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Open Access Highly Accessed Research article

Oral health-related quality of life of paediatric patients with AIDS

Débora B Massarente1, Carina Domaneschi1, Heloísa HS Marques2, Samantha B Andrade2, Daniela Goursand3 and José LF Antunes4*

Author Affiliations

1 Faculdade de Odontologia da Universidade de São Paulo, 2227 Av Prof Lineu Prestes, 05508-900, Sao Paulo, Brazil

2 Instituto da Criança, Faculdade de Medicina da Universidade de São Paulo, 647 Av Dr Enéas Carvalho de Aguiar, 05403-000, Sao Paulo, Brazil

3 Faculdade de Odontologia da Universidade Federal de Minas Gerais, 6627 Av Antonio Carlos, 31270-901, Belo Horizonte, Brazil

4 Faculdade de Saúde Pública da Universidade de São Paulo, 715 Av Dr Arnaldo, 01246-904, Sao Paulo, Brazil

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BMC Oral Health 2011, 11:2  doi:10.1186/1472-6831-11-2

Published: 5 January 2011

Abstract

Background

Children with Acquired Immune Deficiency Syndrome (AIDS) exhibit impaired dental status, which can affect their quality of life. This study assessed the oral health-related quality of life of these patients and associated factors.

Methods

The "Child Perceptions Questionnaire 11-14", rating overall and domain-specific (oral symptoms, functional limitations, emotional well being, and social well being) oral health-related quality of life (OHR-QoL) was completed by 88 children with AIDS assisted in the Child Institute, Sao Paulo, Brazil. Parents or guardians provided behavioural and socio-demographic information. The clinical status was provided by hospital records. OHR-QoL covariates were assessed by Poisson regression analysis.

Results

The most affected OHR-QoL subscale concerned oral symptoms, whose rate was 23.9%. The direct answer for oral health and well being made up a rate of 47.7%. Brushing the teeth less than two times a day and viral load exceeding 10,000 HIV-RNA copies per millilitre of plasma were directly associated (p < 0.05) with a poorer oral health-related quality of life.

Conclusions

Children with more severe AIDS manifestations complained of poorer status of oral symptoms, functional limitations, emotional and social well being related to their oral health. Recognizing the factors that are associated with poorer OHR-QoL in children with AIDS may contribute to the planning of dental services for this population.