Children's ORal HEAlTh REsearch ‘CREATE’
Caries specific measure of oral health related quality of life - CARIES-QC
Funded by: NIHR Doctoral Research Fellowship
This doctoral project investigated the impact of dental caries on children using qualitative techniques and developed a caries-specific oral health-related quality of life measure. CARIES-QC was developed for self-completion by children aged 5-16 years. CARIES-QC contains 12 items and one global question. The items are scored on a 3-point Likert scale and scored 0-2, with increasing score indicating increased impact (possible total score range 0–24). As the measure is unidimensional, a conversion scale is available to convert the raw ordinal score to an interval score to allow accurate calculation of change scores and effect sizes. CARIES-QC is available in English and Dutch.
Malocclusion-specific measure of oral health-related quality of life – Malocclusion Impact Questionnaire - MIQ
The Malocclusion Impact Questionnaire (MIQ) has been developed by research teams at the Eastman Dental Institute, London and the School of Clinical Dentistry, Sheffield. The Malocclusion Impact Questionnaire contains 17 items and was developed for self-completion by children aged 10-16 years.
Children’s experiences of dental anxiety measure - CEDAM
The Children’s experiences of dental anxiety measure (CEDAM) is a new measure of dental anxiety developed with children and colleagues from Kings College London, University of Reading, and University of Glasgow for use for routine clinical assessment and research purposes. It was developed to be completed by children aged 10-16 years. An electronic version of CEDAM is currently in development.
YOUR teeth YOU are in control
Development of a self-help Cognitive Behavioural Therapy resource for young people with dental anxiety.
Key Contact: Dr Zoe Marshman Z.Marshman@sheffield.ac.uk
This is a two-year project to develop a self-help Cognitive Behavioural Therapy resource for young people with dental anxiety. This project hosted by Sheffield Teaching Hospitals NHS Foundation Trust involves collaboration with Kings College London, University of Reading, University of Glasgow and Five Areas Ltd. This project will result in the first CBT resource for young people with dental anxiety and accompanying resources for parents and dental teams.
Resources available include:
For more information please complete the Enquiry Form
Patient evaluation of British Orthodontic Society website on orthognathic surgery
The British Orthodontic Society (BOS) have produced a new website to contain general information on the benefits and risk of orthognathic surgery. Information is provided in the following sections;
The website was developed by a working party of orthodontists and a maxillofacial surgeon. The views of patients were incorporated into the design of this website:
The aim of this research project is to explore patients’ evaluations of yourjawsurgery.com through qualitative interviews. The findings of the research will provide recommendations to improve the website from patients perspectives.
For more details contact Z.Marshman@sheffield.ac.uk
Management of dental caries in children
FiCTION - Filling Children's Teeth: Indicated Or Not?’
Funded by NIHR Health Technology Assessment
Key Contact: Professor Chris Deery
Study Active: 2010-2017
This multi-centred clinical trial is a collaboration between dental schools in Dundee, Sheffield, Leeds, Newcastle, Cardiff and London. The aim of the trial is to provide an evidence base for the most effective approach to the management of dental caries in the primary teeth of children.
For further information email: firstname.lastname@example.org
Patient decision aids
Patient decision aids are currently being developed as PhD projects for:
This PhD project developed a patient decision aid (PDA) for young people with malocclusion considering whether to have orthodontic treatment or not, in order to facilitate shared decision-making and improve patient-clinician interaction. The project included a pilot evaluation of the PDA in reducing decisional conflict, increasing knowledge and meeting expectations.
The above patient decision aid (PDA) was developed for young people faced with the decision to undergo dental treatment with either inhalation sedation, intravenous sedation or general anaesthetic. The content of the PDA was informed by a series of qualitative interviews with patients who had already undergone dental treatment with sedation or general anaesthetic and their parents/guardians. Preliminary results suggest that the PDA significantly increases patients' and parents/guardians' knowledge when compared to standard care.
Children's engagement with health messages
All About Me: making sense of health messages in a hands-on exhibition space
Children’s health is high on the research and policy agenda of many nations. However, we know very little about how children engage with health messages and how they make them meaningful to their own lives. This collaborative research project between the Centre for the Study of Childhood and Youth (CSCY) and Eureka Children’s Museum uses a specific, real- world setting, Eureka’s new exhibition space ‘All About Me’, to explore how children go about constructing understandings of health and their own and others’ bodies. Within the ‘All About Me’ exhibition is a giant mouth and dental role play area which is very popular with children and has been a significant feature of the research project.
Funded by: University of Sheffield Collaborative R&D funding
Oral health-related quality of life of children undergoing a general anaesthetic for the management of dental caries
Dental treatment of children under general anaesthetic (DGA) is a relatively common procedure worldwide particularly in young children, children with dental anxiety, those with extensive treatment requirements or for children with additional care needs. Hospital episode statistics have shown that around 60,000 children in England are admitted to hospital per year for the extraction of one or more carious teeth, at a cost of around £30 million pounds (Public Health England 2014). A systematic review of the impact of DGA treatment on children’s OHRQoL found improvement in oral health and in psychological, social and overall wellbeing, although all of the included studies relied on parental reports of OHRQoL of their children. Further research into changes in OHRQoL from the child’s perspective was recommended using a child-centred measure with appropriate evaluative properties (Jankauskiene and Narbutaite 2010).
This project will involve a longitudinal assessment of OHRQoL using a child-centred measure for children having treatment of dental caries under DGA.
The project is funded by the PAPOR studentship.
Key Contact: Dr Zoe Marshman
Child-reported and clinical outcomes following aesthetic management of developmental defects of enamel
PhD Student: Noren Nor Hasmun
Tooth formation is a complex process and a number of environmental or genetic factors may upset tooth development resulting in changes to the amount or quality of enamel that is formed. One of the most common conditions we see is called Molar Incisor Hypomineralisation (MIH), affecting around 10% of children, and resulting in abnormal yellow, brown or white ‘patches’ (opacities) of enamel. Some children with visible opacities on their front teeth understandably experience profoundly negative impacts on their quality of life. They may be reluctant to smile as they are embarrassed about their teeth, as illustrated in this quote from one of our young patients: ‘I don’t like the colour, I’m conscious about it, when I am talking I don’t like showing them…. I’m actually quite bothered’.
‘Before’ and ‘After’ photos of a young boy who had microabrasion treatment and a composite resin restoration for the improvement of his enamel opacity
Funder: Malaysian Higher Education Department & Universiti Teknologi
Exploring participation as a new perspective for child oral health promotion
Gaining an understanding of children's perspectives of oral health and understanding how they experience participation in oral health promotion may improve the quality of oral health promoting activities. Although there has been a strong call for participatory child-centred approaches, research is lacking with respect to children's participation. The aim of this study is to explore the dynamics and meaning of children's participation in an oral health promotion programme. It is an ethnographic case study which involves participant observations and semi-structured interviews.
Sarab El Yousfi . Funded by Libyan Ministry of Higher Education.
"I Can't Eat and Sleep and Stuff": Children's Experiences of Having Dental Decay
Fiona Gilchrist, School of Clinical Dentistry
Fiona discusses the cutting edge of paediatric dentistry, and describes how new treatments are introduced into dental practice.
Learning about the Mind and Body
On Saturday 31st October 2015 Zoe Marshman and a team of ten undergraduates and postgraduates, led by final year student Amelia Coulby joined colleagues from Psychology at Western Park Museum for a day of activities designed to teach children and parents about different aspects of the mind and body. This free event covered topics such as the development of attention and control, the brain, language and the mouth and how to care for it.
Discovery Night (2015)
The CREATE group , as part of the University of Sheffield, Science and Engineering week held at Firth court, engaged with children, young people (aged 3-17 years) and their parents through talks, exciting demonstrations and hands-on activities. Our photo booth turned out to be very popular with children asked to dress up and use props to show us what they think professionals working in the dental school (e.g. dentist, researcher, professor) look like.
Life Festival (2014)
As part of the Faculty Life Festival 60 children (aged 5-7 years) from Hunters Bar Infant School were invited to Firth Court for a half day event to disseminate research conducted within the group. The evaluation of the event was very positive from the perspective of the school, children and provided valuable insights into future projects.
Children ORal HEAlTh Research ‘CREATE’
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