title: The impact of dental caries on children and young people: what they have to say?
abstract: BACKGROUND
  Dental caries affects 60-90% of children across the world and is associated with a variety of negative impacts. Despite its ubiquity, there has been surprisingly little exploration of these impacts from the child's perspective.
  
  
  OBJECTIVE
  The aim was to allow children to describe the impact of dental caries on their daily lives and to describe the terminology they used.
  
  
  METHODS
  Children, aged 5-15 years, with caries experience were purposively sampled from primary and secondary care dental clinics. Focus groups (n = 5) and in-depth interviews (n = 16) were recorded and transcribed verbatim. Data analysis took a narrative approach, and themes were derived from the data using framework analysis.
  
  
  RESULTS
  Pain was the main theme to emerge. Within this, three subthemes were identified: impacts related to pain, strategies adopted to reduce pain, and emotional aspects resulting from pain. A second theme was also identified relating to the aesthetic aspects of caries.
  
  
  CONCLUSIONS
  Children as young as 5 years of age were able to competently discuss their experiences of dental caries. Participants reported a number of impacts affecting various aspects of their lives. These will be incorporated into the future development of a caries-specific measure of oral health-related quality of life.
authors.affiliation: School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
authors.forename: Fiona
authors.initials: F
authors.lastname: Gilchrist
authors.affiliation: School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
authors.forename: Zoe
authors.initials: Z
authors.lastname: Marshman
authors.affiliation: School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
authors.forename: Chris
authors.identifier: http://orcid.org/0000-0001-7526-7736
authors.initials: C
authors.lastname: Deery
authors.affiliation: School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
authors.forename: Helen D
authors.initials: HD
authors.lastname: Rodd
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D019140:Dental Care for Children; D003731:Dental Caries / Q000150:complications / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009909:Oral Health; D010146:Pain / Q000209:etiology / Q000523:psychology; D011788:Quality of Life