Can children’s oral hygiene and sleep routines be compromised during the COVID‐19 pandemic?

• Published in: International journal of paediatric dentistry Vol. 31; no. 1; pp. 12 - 19
• Main Authors: Baptista, Ana Sofia, Prado, Ivana Meyer, Perazzo, Matheus França, Pinho, Teresa, Paiva, Saul Martins, Pordeus, Isabela Almeida, Serra‐Negra, Júnia Maria
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01-01-2021; John Wiley and Sons Inc
• Subjects: Adolescent; Arousal; Brazil - epidemiology; Caregivers; Child; Child, Preschool; Children; Children & youth; COVID-19; Cross-Sectional Studies; epidemiology; Humans; Hygiene; Oral Hygiene; Original; Pandemics; Parents; Parents & parenting; Perception; Questionnaires; SARS-CoV-2; Sleep; Sleep and wakefulness; Sleep disorders; Social distancing; Surveys and Questionnaires; Brazil; COVID-19; epidemiology; oral hygiene; sleep disorders
• ISSN: 0960-7439; 1365-263X
• DOI: 10.1111/ipd.12732

Background
During COVID‐19 pandemic, children are confined at home, with changes in family routines.
Aim
Evaluate sleep disorders among Brazilian and Portuguese children during social distancing, and its association with parental perception of child's oral hygiene.
Design
In this cross‐sectional study, Portuguese and Brazilian parents/caregivers of 3‐ to 15‐year‐old children, practicing social distancing due to COVID‐19 pandemic, answered an online questionnaire, from April 24‐26, 2020, evaluating sociodemographic characteristics, child's school activities online, child's sleep quality during social distancing. Two questions from the questionnaire, developed based on previous studies, evaluated the parental perception of child's oral hygiene quality and routine changes during social distancing. Parents/caregivers answered five domains of the Portuguese‐language version of the Sleep Disturbances Scale for Children, evaluating sleep‐breathing disorders, disorders of arousal, sleep‐wake transition disorders, disorders of excessive somnolence and sleep hyperhidrosis. Descriptive, Linear‐by‐linear association, Kruskal‐Wallis and post hoc analysis were performed (P ≤ .05).
Results
Participated in the study 253 parents/caregivers, 50.2% from Brazil. Most parents (72.2%) reported changes in child's routine during social distancing. Sleep breathing disorders (P = .019), sleep‐wake transition disorders (P = .022), and disorders of excessive somnolence (P < .001) were associated with poor oral hygiene during social distancing.
Conclusion
Sleep disorders are associated with poor oral hygiene during social distancing.