Oral Health and Development, University of Sheffield, Claremont Crescent, Sheffield, UK.
Dent Traumatol. 2011 Feb;27(1):2-9. doi: 10.1111/j.1600-9657.2010.00943.x. Epub 2010 Dec 5.
Dental injuries occur commonly in childhood and may necessitate demanding courses of treatment. The aim of this study was to investigate a variety of clinical and demographic factors that may influence the quality of life impacts experienced by children after a dental injury.
A total of 244 children who attended a UK dental hospital, for management of traumatised permanent incisors, were invited to participate in the study. Clinical, demographic and psychosocial variables were collected at baseline, and outcome variables were assessed again at a 6-month follow up. Clinical variables included number of teeth injured; severity of the dental injury; visibility of the injury; time since injury; and number of dental appointments attended within the hospital. Psychosocial outcomes assessed included children's oral health-related quality of life (OHRQoL) and health-related quality of life (HRQoL).
One hundred and eight children participated in the baseline study (44% response rate), and of this group of children, a total of 70 children completed follow-up questionnaires (65% response rate). The results indicated that the most affected areas of children's OHRQoL and HRQoL were functional limitations and school-related activities, respectively. Of all the demographic and clinical variables, which were investigated within the current study, the only variable that significantly predicted OHRQoL and HRQoL for children was gender. Boys were found to report fewer impacts on their OHRQoL and HRQoL than girls. Interestingly, over two-thirds of children reported fewer impacts at the 6-month follow up.
The results revealed that girls were more likely to report higher level of impacts on their OHRQoL and HRQoL than boys following traumatic injury to their permanent incisors. Clinical variables were not significant predictors of child quality of life outcomes following dento-alveolar trauma at baseline or at the 6-month follow up.
儿童中常见牙外伤，可能需要进行复杂的治疗。本研究旨在调查多种临床和人口统计学因素，这些因素可能影响儿童牙外伤后生活质量的影响。
共邀请 244 名在英国一家牙科医院接受治疗的创伤性恒切牙儿童参与研究。在基线时收集了临床、人口统计学和心理社会变量，在 6 个月的随访时再次评估了结果变量。临床变量包括受伤的牙齿数量；牙齿损伤的严重程度；损伤的可见性；受伤时间；以及在医院就诊的牙科预约次数。评估的心理社会结果包括儿童的口腔健康相关生活质量（OHRQoL）和健康相关生活质量（HRQoL）。
108 名儿童参加了基线研究（44%的应答率），在这组儿童中，共有 70 名儿童完成了随访问卷（65%的应答率）。结果表明，儿童 OHRQoL 和 HRQoL 受影响最严重的领域分别是功能限制和与学校相关的活动。在本研究中调查的所有人口统计学和临床变量中，唯一显著预测儿童 OHRQoL 和 HRQoL 的变量是性别。与女孩相比，男孩报告的 OHRQoL 和 HRQoL 影响较少。有趣的是，超过三分之二的儿童在 6 个月的随访中报告的影响较少。
研究结果表明，与男孩相比，女孩在其恒切牙创伤后更有可能报告对其 OHRQoL 和 HRQoL 的影响更大。在基线或 6 个月随访时，临床变量不是儿童牙外伤后生活质量结果的显著预测因素。
