Oral health-related quality of life, impaired physical health and orofacial pain in children and adolescents with juvenile idiopathic arthritis - a prospective multicenter cohort study

© 2023. The Author(s)..

BACKGROUND: Knowledge on oral health-related quality of life (OHRQoL) in children and adolescents with juvenile idiopathic arthritis (JIA) is limited, and longitudinal studies are lacking. We aimed to describe OHRQoL in children and adolescents with JIA compared to controls, and to explore the validity and internal consistency of the Early Childhood Oral Health Impact Scale (ECOHIS) and the Child Oral Impact on Daily Performance (Child-OIDP). Furthermore, we wanted to investigate associations between OHRQoL and orofacial pain, physical health, disease activity, and temporomandibular joint (TMJ) involvement in JIA.

METHODS: The Norwegian prospective, multicenter cohort study recruited participants with JIA between 4 and 16 years of age and corresponding controls from three pediatric university hospital departments and public dental health services. In the present study, we analyzed OHRQoL in all children < 12 years with the ECOHIS and adolescents ≥ 12 years with the Child-OIDP at the first visit and the two-year follow-up. Associations between OHRQoL and JIA characteristics, collected in clinical exam and questionnaires, were analyzed in logistic regressions.

RESULTS: The same OHRQoL questionnaire was completed both at first visit and two-year follow-up in 101 children < 12 years (47 JIA, 54 controls) and 213 adolescents ≥ 12 years (111 JIA, 102 controls). The frequency of OHRQoL impacts in children was similar at the first visit and the two-year follow-up (ECOHIS > 0: JIA group 81% and 85%, p = 0.791; control group 65% and 69%, p = 0.815), while adolescents with JIA reported fewer impacts at the two-year follow-up (Child OIDP > 0: JIA group 27% and 15%, p = 0.004; control group 21% and 14%, p = 0.230). The internal consistency of the OHRQoL instruments was overall acceptable and the criterion validity indicated that the instruments were valid at both visits. Orofacial pain was more frequent in children and adolescents with JIA than in controls. We found associations between OHRQoL impacts and orofacial pain, impaired physical health, disease activity, and TMJ involvement.

CONCLUSIONS: Children and adolescents with orofacial pain or impaired physical health were more likely to report impacts on daily life activities than those without. Pediatric rheumatologists and dentists should be aware of impaired OHRQoL in individuals with JIA with active disease or temporomandibular joint involvement.

TRIAL REGISTRATION: Registered on clinicaltrials.gov (NCT03904459, 05/04/2019).

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

BMC oral health - 23(2023), 1 vom: 20. Nov., Seite 895

Sprache:

Englisch

Beteiligte Personen:

Halbig, Josefine M [VerfasserIn]
Jönsson, Birgitta [VerfasserIn]
Gil, Elisabeth G [VerfasserIn]
Åstrøm, Anne N [VerfasserIn]
Rypdal, Veronika [VerfasserIn]
Frid, Paula [VerfasserIn]
Augdal, Thomas A [VerfasserIn]
Fischer, Johannes [VerfasserIn]
Cetrelli, Lena [VerfasserIn]
Rygg, Marite [VerfasserIn]
Lundestad, Anette [VerfasserIn]
Tylleskär, Karin [VerfasserIn]
Nordal, Ellen [VerfasserIn]
Norwegian JIA Study – Temporo-mandibular Involvement, Oral Health, Uveitis, Bone Health, Quality of Life in Children with Juvenile Idiopathic Arthritis [VerfasserIn]
Rosendahl, Karen [Sonstige Person]
Skeie, Marit Slåttelid [Sonstige Person]
Nordal, Ellen [Sonstige Person]
Rosén, Annika [Sonstige Person]
Gil, Elisabeth G [Sonstige Person]
Fischer, Johannes [Sonstige Person]
Shi, Xieqi [Sonstige Person]
Angenete, Oskar [Sonstige Person]
Lyngstad, Gunnar [Sonstige Person]
Sager, Marie [Sonstige Person]
Feuerheim, Astrid J [Sonstige Person]
Augdal, Thomas A [Sonstige Person]
Halbig, Josefine M [Sonstige Person]
Bletsa, Athanasia [Sonstige Person]
Midtbø, Marit [Sonstige Person]
von Wangenheim Marti, Larissa [Sonstige Person]
Säll, Mats [Sonstige Person]
Luukko, Keijo [Sonstige Person]
Vollan, Marianne Lothe [Sonstige Person]
Haro, Erik [Sonstige Person]
Amdal, Tone Kvinnsland [Sonstige Person]
Eidset, Susanne Irene Tobiesen [Sonstige Person]
Simonsen, Line Rapp [Sonstige Person]
Teige, Marte Grimsmo [Sonstige Person]
Hansen, Brita Lena [Sonstige Person]
Aune, Lisbeth [Sonstige Person]

Links:

Volltext

Themen:

Adolescent
Child
Journal Article
Juvenile idiopathic arthritis
Multicenter Study
Oral health
Orofacial pain
Quality of life
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 27.11.2023

Date Revised 12.01.2024

published: Electronic

ClinicalTrials.gov: NCT03904459

Citation Status MEDLINE

doi:

10.1186/s12903-023-03510-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364775475