Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Dent Traumatol. 2011 Apr;27(2):88-94. doi: 10.1111/j.1600-9657.2010.00957.x. Epub 2011 Feb 1.
Traumatic dental injuries (TDI) are common in children and adolescences. Neglected or inadequate treatment may lead to psychosocial distress during late adolescence.
To investigate the potential impact of traumatic dental injuries (TDI) with unmet treatment need, on the quality of life of 16-19 year-olds in Tirana, Albania.
A case-control survey (1:2) was conducted in public high schools in Albania, comprising 95 subjects affected by TDI with unmet treatment need based on objective clinical signs. Controls (n = 190) with no history of TDI were matched by age, sex and belonging to the same school class and group of friends as the respective case. The Oral Impact on Daily Performances (OIDP) index was used to measure the impacts. DMFT, Community Periodontal Index and the Aesthetic Component of the Index of Orthodontic Treatment Need as well as social parameters were recorded.
The response rate was 98%. Overall, the impact prevalence of OIDP was 88.4% among the cases, and 58.9% among the controls (P < 0.001). The most prevalent OIDP impact was 'smiling and showing teeth without embarrassment': cases had significantly higher values than controls (78.9% vs 31.6%). Multiple conditional logistic regression analysis was used to disclose the effect of TDI with unmet treatment need on quality of life by adjusting for possible confounders. Compared to the control group, TDI cases with unmet treatment need are at greater overall risk of impacts measured as OIDP, with an odds ratio of 3.9 (95% CI: 1.6-9.1).
TDI with unmet treatment need in this sample of adolescents is associated with reduced OHRQoL. Compared to adolescents with no history of TDI, those affected by TDI with unmet treatment need are at greater risk of suffering impacts on OHRQoL in the form of OIDP.
创伤性牙外伤（TDI）在儿童和青少年中很常见。忽视或治疗不当可能会导致青少年后期的社交困扰。
研究未满足治疗需求的创伤性牙外伤（TDI）对阿尔巴尼亚地拉那 16-19 岁青少年生活质量的潜在影响。
在阿尔巴尼亚的公立高中进行了病例对照调查（1:2），共纳入 95 名基于客观临床体征患有未满足治疗需求的 TDI 的患者作为病例。对照组（n=190）无 TDI 史，按年龄、性别以及与各自病例相同的学校班级和朋友圈匹配。使用口腔日常生活影响量表（OIDP）评估影响程度。记录 DMFT、社区牙周指数和正畸治疗需要的美学成分以及社会参数。
总体而言，病例组 OIDP 的影响患病率为 88.4%，对照组为 58.9%（P<0.001）。最常见的 OIDP 影响是“不尴尬地微笑和露齿”：病例组的得分明显高于对照组（78.9%比 31.6%）。采用多条件逻辑回归分析，调整可能的混杂因素后，揭示未满足治疗需求的 TDI 对生活质量的影响。与对照组相比，未满足治疗需求的 TDI 病例发生 OIDP 的总体影响风险更高，比值比为 3.9（95%可信区间：1.6-9.1）。
在该青少年样本中，未满足治疗需求的 TDI 与 OHRQoL 降低有关。与无 TDI 史的青少年相比，未满足治疗需求的 TDI 患者发生 OIDP 等 OHRQoL 影响的风险更高。
