O'Brien C, Benson P E, Marshman Z
Charles Clifford Dental Hospital, Sheffield, UK.
J Orthod. 2007 Sep;34(3):185-93; discussion 176. doi: 10.1179/146531207225022185.
To explore the validity and reliability of the child perception questionnaire as an oral-health-related quality of life (OHRQoL) measure in adolescents with malocclusion.
A cross-sectional study comparing two groups of individuals.
One group of children with malocclusion was recruited from the orthodontic departments at the Charles Clifford Dental Hospital (CCDH), Sheffield and Chesterfield Royal Hospital (CRH), Chesterfield. A second group with no malocclusion was recruited from the Paediatric Department at CCDH and one General Dental Practice in Sheffield.
The malocclusion group consisted of 116 patients aged 11-14 years about to commence orthodontic treatment. The non-malocclusion group consisted of 31 11-14-year-old patients with index of orthodontic treatment need (IOTN) 1 and 2, and DMFT <or=2, with no history of orthodontic treatment. The children completed the child perception questionnaire (CPQ), including global ratings of oral health and satisfaction. Each child rated their own IOTN aesthetic component (AC) score.
Total CPQ scores and responses in the four domains. Self-perceived AC scores and responses to global rating of oral health, life overall and satisfaction rating were recorded.
There was a statistically significant difference between the malocclusion and non-malocclusion total CPQ scores (P = 0.012). These differences were significant for the emotional (P = 0.006) and social well-being (P = 0.001) health domains, and not significant for the oral symptoms and functional limitations health domains. There were significant correlations between the total CPQ score and overall well-being (R(s) = 0.397) and patient satisfaction (Rs = 0.362).
Malocclusion has a negative impact on the OHRQoL of an adolescent. A shortened version of this form, specifically for prospective orthodontic patients, may be beneficial as an additional measure to assess need for treatment especially as some of the questions in the oral symptoms and functional limitations subscales of the current questionnaire are not relevant to orthodontic patients.
探讨儿童感知问卷作为错牙合青少年口腔健康相关生活质量（OHRQoL）测量工具的有效性和可靠性。
比较两组个体的横断面研究。
一组错牙合儿童从谢菲尔德查尔斯·克利福德牙科医院（CCDH）和切斯特菲尔德皇家医院（CRH）的正畸科招募。另一组无错牙合儿童从CCDH儿科和谢菲尔德的一家普通牙科诊所招募。
错牙合组由116名年龄在11 - 14岁、即将开始正畸治疗的患者组成。无错牙合组由31名11 - 14岁、正畸治疗需要指数（IOTN）为1和2且DMFT≤2、无正畸治疗史的患者组成。儿童完成儿童感知问卷（CPQ），包括口腔健康和满意度的总体评分。每个儿童对自己的IOTN美学成分（AC）评分。
CPQ总分及四个领域的回答。记录自我感知的AC评分以及对口腔健康、总体生活和满意度总体评分的回答。
错牙合组和无错牙合组的CPQ总分存在统计学显著差异（P = 0.012）。这些差异在情感（P = 0.006）和社会幸福感（P = 0.001）健康领域显著，在口腔症状和功能限制健康领域不显著。CPQ总分与总体幸福感（R(s) = 0.397）和患者满意度（Rs = 0.362）之间存在显著相关性。
错牙合对青少年的OHRQoL有负面影响。此问卷的简化版，特别是针对未来正畸患者的版本，作为评估治疗需求的额外措施可能有益，尤其是因为当前问卷口腔症状和功能限制子量表中的一些问题与正畸患者无关。
