Do Loc G, Spencer A
Australian Research Centre for Population Oral Health, The University of Adelaide, Australia.
J Public Health Dent. 2007 Summer;67(3):132-9. doi: 10.1111/j.1752-7325.2007.00036.x.
To evaluate the oral health-related quality of life (OHRQoL) of children by dental caries and fluorosis status.
A random sample of South Australian 8- to 13-year-old children was selected. Caries data were collected from school dental service records to group children by combined deciduous and permanent tooth caries experience. Children were examined for fluorosis using the Thylstrup and Fejerskov (TF) Index to form groups by fluorosis scores on maxillary central incisors. Occlusal traits were recorded using the Dental Aesthetic Index. Children and their parents completed the Child Perception Questionnaire (CPQ) and the Parental Perception Questionnaire (PPQ) and a global rating of oral health (OH). OHRQoL indicators, rating OH as Excellent/Very good, and mean overall CPQ/PPQ scores were compared between groups by fluorosis scores and caries experience. Multivariate models were generated for both OH and CPQ/PPQ indicators.
Two hundred forty-two children (43.0 percent) had 0 decayed, missing, and filled primary and permanent tooth surface (dmfs/DMFS), while 170 (23.9 percent) had 5+ dmfs/DMFS. The prevalence of TF scores 1, 2, and 3 were 14.5, 9.5, and 1.9 percent, respectively. The proportion of children/parents rating OH as Excellent/Very good was significantly associated with children's caries experience. That proportion increased when fluorosis severity increased from a TF score of 0 to 2, but decreased with a TF of 3. Having low caries experience and better dental appearance were associated with parents' perception of good OH. Having mild fluorosis and more acceptable appearance were significant factors for children's perception of good OH. Caries and malocclusion were associated with lower OHRQoL, while having a TF score of 2 was associated with better OHRQoL in multivariate models for overall CPQ/PPQ scores.
Caries and less acceptable appearance showed a negative impact, while mild fluorosis had a positive impact on child and parental OHRQoL.
通过龋齿和氟斑牙状况评估儿童的口腔健康相关生活质量（OHRQoL）。
选取南澳大利亚8至13岁儿童的随机样本。从学校牙科服务记录中收集龋齿数据，根据乳牙和恒牙的综合龋齿经历对儿童进行分组。使用蒂尔斯楚普和费耶斯科夫（TF）指数检查儿童的氟斑牙情况，以上颌中切牙的氟斑牙评分进行分组。使用牙科美学指数记录咬合特征。儿童及其父母完成儿童感知问卷（CPQ）和父母感知问卷（PPQ）以及口腔健康总体评分（OH）。按氟斑牙评分和龋齿经历对组间OHRQoL指标（将OH评为优秀/非常好）以及CPQ/PPQ平均总分进行比较。针对OH和CPQ/PPQ指标生成多变量模型。
242名儿童（43.0%）乳牙和恒牙龋失补牙面数（dmfs/DMFS）为0，而170名儿童（23.9%）的dmfs/DMFS为5颗及以上。TF评分为1、2和3的患病率分别为14.5%、9.5%和1.9%。将OH评为优秀/非常好的儿童/父母比例与儿童的龋齿经历显著相关。当氟斑牙严重程度从TF评分为0增加到2时，该比例增加，但TF评分为3时则降低。龋齿经历少和牙齿外观较好与父母对良好口腔健康的认知相关。轻度氟斑牙和更易接受的外观是儿童对良好口腔健康认知的重要因素。在CPQ/PPQ总分的多变量模型中，龋齿和错颌与较低的OHRQoL相关，而TF评分为2与较好的OHRQoL相关。
龋齿和较不易接受的外观显示出负面影响，而轻度氟斑牙对儿童和父母的OHRQoL有积极影响。
