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牙周病对唐氏综合征患者生活质量的影响。

The impact of periodontal disease on the quality of life of individuals with Down syndrome.

作者信息

Amaral Loureiro Ana Cristina, Oliveira Costa Fernando, Eustáquio da Costa José

机构信息

Faculty of Odontology, Federal University of Minas Gerais, Belo Horizonte, Brazil.

出版信息

Downs Syndr Res Pract. 2007 Jul;12(1):50-4. doi: 10.3104/reports.1998.

Abstract

OBJECTIVE

This study aimed to determine the prevalence of periodontal disease among children and adolescents with Down syndrome and the possible repercussions of such pathology in the quality of life of the group in question.

METHOD

The sample consists of 93 individuals with Down syndrome 6 - 20 years old, living in Brazil (Minas Gerais). Periodontal probing was carried out on every site of each tooth. The Plaque Index and periodontal clinical parameters were recorded. A broad interview was carried out with the mothers, consisted of an adaptation of the Oral Health Impact File OHIP-14 that was used to measure the negative repercussions of periodontal disease in the daily lives of these individuals.

RESULTS

The prevalence of gingivitis was 91%, whereas periodontitis was found in 33% of the individuals. When the impact of periodontal disease on the quality of life was correlated with the clinical periodontal parameters, it was observed that there are significant statistical differences among them: bleeding on probing, probing depth and attachment loss. These same results, correlated with all the different groups that are categorised according to the diagnosis of periodontal disease, also show significant differences.

CONCLUSIONS

Periodontal disease can be considered as a condition with high prevalence within the group in question, which has negative effects on the quality of life of the subjects. These effects are aggravated by the seriousness of the disease.

摘要

目的

本研究旨在确定唐氏综合征儿童和青少年牙周病的患病率,以及这种病理状况对该群体生活质量可能产生的影响。

方法

样本包括93名年龄在6至20岁、生活在巴西(米纳斯吉拉斯州)的唐氏综合征患者。对每颗牙齿的每个部位进行牙周探诊。记录菌斑指数和牙周临床参数。对这些患者的母亲进行了一次广泛的访谈,访谈内容采用了口腔健康影响量表OHIP - 14的改编版,用于衡量牙周病对这些个体日常生活的负面影响。

结果

牙龈炎的患病率为91%,而33%的个体患有牙周炎。当将牙周病对生活质量的影响与临床牙周参数进行关联分析时,发现它们之间存在显著的统计学差异:探诊出血、探诊深度和附着丧失。这些结果与根据牙周病诊断分类的所有不同组进行关联分析时,也显示出显著差异。

结论

牙周病在该群体中可被视为一种高患病率的疾病,对受试者的生活质量有负面影响。这些影响会因疾病的严重程度而加剧。

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