Department of Community Dentistry, Chulalongkorn University, Bangkok, Thailand.
Community Dent Oral Epidemiol. 2009 Dec;37(6):509-17. doi: 10.1111/j.1600-0528.2009.00503.x. Epub 2009 Oct 21.
To assess the prevalence and characteristics of oral impacts on daily life, and the relationship between certain dental conditions and impacts attributed to them, in a nationally representative population of Thai school children aged 12 and 15 years.
A cross-sectional study on a representative sample of children in Sixth Thailand National Oral Health Survey. Sample included half the children aged 12- and 15-year-old selected in Bangkok and all participants in 8 of 16 provinces included in national survey. Children were individually interviewed using the Child-OIDP (12-year-old) and OIDP indices (15-year-old), and two questions for overall subjective assessments.
A total of 1066 12-year-olds and 815 15-year-olds were interviewed. Some 85.2% of 12-year-olds reported experiencing oral impacts during the past 3 months. Child-OIDP scores ranged from 0 to 68.0 (mean = 7.83, SD = 7.8). Eating was the most commonly affected performance (64.4%), followed by cleaning teeth (51.7%) and maintaining emotional state (49.1%). Among 15-year-old children, 83.3% had oral impacts during the past 6 months. OIDP scores ranged from 0 to 39.5 (mean = 5.47, SD = 6.0). The three most commonly affected performances were eating (64.0%), cleaning teeth (55.3%) and maintaining emotional state (53.1%). Toothache and oral ulcers were the two most important perceived causes in 12-year-olds. Impacts from toothache were the most prevalent (39.2%) and had a condition-specific (CS) Child-OIDP score of 7.0, while oral ulcers affected 24.7% of children; mean CS-score of 8.0. Among 15-year-olds, oral ulcers ranked first in terms of both prevalence (36.2%) and CS-score (6.0), followed by toothache (prevalence 33.9% and CS-score 5.0). For both age groups, problems with gums were of less concern.
Oral impacts were common but not severe in Thai children and adolescents. For both age groups, impacts were mostly on eating performance; toothache and oral ulcers were the two important perceived causes reflecting needs for oral health promotion and treatment of dental caries and oral ulcers.
评估泰国学龄儿童中普遍存在的、与某些口腔状况相关的日常生活口腔影响的流行率和特征。
采用横断面研究方法，对第六次泰国全国口腔健康调查中具有代表性的儿童样本进行调查。样本包括曼谷地区一半的 12 岁和 15 岁儿童以及全国调查中 16 个省份中 8 个省份的所有参与者。通过儿童口腔影响生活的主观评估（Child-OIDP）（12 岁）和口腔影响生活的客观评估（OIDP）（15 岁）指数，对儿童进行个体访谈，并询问两个整体主观评估问题。
共对 1066 名 12 岁儿童和 815 名 15 岁儿童进行了访谈。85.2%的 12 岁儿童报告在过去 3 个月内经历过口腔影响。Child-OIDP 评分为 0 至 68.0（均值=7.83，标准差=7.8）。受影响最严重的是进食（64.4%），其次是刷牙（51.7%）和保持情绪状态（49.1%）。在 15 岁的儿童中，83.3%的儿童在过去 6 个月内经历过口腔影响。OIDP 评分为 0 至 39.5（均值=5.47，标准差=6.0）。受影响最严重的三个表现是进食（64.0%）、刷牙（55.3%）和保持情绪状态（53.1%）。12 岁儿童认为牙痛和口腔溃疡是最重要的两个口腔影响原因。牙痛引起的口腔影响最普遍（39.2%），且有特定口腔状况（CS）的 Child-OIDP 评分为 7.0，而口腔溃疡影响了 24.7%的儿童，CS 评分均为 8.0。在 15 岁的儿童中，口腔溃疡在流行率（36.2%）和 CS 评分（6.0）方面均排名第一，其次是牙痛（流行率 33.9%，CS 评分 5.0）。对于这两个年龄组，牙龈问题的关注度较低。
泰国儿童和青少年的口腔影响普遍存在，但并不严重。对于这两个年龄组，影响主要表现在进食方面；牙痛和口腔溃疡是两个重要的感知原因，反映了口腔健康促进和治疗龋齿和口腔溃疡的需求。
