar
  • Razanamihaja N, Boy-Lefevre ML, Jordan L, Tapiro L, Berdal A, de la Dure-Molla M, et al. Parental-Caregivers Perceptions Questionnaire (P-CPQ): translation and evaluation of psychometric properties of the French version of the questionnaire. BMC Oral Health 2018;18:211. google scholar
  • Mergen Gultekin I, Ozsin Ozler C, Serdar Eymirli P, Unal F, Atac AS. Cross-cultural adaptation of Turkish version of Parental-Caregiver Perceptions Questionnaire (P-CPQ). Int J Dent Hyg 2022;20:519-26. google scholar
  • Shanbhog R, Godhi BS, Nandlal B, Kumar SS, Raju V, Rashmi S. Clinical consequences of untreated dental caries evaluated using PUFA index in orphanage children from India. J Int Oral Health 2013;5:1-9. google scholar
  • Organization. WH. Oral Health Surveys: Basic Methods. World Health Organization; 1997. google scholar
  • Klaassen MA, Veerkamp JS, Hoogstraten J. Young children's Oral Health-Related Quality of Life and dental fear after treatment under general anaesthesia: a randomized controlled trial. Eur J Oral Sci 2009;117:273-8. google scholar
  • White H, Lee JY, Vann WF, Jr. Parental evaluation of quality of life measures following pediatric dental treatment using general anesthesia. Anesth Prog 2003;50:105-10. google scholar
  • Sruthi KS, Yashoda R, Puranik MP. Oral health status and parental perception of child oral health-related quality of life among children with cerebral palsy in Bangalore city: A crosssectional study. Spec Care Dentist 2021;41:340-8. google scholar
  • Chaffee BW, Rodrigues PH, Kramer PF, Vitolo MR, Feldens CA. Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol 2017;45:216-24. google scholar
  • Baghdadi ZD. Effects of dental rehabilitation under general anesthesia on children's oral health-related quality of life using proxy short versions of OHRQoL instruments. Scientific World Journal 2014;308439. google scholar
  • Chao Z, Gui Jin H, Cong Y. The effect of general anesthesia for ambulatory dental treatment on children in Chongqing, Southwest China. Paediatr Anaesth 2017;27:98-105. google scholar
  • Ridell K, Borgstrom M, Lager E, Magnusson G, Brogardh-Roth S, Matsson L. Oral health-related quality-of-life in Swedish children before and after dental treatment under general anesthesia. Acta Odontol Scand 2015;73:1-7. google scholar
  • Freire M, Graca SR, Dias S, Mendes S. Oral health-related quality of life in portuguese pre-school children: a cross-sectional study. Eur Arch Paediatr Dent 2022;23:945-52. google scholar
Year 2025, Volume: 59 Issue: 2, 108 - 113, 21.05.2025
https://doi.org/10.26650/eor.20241258790

Abstract

References

  • Tesch FC, Oliveira BH, Leao A. Measuring the impact of oral health problems on children's quality of life: conceptual and methodological issues. Cad Saude Publica 2007;23:2555-64. google scholar
  • Bonecker M, Abanto J, Tello G, Oliveira LB. Impact of dental caries on preschool children's quality of life: an update. Braz Oral Res 2012;26 Suppl 1:103-7. google scholar
  • Mitsea AG, Karidis AG, Donta-Bakoyianni C, Spyropoulos ND. Oral health status in Greek children and teenagers, with disabilities. J Clin Pediatr Dent 2001;26:111-8. google scholar
  • MC Donald RE AD, Stookey Gk, Chin JR, Kowalik JE. Dental caries in child and Adolescent 10th ed ed. MC Donald RE AD, Dean JA., editor. St Louis, Missouri: Mosby Co; 2016. google scholar
  • Ramos-Jorge J, Pordeus IA, Ramos-Jorge ML, Marques LS, Paiva SM. Impact of untreated dental caries on quality of life of preschool children: different stages and activity. Community Dent Oral Epidemiol 2014;42:311-22. google scholar
  • Thomson WM, Poulton R, Milne BJ, Caspi A, Broughton JR, Ayers KM. Socioeconomic inequalities in oral health in childhood and adulthood in a birth cohort. Community Dent Oral Epidemiol 2004;32:345-53. google scholar
  • White HR, Lee JY, Rozier RG. The effects of general anesthesia legislation on operating room visits by preschool children undergoing dental treatment. Pediatric Dentistry 2008;30:70-5. google scholar
  • Kalsbeek H, Verrips GH, Eijkman MA, Kieft JA. Changes in caries prevalence in children and young adults of Dutch and Turkish or Moroccan origin in The Netherlands between 1987 and 1993. Caries Res 1996;30:334-41. google scholar
  • Anaise JZ. Measurement of dental caries experience-modification of the DMFT index. Community Dent Oral Epidemiol 1984;12:43-6. google scholar
  • Theunissen NCM, Vogels TGC, Koopman HM, Verrips GHW, Zwinderman KAH, Verloove-Vanhorick SP, et al. The proxy problem: child report versus parent report in health-related quality of life research. Quality of Life Research 1998;7:387-97. google scholar
  • Yang C, Crystal YO, Ruff RR, Veitz-Keenan A, McGowan RC, Niederman R. Quality Appraisal of Child Oral Health-Related Quality of Life Measures: A Scoping Review. JDR Clin Trans Res 2020;5:109-17. google scholar
  • Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Measuring parental perceptions of child oral health-related quality of life. J Public Health Dent 2003;63:67-72. google scholar
  • Jokovic A, Locker D, Tompson B, Guyatt G. Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent 2004;26:512-8. google scholar
  • Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res 2002;81:459-63. google scholar
  • Do LG, Spencer A. Oral health-related quality of life of children by dental caries and fluorosis experience. Journal of Public Health Dentistry 2007;67:132-9. google scholar
  • Johal A, Cheung MY, Marcene W. The impact of two different malocclusion traits on quality of life. Br Dent J 2007;202:E2. google scholar
  • Zhang M, McGrath C, Hagg U. Who knows more about the impact of malocclusion on children's quality of life, mothers or fathers? Eur J Orthodont 2007;29:180-5. google scholar
  • Klaassen MA, Veerkamp JS, Hoogstraten J. Dental treatment under general anaesthesia: the short-term change in young children's oral-health-related quality of life. Eur Arch Paediatr Dent 2008;9:130-7. google scholar
  • McGrath C, Pang HN, Lo EC, King NM, Hagg U, Samman N. Translation and evaluation of a Chinese version of the Child Oral Health-related Quality of Life measure. Int J Paediatr Dent 2008;18:267-74. google scholar
  • Albites U, Abanto J, Bonecker M, Paiva SM, Aguilar-Galvez D, Castillo JL. Parental-caregiver perceptions of child oral health-related quality of life (P-CPQ): Psychometric properties for the peruvian spanish language. Med Oral Patol Oral Cir Bucal 2014;19:e220-4. google scholar
  • 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;41:441-50. google scholar
  • Razanamihaja N, Boy-Lefevre ML, Jordan L, Tapiro L, Berdal A, de la Dure-Molla M, et al. Parental-Caregivers Perceptions Questionnaire (P-CPQ): translation and evaluation of psychometric properties of the French version of the questionnaire. BMC Oral Health 2018;18:211. google scholar
  • Mergen Gultekin I, Ozsin Ozler C, Serdar Eymirli P, Unal F, Atac AS. Cross-cultural adaptation of Turkish version of Parental-Caregiver Perceptions Questionnaire (P-CPQ). Int J Dent Hyg 2022;20:519-26. google scholar
  • Shanbhog R, Godhi BS, Nandlal B, Kumar SS, Raju V, Rashmi S. Clinical consequences of untreated dental caries evaluated using PUFA index in orphanage children from India. J Int Oral Health 2013;5:1-9. google scholar
  • Organization. WH. Oral Health Surveys: Basic Methods. World Health Organization; 1997. google scholar
  • Klaassen MA, Veerkamp JS, Hoogstraten J. Young children's Oral Health-Related Quality of Life and dental fear after treatment under general anaesthesia: a randomized controlled trial. Eur J Oral Sci 2009;117:273-8. google scholar
  • White H, Lee JY, Vann WF, Jr. Parental evaluation of quality of life measures following pediatric dental treatment using general anesthesia. Anesth Prog 2003;50:105-10. google scholar
  • Sruthi KS, Yashoda R, Puranik MP. Oral health status and parental perception of child oral health-related quality of life among children with cerebral palsy in Bangalore city: A crosssectional study. Spec Care Dentist 2021;41:340-8. google scholar
  • Chaffee BW, Rodrigues PH, Kramer PF, Vitolo MR, Feldens CA. Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol 2017;45:216-24. google scholar
  • Baghdadi ZD. Effects of dental rehabilitation under general anesthesia on children's oral health-related quality of life using proxy short versions of OHRQoL instruments. Scientific World Journal 2014;308439. google scholar
  • Chao Z, Gui Jin H, Cong Y. The effect of general anesthesia for ambulatory dental treatment on children in Chongqing, Southwest China. Paediatr Anaesth 2017;27:98-105. google scholar
  • Ridell K, Borgstrom M, Lager E, Magnusson G, Brogardh-Roth S, Matsson L. Oral health-related quality-of-life in Swedish children before and after dental treatment under general anesthesia. Acta Odontol Scand 2015;73:1-7. google scholar
  • Freire M, Graca SR, Dias S, Mendes S. Oral health-related quality of life in portuguese pre-school children: a cross-sectional study. Eur Arch Paediatr Dent 2022;23:945-52. google scholar
There are 33 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Original Research Articles
Authors

İrem Mergen Gültekin 0000-0002-1647-5946

Özge Güneş Yetiş 0009-0000-4470-8105

Pınar Serdar Eymirli 0000-0002-7568-326X

Publication Date May 21, 2025
Submission Date March 4, 2023
Published in Issue Year 2025 Volume: 59 Issue: 2

Cite

EndNote Mergen Gültekin İ, Güneş Yetiş Ö, Serdar Eymirli P (May 1, 2025) Evaluation of quality of life with the Parental-Caregiver Perceptions Questionnaire (P-CPQ) in children requiring general anesthesia for dental treatment. European Oral Research 59 2 108–113.