Title: 0740 - Children’s First Dental Visit and Oral Health-Related Quality of Life


Amanda-mae Nguee (Presenter)
Erasmus Medical Center

Edwin Ongkosuwito, Erasmus Medical Center
Henriëtte Moll, Erasmus Medical Center
Vincent Jaddoe, Erasmus Medical Center
Eppo Wolvius, Erasmus Medical Center
Lea Kragt, Erasmus Medical Center


Objectives: Early preventive dental visits have been advocated to prevent oral diseases in children and consequently, to improve future oral-health related-quality of life (OHRQoL). However, findings from recent literature remain inconclusive about the benefits of these visits on children’s future oral health outcomes and its associated costs. Therefore, this study evaluated the impact of timing of the first dental visit on children's OHRQoL at the age 10 and to determine if a caries-related first visit changes this impact on OHRQoL.

Methods: We conducted this study within Generation R Study, a population-based prospective cohort study. We assessed timing and reason for the first dental visit through parental questionnaires at a median age of 5.92 years (5.7-6.4) and children’s OHRQoL with parental short-form of the Child Oral Health Impact Profile at 9.71 years (9.5-10.0). We also collected information on children’s ethnicity and socioeconomic status. To test whether timing and reason for first dental visit influenced OHRQoL at 10 years, we performed two separate series of multiple linear regression models.

Results: In total, 3485 children were included in the analysis. Children whose first dental visit was from age 2 to 3, age 3 to 4 and above 4 years did not experience significantly lower OHRQoL compared to children whose visit was before age of 2 years ([aβ] (95%CI)= -0.02 (-0.31,0.27); -0.02, (-0.33,0.29); -0.11 (-0.52,0.31), respectively), regardless of whether the visit was for caries-related reasons or check-up ([aβ] (95%CI)= -0.30 (-1.04,0.44)).

Conclusions: Delaying the timing of the first dental visit does not have a significant negative impact on children’s future OHRQoL, whether the visit was due to caries-related reasons or not. Preventive strategies such as early dental visits before the age of 1 year have been advocated to prevent future oral disease. However, its benefits on future OHRQoL are unclear and should be further investigated in future studies.

Student Presenter

This abstract is based on research that was funded entirely or partially by an outside source:
The Generation R Study is made possible by financial support from the Erasmus Medical Centre, Rotterdam, the Erasmus University Rotterdam and the Netherlands Organization for Health Research and Development. Research that has led to these findings received support by a Netherlands Organization for Health Research and Development grant (VIDI 016.136.361), a European Research Council Consolidator Grant (ERC-2014-CoG-648916), and by the European Union's Horizon 2020 research and innovation programme under grant agreements no 733206 (LifeCycle) and no 633595 (DynaHEALTH).

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE