Impacto do tratamento odontológico na percepção da criança e do responsável sobre a qualidade de vida relacionada à saúde bucal da criança

Abstract

This study aimed to evaluate the perception and concordance between child\' and caregiver\' reports about the oral health-related quality of life ( OHRQoL ) of children submitted to dental treatment and whose parents were submitted or not to dental treatment. Eight to ten- yrold children were submitted to preventive / curative treatment in a Basic Unit of Family Healt, and were divided into two groups : group 1 , treatment of children and caregivers; group 2 , treatment of children only. Children were clinically examined by a single trained examiner , who verified dental caries experience ( DMFT / dmft ) and the presence of malocclusions. Brazilian Portuguese version of the Child Perceptions Questionnaire ( CPQ8 - 10 ) and the Parental - Caregiver Perceptions Questionnaire ( P - CPQ ) were used to evaluate the child\' and caregiver\' perceptions of the child\' OHRQoL, respectively. The clinical examination and the self application of the questionnaires were used before and after 6 months of treatment . Data were analyzed using descriptive statistics ( chi-square) , the Shapiro - Wilk , Wilcoxon , Mann - Whitney tests and intraclass correlation coefficient ( ICC). The magnitude of the difference / concordance between child and caregiver was calculated using the effect size (ES). 48.6 % of caregivers of group 1 had 2 years of schooling and 8.6 % of group 2 ( p < 0.05 ) . There was significant increase in DMFT after treatment for group 2 ( 1.7 vs. 2.1 , p < 0.01 ) . Both groups had lower CPQ8 - 10 scores at post- treatment. At baseline, P- CPQ scores were lower than CPQ8 -10 scores , as opposed to post- treatment for both groups. In group 1 , there was concordance between children and caregivers at baseline and posttreatment, but just at posttreatment for group 2 . The effective participation of caregivers and their choice for the dental treatment option for dental treatment may be related to higher levels of education , the maintenance of oral health status of children and more positive perception about the child\' OHRQoL after dental treatment, as well as higher agreement between them.