Patient Management
Alissa Bares, DDS
Resident
University of Minnesota, Minneapolis, MN
University of Minnesota
Minneapolis, Minnesota, United States
Mike John, PhD, DMD, MPH
University of Minnesota
Minneapolis, Minnesota, United States
Jeff Karp, D.M.D., M.S.
Residency Program Director
University of Minnesota
School of Dentistry , University of Minnesota
Minneapolis, Minnesota, United States
Purpose: The aim of this retrospective study was to examine the association between non-esthetic restorative treatment and patient-reported outcomes in older school age children.
Methods: A 5-item questionnaire (Oral Health Impact Profile/OHIP-5SCHOOL) designed for school-aged children were routinely administered to English-speaking children ages 9 and older at the University of Minnesota pediatric dental clinic. The survey instrument evaluated patients in four quality of life domains: oral function, orofacial appearance, orofacial pain and psychosocial impact. After IRB approval, OHIP scores were compared between patients with a history of esthetic/tooth-colored restorative treatment, non-esthetic treatment, and no history of dental treatment. Statistical analysis was performed to evaluate variables predictive of patient responses and differences between the groups.
Results: A total of 230 OHIP questionnaires were included in the study. The median time to complete the questionnaire was 60 seconds (n=142). All five OHIP questions demonstrated a non-parametric distribution with a majority of participants answering ‘Never’ or “Hardly Ever’ in regard to the frequency they experienced the symptom within the last seven days. Median OHIP scores were assessed for groups based on age, gender, insurance status and history of restorative treatment. No statistically significant difference between the groups for the demographic data or history of treatment was found. There was positive inter-correlation between all items and a Cronbach alpha score of .71 indicating internal consistency across the five items.
Conclusion: This work will influence the implementation of oral health quality of life evaluation into pediatric dental practice.
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