Department of Dental Public Health, Faculty of Dentistry, National Autonomous University of Mexico, Mexico City, Mexico.
Qual Life Res. 2011 Dec;20(10):1699-706. doi: 10.1007/s11136-011-9897-4. Epub 2011 Apr 7.
To evaluate the oral-health-related quality of life (OHRQoL) of children living in an endemic hydrofluorosis area.
Schoolchildren aged 8-10 years living in an area with 3.38 ppm F water concentration completed a validated Spanish version of the Child Perceptions Questionnaire (CPQ(8-10ESP)). World Health Organization (WHO) criteria were applied for the diagnosis of dental caries and malocclusion. Additionally, the Thylstrup and Fejerskov Index (TFI) was used for fluorosis diagnosis. CPQ(8-10ESP) scores and oral health status were analyzed using non-parametric tests and logistic regression models.
Two hundred and twelve schoolchildren participated in this study. The mean CPQ(8-10ESP) score was 12.98 (SD 11.4). General oral health was rated as "poor" in 14.6%, "fair" in 41.5%, "good" in 25.9%, and "very good" in 17.9% of the children. Regarding overall well-being, half (51.6%) of the children perceived that the condition of their mouths disturbs their quality of life (QoL). Children with dental fluorosis (TF >4) had a high CPQ(8-10ESP) score in all domains (P < 0.005). Additionally, children with DMFS + dmfs >5 had higher scores in the oral symptoms, functional limitation, and emotional well-being CPQ(8-10ESP) domains (P < 0.05). Applying a CPQ(8-10ESP) cutoff point of 32, the OR values for severe malocclusion, caries, and fluorosis were 5.2 (P = 0.034), 4.6 (P = 0.006), and 5.1 (P = 0.007), respectively.
Malocclusion, caries, and fluorosis were associated with a negative impact on children's QoL.
评估生活在地方性氟中毒地区的儿童的口腔健康相关生活质量（OHRQoL）。
居住在氟浓度为 3.38ppm 的地区的 8-10 岁学龄儿童完成了经验证的西班牙版儿童感知问卷（CPQ（8-10ESP））。采用世界卫生组织（WHO）标准诊断龋齿和错畸形。此外，还使用 Thylstrup 和 Fejerskov 指数（TFI）诊断氟斑牙。使用非参数检验和逻辑回归模型分析 CPQ（8-10ESP）评分和口腔健康状况。
本研究共有 212 名学龄儿童参加。CPQ（8-10ESP）平均得分为 12.98（SD 11.4）。14.6%的儿童总体口腔健康状况被评为“差”，41.5%的儿童被评为“一般”，25.9%的儿童被评为“良好”，17.9%的儿童被评为“很好”。关于整体幸福感，一半（51.6%）的儿童认为口腔状况影响其生活质量（QoL）。TF>4 的氟斑牙儿童在所有领域的 CPQ（8-10ESP）评分均较高（P<0.005）。此外，DMFS+dmfs>5 的儿童在口腔症状、功能受限和情绪健康 CPQ（8-10ESP）领域的评分较高（P<0.05）。当 CPQ（8-10ESP）的截断值为 32 时，严重错畸形、龋齿和氟斑牙的 OR 值分别为 5.2（P=0.034）、4.6（P=0.006）和 5.1（P=0.007）。
错畸形、龋齿和氟斑牙与儿童 QoL 的负面影响相关。
