Sleep Problems, Early Childhood Caries, and Oral Health-Related Quality of Life: An Approach Using Structural Equation Modeling.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2025-06-20 DOI:10.1111/ipd.70000

Caroline de Oliveira Rodrigues, Jéssica Madeira Bittencourt, Laura Jordana Santos Lima, Maria Eliza da Consolação Soares, Leandro Silva Marques, Maria Letícia Ramos-Jorge

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引用次数: 0

Abstract

Background: Early childhood caries (ECC) has a multifactorial nature.

Objective: This study aimed to develop a structural model to identify the association between possible sleep problems, ECC, and oral health-related quality of life (OHRQoL).

Design: A cross-sectional study was conducted with 575 children aged 3-5 years. ECC was assessed using the ICDAS-II by calibrated dentists. Possible sleep problems were determined using the Children's Sleep Habits Questionnaire. OHRQoL was measured using the ECOHIS. Data were analyzed using structural equation modeling through Mplus, version 8.6.

Results: Children with more severe stages of ECC experienced dental pain (β = 0.712; p < 0.001), and the presence of dental pain was associated with more disturbed sleep (β = 0.723; p < 0.001). ECC and dental pain negatively impacted the child's (β = 0.208; p < 0.001; β = 0.750; p < 0.001) and the family's (β = 0.347; p < 0.001; β = 0.612; p < 0.001) OHRQoL, respectively.

Conclusion: An indirect association was found between ECC and children's sleep, mediated by the variable dental pain. ECC and dental pain were associated with higher OHRQoL scores.

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睡眠问题、儿童早期龋齿和口腔健康相关生活质量：一种使用结构方程模型的方法。

背景：幼儿龋病具有多因素的特点。目的：本研究旨在建立一个结构模型，以确定可能的睡眠问题、ECC和口腔健康相关生活质量（OHRQoL）之间的关系。设计：对575名3-5岁儿童进行横断面研究。经校准的牙医使用ICDAS-II评估ECC。使用儿童睡眠习惯问卷来确定可能的睡眠问题。OHRQoL采用ECOHIS测定。数据分析采用Mplus 8.6版结构方程建模。结果：ECC越严重的儿童出现牙痛(β = 0.712；p结论：ECC与儿童睡眠之间存在间接关联，由可变牙痛介导。ECC和牙痛与较高的OHRQoL评分相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.